Where is this bleeding coming from?
After a vaginal birth, your patient saturates a peripad in <1 hr and her fundus is boggy. Your first action?
What is massage the fundus?
The classic triad you’d expect with postpartum endometritis.
What are fever, uterine tenderness, and foul-smelling lochia?
Key teaching about breastfeeding during mastitis.
What is continue breastfeeding/emptying the affected breast?
Two early hunger cues you teach parents to look for.
What are hand-to-mouth movements and rooting/lip smacking?
Typical presentation of lactational mastitis.?
What are unilateral breast pain/erythema with fever and flu-like malaise
Two high-risk factors for uterine atony you should assess for.
What are overdistended uterus (e.g., macrosomia, multiples) and retained placental fragments?
Immediate nursing measures for a small, non-expanding hematoma (name two).
What are apply ice, provide analgesics, and closely monitor size/vitals?
The temperature at or above which a postpartum client should call the provider after the first 24 hr.
What is 100.4°F (38°C)?
Signs breastfeeding is effective on day 4–5 (name two).
What are 6–8 wet diapers/day and audible swallowing with feeds?
Two early mobility instructions to reduce DVT risk after delivery.
What are early ambulation and leg/ankle exercises?
After administering Hemabate IM to your patient with a postpartum hemorrhage, you except this therapeutic effect.
What is reduced vaginal bleeding?
Your first-line comfort measures for afterpains include these two actions.
What are NSAIDs (e.g., ibuprofen) and warmth (heating pad/warm shower) with positioning (prone with small pillow)?
Typical timing: rubra days 1–3, serosa days 4–10, alba begins around this time.
What is about day 10 (and may last up to 6 weeks)?
Best latch description to prevent nipple trauma.
What is wide mouth with lips flanged and deep latch on areola (not just nipple)?
After delivery, your patient has bright-red bleeding despite a firm, midline fundus. What condition should you suspect?
What is a cervical laceration?
This obstetric emergency is a risk factor for postpartum hemorrhage.
What is uterine rupture?
Key symptom suggesting a perineal hematoma rather than atony.
What is severe, unrelenting perineal pain/pressure with a firm fundus and normal lochia?
Two comfort measures that help while antibiotics take effect.
What are NSAIDs/analgesics and warm compresses before feeds (cold between)?
Two maternal conditions that are contraindications to breastfeeding.
What are untreated active TB or maternal HIV infection (in high-income settings)?
Sudden dyspnea, chest pain, tachycardia postpartum suggests this emergency and first steps.
What is pulmonary embolism; activate emergency response, give O₂, elevate HOB, notify provider?
Primary difference between identifying a cervical laceration versus uterine atony.
What is a constant drip or trickle of bright red blood?
Most definitive treatment for a large/expanding hematoma (>5cm).
What is surgical incision and evacuation with hemostasis?
During discharge teaching your patient states, “I feel nervous about being a mother.” This is the best nursing action to take by the nurse.
What is sit and listen to the patient.
Parent asks about engorgement on day 4. Best advice (name two actions).
What are frequent feeding/emptying, warm compress or shower before feeds, and cold packs after?
A behavior that suggests the client is still in taking-in rather than taking-hold.
What is dependence on staff for newborn care (e.g., asking the nurse to do diaper changes) and reluctance to try tasks?