PP Physiology & Assessments
It's located midway between the umbilicus and symphysis pubis immediately after birth.
What is the uterine fundus?
The phase in which the mother's focus moves from herself to the infant.
What is the taking-hold phase?
A pulse of 50 - 60bpm 24 hours postpartum.
What is a normal physiologic change due to increased stroke volume and decreased metabolic demands.
Amnioinfusion, Prolonged labor, & prolonged rupture of membranes.
What is possible causes of postpartum endometritis?
REEDA
What is redness, edema, ecchymosis, discharge, & approximation of episiotomy or laceration?
You can expect to have this type of bleeding the first 3-4 days after delivery.
What is lochia rubra?
A mom is taking a brisk walk with her newborn.
What is physical activity?
Saturating a pad every 15 minutes.
What is excessive bleeding requiring further evaluation?
Nursing priority when PPH is suspected.
What is massage the fundus?
They need immediate admission for psychiatric evaluation.
Who is a PP mom suffering from postpartum psychosis?
Upon assessment there is unilateral, tense, bluish swelling and severe perineal pain.
What is a hematoma formation?
Temperature, heavy bleeding, clots, severe pain.
When you should call your physician?
Uterine atony
What is the cause of postpartum hemorrhage?
Mom is teary and feels a little down.
What is "baby blues" or postpartum blues?
Taking in, taking hold, & letting go.
What are the 3 maternal phases?
You should assess what if a patient becomes dizzy upon standing.
What is orthostatic vital signs or blood pressure?
Nursing assessment done prior to administration of methergine.
What is take a blood pressure?
What is bladder distention?
Foul-smelling lochia with fever
What is endometritis?
Mom Rh negative & baby Rh positive
When you give Rhogam?
Family is concerned for a patient about violence towards self or the infant. What condition might she be experiencing?
What is postpartum psychosis?
Anxious father with questions.
What is provide education?
Oxytocin
What is a uterotonic administered for PPH?
A patient has pain and swelling in one leg.
What is a deep vein thrombosis (DVT)?
Malaise, muscle ache, fever, skin redness.
What is mastitis?