Postpartum

Normal vs. AbnormalWhat is it called?

100

The patient complains of dizziness when getting up to the bathroom

Orthostatic hypotension

Abnormal

200

Does not respond to the infant crying

Abnormal bonding

300

Unilateral tenderness, redness, or warmth to breast

Mastitis, abnormal

400

1 day postpartum with red bleeding that is light to moderate

Normal - Rubra Lochia

500

Feeling happy then feeling tearful

Normal - Postpartum blues/Baby Blues

PP Assessment/Newborn

100

The letter "U" in the BUBBLE acronym

Uterus

200

When is vitamin K/erythromycin given?

As soon as possible after birth

300

When assessing the fundus, you notice it is +2 above the umbilicus and deviated to the right. What is your intervention?

Have the patient void

400

Order of infant vital signs:

Heart rate, respiratory rate, temperature

500

What 4 characteristics do we document about a women's lochia? 

1. Amount

2. Clots

3. Color

4. Odor

PP Complications

100

Severe vaginal pain, difficulty voiding, difficulty sitting

Hematoma

200

Uterine tenderness, fever, heavy lochia, foul odor

Endometritis

300

Pain at site, fever, purulent drainage

Wound infection

400

Treatment for mastitis

Antibiotics, heat/cold, ensure breastfeeding is maintained, hand hygiene

500

Blood loss amounts for Postpartum Hemorrhage

Vaginal - > 500 mL

C-Section - > 1,000 mL

Psychosocial Adaptations

100

Sleep and appetite disturbances, uncontrolled crying, inability to cope

Postpartum Depression

200

Postpartum psychosis is considered:

An emergency

300

The tool we use to screen women for postpartum depression:

Edinburgh Postnatal Depression Screening (EPDS)

400

When do we begin screening for postpartum depression?

At first OB visit

500

3 distinguishing signs of Postpartum Psychosis:

Hallucinations, delusions, agitation, confusion, disorientation, sleep disturbances, suicidal/homicidal thoughts, loss of touch with reality

Interventions

100

Boggy uterus

Massage the fundus

200

Variable decelerations on fetal monitor

Turn to left side

300

First line medication given to patients who are hemorrhaging:

Pitocin/Oxytocin

400

How to help with abdominal distention/gas pain after a c-section?

Frequent ambulation

500

Nurses FIRST priority when a baby is delivered is to:

Keep the baby warm and dry