Postpartum Assessment
When performing a postpartum Assessment, the nurse palpates the top of the uterus known as this.
What is a fundus?
This is the amount of time that a vaginal delivery should be on pelvic rest in the postpartum delivery.
What is 6 weeks?
Early postpartum hemorrhage is most often caused by this.
What is uterine atony or a boggy uterus?
A self limiting disorder that affects most women in the postpartum period. It is characterized by mood swings, insomnia, and irritability; and normally lasts 10 days or less.
What is baby blues?
This is the substance present in the breast at 32 weeks and through 1-3 postpartum days.
What is colostrum?
This is the normal position of the uterus just after delivery.
What is at the Umbilicus or 1cm below?
This is the amount of time a woman should apply ice to the perineum after a vaginal delivery?
What is 12-24 hours?
What is 500ml?
All pregnant women are at risk for this potential complication after delivery; however, those who have delivered via cesarean and those with a history of varicosities have a greater risk.
What is a VTE, DVT or PE?
A normal breast exam on a woman 1 day postpartum is characterized by this.
What are soft, nontender breasts with colostrum?
A fundal assessment that is deviated to the right of the umbilicus indicates the need for this intervention.
What is to empty the bladder?
This is the type of lochia present when the uterus starts to slough itself of the cells used for placental attachment.
What is lochia alba?
This drug can be given IM or PO and is commonly given for a postpartum hemorrhage in a woman without a history of hypertension. The standard dose is 0.2mg.
What is Methergine?
This is a common postpartum infection characterized by dysuria, frequent urination, urinary retention, and possibly fever.
What is a urinary tract infection?
This is the best intervention to prevent engorgement and mastitis?
What is frequent breastfeeding or hand expression?
This is the type of lochia present for the first few postpartum days.
What is lochia rubra?
The time frame in which a Rhogam candidate should receive Rhogam after delivery to prevent Rh isoimmunization?
What is 72 hours?
What are lacerations of the genital tract?
This is a life threatening condition accompanied by impaired clotting ability, Elevated PT and PTT, and oozing from IV sites. It is also stage II of amniotic fluid embolism.
What is Disseminated Intravascular Coagulation?
An infection of the breast tissue, characterized by redness, pain and swelling to one or both breasts; and must be treated with antibiotics.
What is mastitis?
The presence of this assessment finding in the feet is normal due to the increased fluid volume after delivery.
What is edema?
This is the single most effective intervention to help regain bowel function after a cesarean delivery. It should be encouraged 4 times per day.
What is ambulation?
This drug is often given for a postpartum hemorrhage and it stimulates vasoconstriction of smooth muscle including the GI tract which often leads to diarrhea.
What is hemabate?
What is an ileus?
This is the single most important intervention to promote breastfeeding for the mom and baby.
What is skin to skin?