Reproductive system
The expected amount of lochia immediately after birth
Heavy to moderate flow is normal at first, but it should gradually decrease over days and weeks.
How often should vital signs be monitored after birth?
Every 6 hours
This injection is given to Rh-negative clients at 28 weeks of gestation and within 72 hours postpartum if the newborn is Rh positive, to prevent maternal antibody formation against future pregnancies.
Rhogam(Rh Immune Globulin)
What type of uterus requires massaging?
Boggy
What postpartum therapy involves sitting in warm or cool water to reduce perineal pain and promote healing?
Sitz bath
When should lochia have a foul odor?
Never—a foul or fishy odor suggests infection and should be reported
What can it mean if BP is high?
Hypertension or pre-eclampsia
What vaccine is given immediately postpartum if not administered during pregnancy?
TDap
What does REEDA stand for?
Redness, Edema, Ecchymosis, Discharge, Approximation
Which stool softener helps prevent constipation and painful bowel movements postpartum?
Docusate Sodium
This hormone, released during breastfeeding, helps contract the uterus and prevent postpartum hemorrhage.
oxytocin
What can it mean if BP is low?
Postpartum Hemorrhage
Which vaccine is contraindicated in pregnancy because of the potential risk to the fetus from a live vaccine?
MMR
What are the REEDA s/s an indication for?
calf pain, redness, tenderness, unexplained fever, and swelling (one leg is over 2 cm in diameter more swollen than the other leg
What approach is key to pain management that starts with nonpharmacologic measures, then adds nonopioid medications, and uses opioids only if necessary?
Stepwise approach
A postpartum client who breastfeeds exclusively may not ovulate for up to 6 months, but should still use contraception because this condition only suppresses ovulation — it does not guarantee prevention of pregnancy.
lactational amenorrhea
What is Primary engorgement?
milk coming in + edema
How many doses of the varicella vaccine are needed postpartum?
Two doses
What type of perineal trauma involves surgical cutting of the perineum during childbirth to enlarge the vaginal opening?
Which topical anesthetic medication containing benzocaine and menthol numbs the perineum after childbirth but can cause severe methemoglobinemia if overused or ingested?
Dermoplast(benzocaine topical)
At 6 hours postpartum, the nurse should expect the fundus of the uterus to be located at this position.
At the umbilicus
What is secondary engorgement?
milk not removed effectively
How long should a client wait to become pregnant after the rubella vaccine?
At least 28 days
If a postpartum client’s fundus is deviated to one side, what nursing action should be performed first?
Have the nurse empty their bladder
What condition involves the separation of the abdominal muscles after pregnancy and may require physical therapy if it does not resolve by 8 weeks postpartum?
Diastasis recti