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NUR 332 > Postpartum > Flashcards

Postpartum Flashcards

1
Q

What is the most productive cardiac change postpartum?

A

diuresis
Decreases extravascular fluid and weight

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2
Q

respiratory changes postpartum

A

Increased respiratory rate due to fever or pain

Decreased respiratory rate due to respiratory compromise

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3
Q

What’s the most common neural complaint postpartum?

A

Headache
Due to fluid shift after birth, leakage of CSF from epidural

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4
Q

treatment for leakage of CSF from epidural

A

Blood patch

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5
Q

if headache is pregnancy related what is the treatment option?

A

Acetaminophen
Caffeine

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6
Q

how to suppress lactation

A

Compression wrap
Cold compress
Cabbage leaves
No warm water on breasts
Anti-inflammatory meds

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7
Q

Intervention for insufficient milk amount

A

Increase fluids to 2 L per day

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8
Q

intervention for sore nipples

A

Lanolin cream
Let dry open to air

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9
Q

intervention for plugged ducts

A

frequent nursing
Change positions
Manual warm massage
Pumping

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10
Q

mastitis

A

Infection of breast tissue

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11
Q

sx of mastitis

A

sudden onset fever around 101
Chills
Red, painful, sore

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12
Q

Treatment for mastitis

A

warm compress, analgesics
7–10 days of antibiotics (PCN)
Supportive bra without underwire
Complete emptying
Report flu like symptoms

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13
Q

Engorgement

A

venous stasis in breasts
Overfilled with milk

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14
Q

Does engorgement mostly occur in one or both breasts

A

both
Gradual onset

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15
Q

treatment for engorgement

A

Don’t miss feedings
Pumping
Warm compress
Cabbage leaves
Cold application between feedings

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16
Q

Diastasis rectus abdominous

A

Abdominal muscles separate till our room for large uterus

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17
Q

interventions for after pains

A

Rest prone
Motrin/ibuprofen

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18
Q

When should ibuprofen or Motrin not be given

A

platelet count less than 70,000
Preeclampsia

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19
Q

involution

A

Pre-pregnancy state of uterus
Decreases weight

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20
Q

endometritis

A

Infection of lining of the uterus

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21
Q

sx endometritis

A

Tender
104° fever
Chills
Foul smelling lochia

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22
Q

treatment for endometritis

A

Broad-spectrum antibiotic, such clindamycin and gentamycin

23
Q

at what rate does involution occur

A

One finger breaths per day
Fundus decreases 1 cm per day

24
Q

what color hair is oddly common for postpartum hemorrhage

A

Redheads

25
Q

Bowel changes postpartum

A

sluggish due to progesterone, decreased tone, anesthesia, hemorrhoids, fear of tearing

Stool softeners!

26
Q

does the bladder capacity increase or decrease during pregnancy?

A

Increase

27
Q

Lochia

A

Vaginal discharge, blood, mucus, atrophied cells
Uterine debris

28
Q

Lochia rubra

A

2–4 days postpartum
Red

29
Q

Lochia serosa

A

4–10 days postpartum
Pink

30
Q

Lochia alba

A

10–20 days postpartum
White

31
Q

how is total blood loss measured?

A

Weighing pads
1 g equals 1 mL

32
Q

what measurement classifies a hemorrhage risk

A

Saturating one pad within one hour

33
Q

Causes of postpartum hemorrhage

A

boggy uterus
lacerations, episiotomy
Retained placental fragments
Hematoma
Uterine prolapse, rupture
Decreased platelets

34
Q

sx postpartum hemorrhage

A

Excessive bright, red bleeding
Abnormal clots
Increased HR , temp
Decreased BP, LOC

35
Q

treatment for postpartum hemorrhage

A

oxytocin
Uterine massage
Frequent voiding/catheter
Hemabate/carboprost
Misoprotol
Methergine

36
Q

which medication should not be used with high blood pressure

A

Methergine, can cause rebound, hypertension

37
Q

Which medication has a side effect of extreme diarrhea

A

Carboprost

38
Q

T/F a diaphragm needs to be refitted for birth control after having a baby

A

True

39
Q

what location of pain can also relate to gas pain?

A

Right shoulder pain

40
Q

Homans sign

A

sign of thrombophlebitis

Dorsiflex foot to assess

41
Q

“taking in”

A

1-2 days PP
focused on herself and her needs

42
Q

“taking hold”

A

2-3 days PP
ready to help others and assume control of body

43
Q

postpartum blues

A

Resolves naturally in 10–14 days
Mood swings, sad then happy
Episodic tearfulness with no cause

44
Q

Postpartum depression

A

Considered a mood disorder after four weeks

45
Q

risk factors of postpartum depression

A

First pregnancy
History of depression
Lack of support
Adolescent
History of abuse

46
Q

postpartum psychosis

A

Insomnia, confusion, delusions, illogical, thinking

47
Q

What’s the first line treatment for postpartum depression and psychosis

A

seek referral order
Cognitive behavioral therapy

48
Q

en face

A

by mom, direct eye contact close to face

49
Q

engrossment

A

Done by partner, absorption and interest

50
Q

T/F, heavy lifting, frequent stair, climbing, and strenuous activity can be done right after delivery

A

False

51
Q

when can sexual activity be resumed postpartum

A

4–6 weeks
episiotomy/laceration should be healed

52
Q

discharge criteria

A

Rubella- non immune or equivocal, must receive vaccine
RhoGAM
Able to avoid and pass flatus
No difficulty with foods or fluids

53
Q

abnormal expected Postpartum changes

A

low-grade fever
Profuse night sweats
Intense shivering one hour after

NUR 332 (14 decks)

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