Physiologic changes of postpartum
A full bladder can keep this from taking place
What is Uterine involution?
This peaks on the 4th-5th day after delivery, and can leave you feeling "down in the dumps"
What is maternity blues?
If the uterus is not firm on palpation, doing this could be a possible intervention when assessing.
What is massage?
The first stool passed by a newborn.
What is meconium?
What is within the first hour after birth?
The texture the uterus should feel.
What is firm, not boggy?
Exercises used to regain pelvic floor muscle control
What is kegel exercises?
This should be assessed for cracks, fissures, and pain.
What is nipples?
The four ways heat can be lost in a newborn.
What is convection, radiation, conduction, evaporation?
Name 4 advantages of breast feeding.
What is release of oxytocin to help with uterine involution, return to pre-pregnant weight sooner, prevent osteoporosis, reduces cost, anti-infective properties, ideal electrolyte and mineral composition, reduces allergies, prevents excess weight gain in children, IQ
The term to describe lochia the first few days after birth.
What is Lochia Rubra?
As many as 50% of women experience this. May have feelings of inadequacy, mood lability, anorexia, or sleep disturbance.
What is postpartum blues?
This can cause the uterus to not be in midline position.
What is a full, distended bladder?
The signs and symptoms of respiratory distress in a newborn.
What is flaring, retracting, oxygen deficiency, grunting, cyanosis?
What does LATCH stand for?
What is:
Latch, Audible swallowing, Type of nipple, Comfort, Hold
Breast feeding can assist involution by releasing this.
What is oxytocin?
When the mother initiates action and begins to make own decisions, prefers to take care of herself and baby.
What is taking-hold phase?
The amount of lochia that is considered too much in the postpartum period.
What is soaking through a pad in 60 minutes?
Medication administered to prevent hemorrhagic disease of the newborn.
What is Vitamin K?
Contraindications for breastfeeding.
What is infant with galactosemia, herpes lesion on moms nipple, maternal exposure to radioactive compounds, chemo, certain drugs, active TB, HIV
Ice packs, warm packs and donuts may help this area.
What is perineum?
Nurse client teaching about contraception
What is advise to begin using contraception upon resumption of sexual activity and that pregnancy can occur while breastfeeding even though menses has not returned, clients who are lactating should be advised that oral contraceptives should not begin until milk production is well established (usually 4 weeks), Menses for nonlactating clients may not resume until around 4 to 10 weeks, Menses for lactating clients may not resume for 3 months or until cessation of breastfeeding.
A collection of blood in the subcutaneous space from bleeding at the episiotomy incision.
What is a hematoma?
Elicited when cheek is stroked and the infant turns head towards the stroked side.
What is rooting reflex?
How can you tell an newborn is getting enough nutrition?
You hear sucking/swallowing, content between feedings, 6-8 wet diapers a day, 1-3 stools/ day, weight gain after initial weight loss.