NURSING CARE DURING POSTPARTUM
POSTPARTUM COMPLICATIONS
NEWBORN PHYSIOLOGICAL CHANGES
HIGH RISK NEWBORN
Discharge Teaching
100
Boggy uterus and heavy bleeding
What is uterine atony.
100
Cumulative blood loss greater than 1000 ml. (slide 14)
What is postpartum hemorrhage
100
The first stage of the transition period last up to 30 minutes after birth
What is first period of reactivity
100
When inhaled, this substance can cause mechanical blockage of airway causing hypoxia, inflammation of airways, decreased oxygen saturation, and decreased surfactant production.
What is meconium?
100
The following help with....
Feed frequently
Empty breast completely
Massage during feedings
Skin to skin
What is increased milk supply.
200
Within 12 hrs following birth, where would the nurse expect to locate this woman’s fundus?
What is 1cm above the umbilicus
200
Transient, self-limiting mood disorder that affects new mothers after childbirth.
What is postpartum blues
200
The appearance of slightly cyanotic hands and feet, is caused by vasomotor instability, capillary stasis, and a high hemoglobin level.
What is acrocynosis
200
Name that Syndrome
What is Fetal Alcohol Syndrome
200
Call your doctor if you're soaking through greater than ____ pads per ____.
1 pad per hour
300
During this phase the mother assumes responsibility for her own care and shifts her attention to the infant.
Hint* 2-3 days PP
What is taking-hold
300
Common postpartum infection. Signs include fever, tachycardia, chills, pelvic pain, enlarged uterine tenderness, and foul smelling lochia.
What is endometritis
300
Prevent gonorrheal and chlamydial infection of the infant’s eyes potentially acquired from the birth canal.
What is Erythromyocin ophthalmic ointment
300
what complication is thought to be a result of high arterial blood oxygen level?
What is Retinopathy of Prematurity
300
Sexual activity can be resumed after
What is 6 weeks.
400
Postpartum (1-3 days) vaginal discharge that contains blood and tissue that is dark-red or brownish.
What is Lochia Rubra
400
Delayed return of the enlarged uterus to normal size and function, resulting in late postpartum bleeding
What is subinvolution
400
In the classification of newborns by gestational age and birth weight, the appropriate for gestational age
What is fall between the 10th and 90th percentiles for the infant’s age.
400
Large for gestational age (LGA)
Jittery
Hypoglycemia
Increased risk of trauma at birth
What is infant of diabetic mother.
400
Three things to teach a breastfeeding mother
What is...
Proper Latching
Nipple Care
Signs of Mastitis
500
Best treatment for a bottle-feeding mother with swollen, warm, and tender breast
What is applying ice packs for comfort.
500
Your assessment of the mother has the following pertinent positives: pain and tenderness in the lower extremitiy, along with warmth, redness, and hardness.
What is DVT
500
Heat loss through touching a cold surface
What is Conduction?
500
Tremors
Irritability
High-pitched Cry
Seizures
What is Neonatal Abstinence Syndrome.
500
Four medical reasons to avoid breastfeeding
HIV
Chemo
Untreated active TB
Active substance abuse