Postpartum Adaptations
The stage of lochia that occurs from postpartum days 10-14
What is alba?
The amount of blood loss considered to be postpartum hemorrhage after a cesarean birth.
What is 1000 mL?
The best intervention to help maintain newborn body temperature
What is skin-to-skin?
The normal rate is 110-160 per min.
What is a newborn heart rate?
Prophylactic eye ointment used on newborns within 1-2 hours post-delivery
What is erythromycin?
The following describes a postnatal physiologic painful condition in which distention and swelling of the breast tissue occurs as a result of increase in blood and lymph supply as a precursor to lactation
What is Engorgement?
A woman just had her baby vaginally 4 hours ago. The nurse measured her QBL 700 mL, she then assessed her uterus and it felt boggy
What is postpartum hemorrhage?
Reflex test where the lateral sole of the newborn’s foot is stroked from the heel toward & across the ball of the foot causing the toes to fan out
What is the Babinski reflex?
The normal rate is 36-60 per minute
What is a newborn respiratory rate?
A newborn should receive the ____________shot within 1 to 2 hours after birth to promote blood clotting.
What is the Vitamin K?
Painful uterine contractions post placental delivery
What are afterpains?
This occurs when the top of the uterus collapses into the inner cavity due to excessive fundal pressure or pulling on the umbilical cord when placenta is firmly attached
What is uterine inversion?
The persistent cyanosis of fingers, hands, toes, and feet with mottled blue or red discoloration and coldness
What is acrocyanosis?
Introduced by Dr. Virginia Apgar, a scoring tool used worldwide to evaluate fetal-to-neonatal transition at 1 minute and 5 minutes after birth using a scale from 0-2. 5 parameters that are assessed are color, heart rate, reflex irritability, muscle tone, and respiratory effort
What is APGAR scoring?
The injection provided when a mother who is Rh negative gives birth to a baby that is Rh positive
What is Rhogam?
The gradual process of the uterus returning to normal size – to non-pregnant size.
What is involution?
An infectious condition involving the endometrium, decidua and the adjacent myometrium
What is metritis?
The soft downy hair on the newborn's body, which is absent in preterm newborns, appears with maturity, and then disappears again with post-maturity
What is lanugo?
The interval at which an Apgar score should be obtained or evaluated
What is at 1 & 5 minutes post-birth?
A topical treatment that may be used postpartum for temporary relief of pain and discomfort
What us benzocaine topical anesthetic spray?
The ______ period begins after the delivery of the placenta and lasts approximately 6 weeks
What is puerperium?
Encourage activity/ambulation, elevate the legs above heart level, increase fluid intake, reduce hypercoagulability w/ aspirin or anticoagulation therapy
What is prevention for DVT or Venous Thromboembolic Conditions?
The newborn should turn toward the side that is stroked and make a sucking movement when initiating this reflex
What is the rooting reflex?
Fill in the blank. If the Apgar score is_______ or higher no intervention is needed, scores of 4 to 7 points signify moderate difficulty, and scores of 0 to 3 points represent severe distress adjusting to extrauterine life
What is 8 points?
An ergot alkaloid given to treat bleeding from the uterus after childbirth; improves muscle tone
What is Methergine?