The 7 B's
All about Epidurals
post c/s care
rubens phases
post partum hemorrhage
100

as a nurse, always encourage this of new mothers

what is breast feeding

100

When a post partum mom gets out of bed for the first time, the nurse will want to

Be there and watch for signs of hypotension

100

a nurse must monitor this, which will be taken off usually 1st pp day

waht is the clients dressing. making sure it is CDI

100

Let parents explore and express these normal feelings and adjust to new lifestyle in this phase

what is letting go

100

If a post partum vaginal delivery mom states she feels light headed and has had to change her pad 3 times in the last hour, what would be your first thought?

Hemorrhage 

200

This is how long you should encourage a new mother to breast feed

what is 6 months

200

A nurse must watch for this after a woman has had an epidural, especially before getting out of bed

return of sensations

200

A post C/S client will normally have this DC'd after 24 hours

what is a foley catheter 

200

Lasts several days, mother becomes more independent

what is taking hold

200

Increased lochia with clots is a sign of

post partum hemorrhage 

300

This means a post partum mom could be hemorrhaging

what is soaking 1 large pad an hour

300

A post partum mom who had an epidural is at risk for this, which could also displace the uterus

what is bladder distension

300

A post partum mom who had a C section will be this for about 12 hours after surgery

what is NPO

300

mother focused primarily on her own need for taking fluid, food, and sleep

what is taking in

300

nursing interventions

  • fundal massage until uterus firms, v/s, methergine, hemabate (carboprost), check bladder
400

This happens frequently to new mothers and is why you offer stool softeners 

what are hemorrhoids 

400

the new post partum mom will be on this, with side rails up

bed rest

400

A post partum mom who had a C/S will normally have sutures taken out at this time

what is 1 week after delivery

400

as a nurse, you must watch and observe for this

what is 

  • observe for infant/parent bonding, mom’s ability to care for infant
400

risk factors

  • mulitparity, rapid delivery, drugs, uterine fibroids, retained placental fragments, rapid labor/delivery, overdistention of uterus.
500

A new post partum mom must do this within the first 6 hours

what is urinate

500

bed rest is important after an epidural, allows area to heal and helps to prevent this

what is a post dural headache from the decreased pressure

500

Reduce discomfort by trying these 3 interventions

what are pain medication, support binder or pillow, manage PCA

500

Assumes responsibility for own care and shifts attention to behavior of the infant

what is taking hold

500

causes of post partum hemorrhaging 

  • Uterine atony-most common
  • Retained placental fragments
  • Infection
  • Hematoma
  • Lacerations