Breasts
What is the consistency of the breast?
Soft/Filling/Full/Engorged
What would you do if the uterus is not firm?
Massage
What is the best way to assess the condition of the perineum?
Have patient lie on their side
What can be done for gas buildup?
Ambulate, warm liquids, simethicone, avoid straws
For what temperature should the patient contact the doctor?
Greater than or equal to 100.4
Name the 3 breast nipple shapes
Everted/Flat/Inverted
What does it mean if the uterus is deviated to the left?
Full Bladder
How often should you encourage the patient to get up and void post-delivery?
Every 2hrs
Who is responsible for the patient's pain in the 1st 24hrs after Duramorph or if they have an epidural in place?
Anesthesia
Name 3 signs of an incorrect latch
Cracked/bleeding/nipple flat when baby comes off
Where would you expect to find the uterus on admission from L&D?
Midline at the umbilicus for a term infant
How long does the patient have to void post-delivery?
6hrs
What do you do if the dressing has drainage on it?
Circle it and write the date and time. Change the dressing if it is >50% saturated.
What are some symptoms of a DVT?
Redness, warmth, swelling
Name 2 circumstances that require a lactation consult.
Prematurity/Inverted nipple, twins, previous breast surgery, first time mother, etc....
What are 3 medications used during a PPH to increase uterine tone?
Pitocin, methergine, hemabate, misoprostol
What are you assessing when checking the perineum?
REEDA (Redness, Ecchymosis, Edema, Drainage, Approximation), hematoma, hemorrhoids
When should a patient get up out of bed after a c-section?
6-12hrs
What type of thoughts or feelings should the doctor be notified about?
Thoughts of harming self or baby
Name a way to assess for positive transfer of milk when breastfeeding.
Able to express milk after feeding, swallowing heard
What are some risk factors for uterine atony? (Risks for PPH)
Multiple gestation, macrosomia, multiple previous births, previous history of PPH, chorio, etc...
What non-pharmacologic interventions can be offered for vaginal delivery?
Ice Packs, aromatherapy, family presence, active listening, music, patient positioning etc.
What are you assessing on the incision after the dressing has been removed?
REEDA (Redness, Ecchymosis, Erythema, Drainage, Approximation)
What are some signs of Pre-Eclampsia?
Headache, visual changes, RUQ pain, shortness of breath, swelling of hands/face.