Postpartum Assessment
This uterine finding on postpartum day 1 is expected and indicates appropriate involution.
What is a firm, midline fundus at or near the umbilicus?
The most common cause of early postpartum hemorrhage is this condition.
What is uterine atony?
A postpartum temperature of this level on two occasions after the first 24 hours suggests infection.
What is 100.4°F (38°C) or higher?
Severe headache, visual disturbances, and epigastric pain postpartum should alert the nurse to this emergency.
What is postpartum preeclampsia with severe features?
Mood swings, tearfulness, and irritability within the first 2 weeks postpartum are known as this.
What are postpartum blues?
Lochia that is bright red and heavy with large clots on day 4 postpartum suggests this complication.
What is late postpartum hemorrhage?
Postpartum hemorrhage is defined as blood loss greater than this amount after vaginal delivery.
What is 500 mL?
Foul-smelling lochia and uterine tenderness are classic signs of this infection.
What is endometritis?
This medication is administered to prevent seizures in postpartum preeclampsia.
What is magnesium sulfate?
Symptoms lasting longer than 2 weeks with impaired functioning suggest this disorder.
What is postpartum depression?
A boggy uterus is most commonly caused by this condition.
What is uterine atony?
This medication is first-line for prevention and treatment of uterine atony.
What is oxytocin (Pitocin)?
Painful urination, frequency, and urgency postpartum indicate this complication.
What is a urinary tract infection?
Absent deep tendon reflexes while on magnesium sulfate indicate this complication.
What is magnesium toxicity?
Hallucinations, delusions, and thoughts of harming the infant indicate this psychiatric emergency.
What is postpartum psychosis?
Severe perineal pain, pressure, and a feeling of fullness may indicate this complication after delivery.
What is a hematoma?
This medication for hemorrhage is contraindicated in clients with hypertension.
What is methylergonovine (Methergine)?
Redness, warmth, and a wedge-shaped tender area on the breast with flu-like symptoms indicate this condition.
What is mastitis?
The antidote for magnesium sulfate toxicity is this medication.
What is calcium gluconate?
Risk factors for postpartum depression include previous depression, lack of support, and this psychosocial stressor.
What is intimate partner violence (or major life stressors)?
Unilateral leg pain, warmth, and swelling postpartum may indicate this life-threatening complication.
What is deep vein thrombosis (DVT)?
A late postpartum hemorrhage occurring after 24 hours is often caused by this retained condition.
What are retained placental fragments?
The priority nursing intervention for mastitis includes continuing this activity.
What is breastfeeding or breast emptying?
Shortness of breath, chest pain, and tachycardia postpartum may indicate this emergency.
What is pulmonary embolism?
The priority nursing action when a mother expresses thoughts of harming herself or her infant is this.
What is ensure safety and notify the provider immediately?