Postpartum Assessment
Vital signs/Postpartum assessment should be done every ____ during the first hour after delivery.
What is 15 minutes?
The recommended time frame for the initial postpartum visit? What if a patient has complications such as high BP?
What is 4-6 weeks and BP check within a week?
Most common postpartum mood disorder that lasts longer than Baby Blues.
What is postpartum depression?
The 4 T's of Postpartum Hemorrhage.
What is tone, trauma, tissue, thrombin?
Name 3 risk factors to developing postpartum infections.
What is Operative deliveries (CS, forceps, vacuum), DM/GDM, prolonged labor (frequent SVE), prolonged ROM, indwelling catheters, manual extraction of placenta, compromised immune system?
The following are components of what assessment: firmness, location in relation to umbilicus, position, pain/contraction?
What is uterine assessment?
Standardized tool used across the country that should be printed and given to all women at discharge.
What is Post-Birth Warning Signs?
Name of the Scale used to screen for Postpartum depression and is to be completed within 24hrs of delivery.
What is the Edinburgh Postnatal Depression Scale?
Patient delivered, OB anxious about another patient and applies traction to cord for placental delivery, the placenta delivered without close inspection. You note moderate lochia and small tissue with the second recovery assessment fundal massage. What could be cause of this PPH?
What is retained placenta (tissue)?
Patient delivered 2 days ago, starts experiencing fever, abdominal pain, foul smelling vaginal discharge.
What is postpartum endometritis?
Initial steps to take if fundus is found to be displaced from midline and above umbilicus?
What is perform fundal massage and empty bladder?
Ideally, when does postpartum discharge planning start?
What is at first prenatal visit?
Type of Postpartum Affective Disorder that may be considered “normal” and resolves within 2 weeks. Does Not interfere with ability to function.
What is the baby blues?
Patient delivered, 30 min later you note an increase in bleeding, fundus is boggy but responds well to fundal massage and pitocin bolus. What could be the cause of this?
What is uterine atony (tone)?
Patient had epidural anesthesia for pain management during her prolonged labor. Pt is on the postpartum unit and starts complaining of frequent urination and burning.
What is UTI?
Blurry vision, severe headache, beats of clonus, and right upper quadrant pain post delivery are symptoms of?
What is postpartum preeclampsia?
Provide 3 touchpoints of education that must be included in discharge teaching.
What is VS WNL, Uterine involution WNL, Lochia WNL, No s/s of wound/incisional infection, urinary output WNL, passing gas?
Type of rare Postpartum Affective Disorder which often requires inpatient treatment with the following s/s: delusions, hallucinations, thoughts of harming self and/or baby; disorganized thoughts, anger.
What is postpartum psychosis?
Patient arrived to L&D, had a precipitous delivery within 15 minutes of arrival. You note an increase in vaginal bleeding despite uterus being firm. What could be the cause of this increased vaginal bleeding?
What is cervical or vaginal laceration (trauma)?
Patient starts complaining of increased redness and warmth to her right breast, fever, and flu-like symptoms.
What is Mastitis?
Temperature >100.4 should be reported once discharged home as it is an indication of _____.
What is infection?
How can we tell if our patient is ready for discharge? (name at least 2)
What is They tell us, demonstrates self-care and infant-care ability, ambulates without difficulty, pain controlled, emotional/mental health stability?
The following increase the postpartum mom for which affective disorder: previous history of depression, low social support, exposure to stressful life events, hormone changes, genetics, cultural influences, socioeconomic factors?
What is postpartum depression?
Your patient is experiencing a PPH, coagulation profile notes prolonged PT & aPTT, and fibrinogen low. You also note bleeding from multiple sites. What could the patient be experiencing?
What is DIC (thrombin)?
Patient had a c section 4 days ago, starts complaining of fever, chills, and increased abdominal pain at incision site.
What is wound infection?