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?
Teach the patient to 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?
Suggesting this to women promotes comfort as the milk comes in
What is wearing a bra with good support?
Poor bladder tone and poor emptying of the bladder can lead to this problem
What is UTI?
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?
Teach the patient how to use this spray if ordered by the MD
What is episiotomy spray?
Assess vital signs, palpate uterine fundus, and note the amount of vaginal bleeding every 15 minutes
What are the most important things to assess in the first hour after delivery?
When new parents are often observed staring at their newborn for extended periods
What is engrossment?
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?
Teach the patient how to decrease pain when coughing or moving in bed after a C-section
What is splinting the abdomen with a pillow?
The postpartum physical assessment acronym
What is BUBBLE LE?
Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy/Laceration, Legs, Emotions
Research has shown that placing cold inner cabbage leaves on the breasts helps prevent
What is preventing engorgement of the breasts?
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?
Teaching in small segments, using demonstrations, videos, and providing written material is appreciated by this type of mom
What is the adolescent or teen mom?
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?
This is administered IM within 72 hours of birth to the Rh-negative mom
What is RoGAM injection?
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?
Teach a teen mom the symptoms of this post-delivery concern
What is post partum depression?
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 the increase in fibrogen?