Physical Adaptations
The top portion of the uterus, located midline and halfway between the umbilicus and symphysis pubis
What is fundus?
Lack of muscle tone, which could lead to postpartum hemorrhage (PPH)
What is atony?
The mother is centered on her own needs, such as rest, pain relief, sleeping, and eating during this phase
What is the Taking-in-phase?
Suggesting this to women promotes comfort as the milk comes in
What is wearing a bra with good support?
Apply ice packs to the breasts for 20 minutes several times a day
What is a way to manage engorgement for the non-breastfeeding mom?
The inner lining of the uterus that begins to slough off, resulting in vaginal discharge made up of blood, mucus, and tissue
What is lochia?
After the placenta is expelled, women experiences a sudden drop in progesterone which can contribute to this
What is postpartum blues?
The establishment of an emotionally positive and rewarding relationship between an infant and the parent
What is attachment?
Assess vital signs, palpate uterine fundus, and note the amount of vaginal bleeding every 15 minutes
What is episiotomy spray?
The mother who does not breastfeed may ovulate as early as ____ days after delivery
What is 27 days?
_____ is best viewed by having the patient turn to her side and bring her upper knee forward
What is perineum/episiotomy?
The mother is concerned and anxious about her own care, breastfeeding, and baby care during this phase
What is Taking-hold-process?
Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy/Laceration, Legs, Emotions
Teaching the patient how to decrease pain when coughing or moving in bed after a C-section
What is splinting abdomen with a pillow?
Some women experience a separation of the abdominal wall muscles called
What is diastasis recti?
Never palpate without supporting the lower segment because this could invert if not stabilized
What is the uterus?
Mom must adjust to the responsibility of having her baby dependent on her for everything during this phase
What is Letting-go-phase?
Encourage the patient to drink extra fluids and to select fruits and vegetables from the menu
What is a nursing intervention for healthy bowel function?
Research has shown that placing cold inner cabbage leaves on the breasts helps prevent
What is decrease engorgement of breasts?
A ___ % to ___ % increase in cardiac output occurs immediately after delivery and decreases to nearly normal by 1-hour postdelivery
What is 60% to 80%?
The patient may not have audible bowel sounds for several hours following this procedure
What is a cesarean birth?
Who said classic research on maternal role attainment helps understand the range of women's postpartum psychological adaptations
Who is Reva Rubin (1984)?
Acronym for monitoring an incision for infection after a C-section
What is REEDA
Redness, Edema, Ecchymosis, Drainage, and Approximation?
The postpartum patient is more susceptible to blood clots because of this
What is increased levels of fibrogen?