MISC.
Promotes involution by helping the uterus to contract after delivery.
What is Oxytocin?
The process of the uterus returning to it's pre-pregnancy state.
What is involution?
dark red, last 2-3 days
Lochia Rubra
symptoms: hallucinations, unwillingness to sleep, delusions, hyperactivity, irritable, Paranoia
Postpartum Psychosis
Increased urine output and diaphoresis for the first few days after birth.
What is postpartum diuresis?
Intermittent uterine contractions during postpartum period. May cause severe discomfort for 2-3 days. Oxytoxic agents and breastfeeding make it worse.
What is cramps/"after pains"?
Why is lochia evaluated?
Determine the presence of hemorrhage
Assess uterine involution
Type, amount, consistency determines the stage of healing
Persistent discharge of lochia rubra or return to lochia rubra indicates subinvolution or late PPH
•Somewhat dependent
•Preoccupied with HER needs
•Need to talk about her perceptions of her labor and birth
•Food and sleep are major needs
Taking-in
The separation of the abdominal muscle. Occurs in women with poor muscle tone. Happens more with c-sections.
Diastasis recti abdominus
The fundus position first postpartum day?
Descends ___ fingerbreadth per day?
1 cm. below umbilicus
1
pinkish, day 3-day 10
Lochia serosa
Normal functioning not impaired.
Symptoms: mood swings, feelings of sadness/anxiety, loss of appetite, last for days
Baby Blues
Treatment for engorgement
Mild pain relievers, supportive bra, warm shower, ice packs, cabbage leaves
A deviation to the right equals a ___.
Have the patient ___.
distention of the bladder
empty bladder and reassess
white/yellowish
Lochia Alba
•2nd or 3rd day after birth
•Ready to resume control of body, mothering, her life in general
•Requires assurance that she is doing well as a mother
Taking-hold
Interventions a nurse should perform if a Postpartum hemorrhage is suspected.
What is fundal massage, notify provider, assess VS, or increase IV fluids?
Factors that can slow involution.
•Prolonged labor
•Anesthesia
•Difficult birth
•Grand multiparity
•Full Bladder
•Incomplete expulsion of placenta or membranes
•Infection
•Overdistention of uterus
Factors increasing Lochia
Stress, activity, breastfeeding
What are risk factors for PPD?
•Hx. of anxiety or depression
•Younger age
•Unintended pregnancy
•Preterm or sick infant