Physiological Changes I
The return of the uterus to a nonpregnant state after birth
What is Involution
Postbirth uterine discharge which is dark red and consists mainly of blood and decidual debris
What is Lochia Rubra
BUBBLE-HE
What is Breasts, Uterus, Bladder, Bowel, Lochia, Emotional Response?
Saturation of how many perineal pads in an hour is abnormal and should be reported by the mother
What is more than one pad per hour.
Name two things that can help with Postpartum Hemorrhoids
What are witch hazel pads (Tucks), hemorrhoid cream, ice packs, sitz bath?
The failure of the uterus to return to a non-pregnant state
What is Sub-involution
Lochia that lasts for about 10 days and is dark red/brownish
What is Serosa?
REEDA
What is Redness, Edema, Ecchymosis, Drainage, Approximation?
Validating the existence of this phenomenon, labeling it as a real but normal adjustment reaction, and providing reassurance can offer a measure of relief for this change in mood
What is postpartum blues
Abdominal pain, redness, swelling, and discharge from cesarean section incision site.
What is infection. Other signs include pus, foul smelling vaginal discharge, fever higher than 38C.
Periodic relaxation and vigorous contractions that can cause uncomfortable cramping
What is Afterpains
May occur 3rd or 4th day postpartum and usually resolves within 24-36 hours
What is engorgement?
Nursing intervention for patients 1 day postpartum with episiotomy or laceration.
What is application of an ice pack to the perineum.
This helps strengthen perineal muscles and encourage healing, usually recommended after birth
What is Kegel Exercises.
Couples may resume this by the second to fourth week after birth if the bleeding has stopped.
What is sexual intercourse?
The release of extracellular water that is accumulated during pregnancy
What is Diuresis
Fundal height in normal involution 2 days postpartum.
What is 2 cm below the umbilicus.
Heavy lochia, boggy, displaced uterus
What is a distended bladder?
Early ambulation is associated with a reduced incidence of this
What is venous thromboembolism?
I should do these things to suppress lactation
What are avoid stimulation, wear a well-fitting bra, apply cabbage leaves, wear a breast binder?
An expected finding vital sign that may be elevated for the first 24 hours after giving birth, and what do we do about it.
What is temperature?
What is hydrate the client PO first?
What is Colostrum.
Fundal check frequency
What is q15 min in the first hour q30 min in the second hour q4 hours in the first 24 hours q8 hours after the first 24 hours
Nursing intervention for patients 1 day postpartum with episiotomy or laceration.
What is application of an ice pack to the perineum.
What are two physical activities are apart of postpartum self-care that boost mental state?
Getting as much rest as you can/Sleeping and Exercising