Breast is best
The non-breastfeeding woman must avoid this action
What is expressing milk or stimulating the breast?
What position should the patient be lying in during the postpartum fundal assessment and where should the examiner place their hands when completing the assessment?
What is the patient should be supine and the examiner should have one hand on the fundus and one hand to support the symphysis pubis
These are signs of possible endometritis in the postpartum patient
What is
Unlike breast-fed infants who should feed every 2-3 hours, this is how often a bottle-fed babies should be fed
What is every 3-4 hours?
These blood type differences are the reasons that moms have to get a Rhogam shot after delivery
What is Mom is Rh- and Baby is Rh+
When properly latched on, these areas of the infant's face should be touching the mother's breast with the nose specifically where?
What is the tip of the nose, the cheeks, and the chin. The nose should be aligned with the nipple
This is the term used if the uterus fails to return to its pre-pregnant state and can be caused by multi-parity, prolonged labor, infection
What is subinvolution?
These assessment findings are abnormal when assessing lochia
What is foul odor, saturating a pad in an hour or less, clots larger than a quarter, clots that do not break apart when manipulated
When bottle feeding the infant, how should the baby be positioned?
What is upright or cradled in your arms?
This is the first medication used to prevent postpartum hemorrhage
What is Oxytocin?
This is the best intervention to prevent engorgement and mastitis
What is frequent breastfeeding or hand expression?
A fundal assessment that is deviated to the right of the umbilicus indicates the need for the intervention
What is to empty the bladder?
After the first 24 hours this comfort measure may be used in place of ice packs to reduce local swelling and promote comfort for the episiotomy, perineal trauma, or inflamed hemorrhoids
What is a sitz bath?
This should be done to nipples and bottles before they are used first
What is sterilized (boiling 5-10 minutes)?
Clients are not a candidate for oral contraceptives if they have a history of this
What is Cerebral Vascular Disease or using tobacco products?
This is the proper way to break the latch of a baby from the breast
Name of discomfort caused by postpartum intermittent uterine contractions
What are afterpains?
This term describes the separation between two muscles that can occur as a result of pregnancy
What is diastasis recti abdominis?
If the baby didn't drink the entire bottle of milk at one time, the unfinished milk should be discarded after this amount of time
What is one hour?
These are signs of possible endometritis in the postpartum patient
What is extreme tenderness on palpation of the uterus, prolonged fever, foul smelling lochia?
These are signs that the baby is ready to feed
What is the baby begins to stir, baby makes hand to mouth movements, exhibits sucking or licking gestures, exhibits rooting reflex, increased activity
Fundal check frequency postpartum
What is q15 min in the first hour, q30 min in the second hour, q4 hours in the first 24 hours, q8 hours after the first 24 hours?
Supporting the lower uterine segment may prevent this during fundal assessment or massage
What is to prevent uterine inversion?
Infants under 3 months of age should be given ready to feed formulas for the first three months because of the risk of contracting this type of infection
What is Cronobacter infection?
In addition to emulation and lookin for the presence of a DVT, the patient should avoid this position to decrease the chances that the patient would develop pulmonary embolism
What is lying in the knee-chest position for the first 3 weeks after delivery?