Postpartum Nursing Care
Average blood loss during childbirth is up to __?__ mL in an uncomplicated vaginal birth and up to ___?__ mL for a cesarean birth.
500ml for vaginal and 1000ml for c-section
Decreased appetite, difficulty sleeping, irritability, decreased bonding with baby and decrease interactions with others may be symptoms of?
Postpartum depression/blues
The uterus should lie within the true pelvis and should not be palpable after __?__ weeks postpartum.
2 weeks
The breasts include the secretion of clear yellow fluid called colostrum, which occurs during pregnancy and 2 to 3 days immediately after birth. When is the milk produced?
Milk is produced about 72 to 96 hr after the birth of the newborn.
Clients can safely resume sexual intercourse once vaginal bleeding stops. The time frame may vary based on if the client experienced a perineal laceration, episiotomy, or a cesarean birth but typically resumes?
Within 6 weeks
Football hold, Cradle, and side-lying are all types of what?
Breastfeeding positions
Considers the newborn a family member, Holds the newborn face-to-face (en face position), maintaining eye contact, Assigns meaning to the newborn’s behavior and views this positively, Names the newborn, indicating bonding is occurring, Touches the newborn and maintains close physical proximity and contact, Provides physical care for the newborn (feeding, diapering), Responds to the newborn’s cries, Smiles at, talks to, and sings to the newborn. These are signs of?
Parent-Newborn Bonding
If a cesarean section was performed, the amount of bleeding will be ____?____ because the provider cleans out the uterus after surgery.
Decreased/less
Fullness of the breast tissue is a result of lymphatic circulation, milk production, and temporary vein congestion. The breast will appear tight, tender, warm, and full.
Engorgement
These discharge instructions of chills or fever greater than 38 degrees C after 24 hours, change in vaginal discharge, laceration/incision pain, pain in pelvic area, breast tenderness, calf tenderness or swelling, urination burning, pain, frequency or urgency, headache that does not go away, or possible depression are reasons for the patient to?
Report to the doctor
An infection in a milk duct of the breast with concurrent flu-like manifestations.
Mastitis
This medication is given immediately after birth to help prevent excessive bleeding and hemorrhage.
Pitocin
Persistent heavy lochia rubra in the early postpartum period beyond day 3, which can indicate?
Retained placental fragments
Standing up with manifestations of faintness or dizziness is called what?
Orthostatic hypotension (can occur within the first 48 hours after birth)
This is a complication of DVT that occurs if the embolus moves into the pulmonary artery or one of its branches and lodges in a lung, occluding the vessel and obstructing blood flow to the lungs.
Pulmonary Embolus
These are the three states of Lochia.
Lochia rubua, serosa and alba.
In lactating clients, the blood prolactin levels remain elevated and suppress?
Ovulation
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?
A normal postural discharge of lochia
A client who is nonimmune to rubella or has a negative or low titer is administered a subcutaneous injection of?
Rubella vaccine or measles, mumps and rubella vaccine (MMR)
This is the turning inside out of the uterus or collapse of the fundus into the uterine cavity. It can be classified as incomplete, complete, or prolapsed.
Inversion of the Uterus
This acronym assists with a focused assessment in the postpartum period.
BUBBLE-Breast, Uterus, Bowel, Bladder, Lochia, Ecchymosis, (VS and teaching needs).
These should be assessed at least every 15 min for the first 2 hr after birth. Temperature should be assessed every 4 hr after birth or per hospital policy.
Vital signs: Blood pressure, pulse and respiratory rate
Using a squeeze bottle to cleanse perineum, applying topical anesthetic cream or spray and applying ice packs will help with this postpartum?
Discomfort from a perineal laceration
All Rh-negative clients who have have newborns who are Rh-positive must be given this medicaiton administered IM within 72 hr of the newborn being born to suppress antibody formation in the mother.
Rho(D) immune globulin (Rhogam)
Dependent (taking-in phase), Dependent-Independent (taking-hold phase) and Interdependent (letting-go phase) are phases of what?
Phases of Maternal Role Attainment