Breastfeeding
Characteristics of a breastfeeding infant in stool?
light yellow, seedy, watery, and frequent
The nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. After locating the fundus, the nurse notes that the uterus feels soft and boggy. What nursing intervention is appropriate
Massage the fundus until firm
Suicidal thoughts, guilt, crying, and sadness
Postpartum depression
Discharge from the uterus post-birth
Lochia
What is the 2 most important interventions to prevent excessive bleeding?
1. Maintain good uterine atony
2. Prevent bladder distention
what is a priority assessment between a mother and breastfed neonate during initial feeding?
Assess the latch
How to reduce the risk of venous thromboembolism?
Early ambulation
Cries easily for no reason, restlessness after the baby is born.
Baby blues
A decrease in what levels after birth stimulates increased prolactin levels, which promote breast milk production
estrogen and progesterone
A woman with asthma is experiencing postpartum hemorrhage. What drug should not be used?
Hemabate
What causes uterine contractions in postpartum while breastfeeding?
oxytocin
You should begin to try to ambulate your patient after a c/s in how many hours?
6-8 hrs
Delerium, hallucinations, break with reality
postpartum psychosis
What is a common cause of a postpartum hemorrhage?
Retrained placental fragments (prevents the uterus from contracting
A postpartum mother has petechiae and is oozing on the IV site and you notice blood in her foley...what condition is expected?
DIC
Should you stop breastfeeding if mastitis occurs?
No, continue breastfeeding
OTC supplement used on the perineum after delivery to promote comfort?
Witch hazel
refers to self as ugly, sees the baby as messy or unattractive
Postpartum psychological concern
How long postpartum will the cervix become shortened, firm, and regain its form?
6 weeks
The nurse is assessing a client who is 6 hours post-partum after delivering a full-term healthy newborn. The client complained to the nurse of feeling dizzy. What nursing action is most appropriate?
Instruct the client to request help when getting out of bed
Why should you avoid soap on your breast?
it removes natural oils which increases the chances of cracked nipples
Patient is saturating more than one pad in an hour and had blood clots bigger than a gold ball. You measure and the total blood loss is 600cc. You have given Pitocin and Methergine. What are the other two medications you could ask the doctor for to help the uterus contract?
Cytotec and Hemabate
Should all clients be assessed for depression during pregnancy and in the postpartum period?
YES!!!!
The fundal height will decrease how much per day?
1 cm or one finger breath
The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. The nurse notes that the client's temp is 100.2f. what is the priority nursing action?
Increase hydration by encouraging oral fluids and give tylenol if ordered.
Continue to monitor for signs of infection.