OB final - Post Partum Flashcards
(30 cards)
PP vitals
-temp below 100.4
-slight elevation in BP
-bardycardia for 6-10 days
causes of the elevated BP postpartum
-PreE
-hypertension
-renal disease
-anxiety
causes of low BP postpartum
-uterine hemorrhage
-hematoma
causes of tachycardia postpartum
-difficult labor & birht
-hemorrhage
causes of marked tachypnae postpartum
respiratory disease
pulmonary edema
how to treat elevated BP postpartum
-procardia 30 XL, labetalol, aldomet
-Mag Sulfate IV
cardiovascular postpartum
-CO declines by 30% in the first 2 weeks & normalizes by 6-12 weeks
-diuresis assists to decrease extracellular fluid and wt loss
-failure to eliminate fluid can lead to pulmonary edema & cardiac problems
what is the most common side postpartum
headache -> may result from fluid shifts in the first week after birth or leakage of CSF d/t epidural, HTN, PreE, stress & fatigue
postpartum nutrition
-high iron foods
-continue prenatal vitamin esp if BF
-BF mother increase 300kcal per day
-non BF mother decrease intake by 200kcal
postpartum changes in labs
-non pathologic leukocytosis during 1st wk (wbc 25000-30000)
-2 to 3 % drop in hct = blood loss of 500ml
-plasma levels reach pre pregnant state by wks 4-6
-platelets return to normal by week 6
ovulation/menstruation for non breastfeeding mothers
-menstruation usually occurs in 7-12 weeks
-ovulation usually occurs within 70 to 75 days
ovulation/menstruation for breastfeeding mothers
-menstruation may be delayed 3 months or longer
Not reliable form of BC
BUBBLE HE
breast
uterus
bowel
bladder
lochia
episiotomy/incision
homan’s/hemorrhoids
emotions
breast assessment
-size & shape
-abnormalities, reddened areas or engorgment
-presence of breast fullness d/t milk
-assess nipples for cracks, fissures, soreness or inversion
suppression of lactation
-well fitting bra or wraps
-cold compression or cabbage leaves
-anti inflammatory medications
-no warm water on breasts
-no stimulation
lactation education
-feed every 1.5-3 hrs
-10 to 20 mins on 1st breast, whatever baby wants on 2nd
-breast may feel heavy but not hard, sore or reddened
-do not consume alcohol 2hr before nursing & limit it
signs of a poor latch
baby making smacking sounds -> unlatch & retry
fluid intake for breast feeding mom
2L/day
mastitis s/s
-sudden onset
-chills & fevers
-reddened, painful swollen areas
-possible discharge
treatment for mastitis
-abx
-supportive bra w/o under wiring
-good hand washing
-warm compress
difference between engorgement & mastitis
gradual, bilateral hardness & not associated with fever
benefits of slow method weaning
-prevents breast engorgement
-allows infants to alter their eating methods at their rates
-provides time of psychological adjustment
diastasis recti abdominis
when the abdominal muscles have separated due to allowing room for the enlarged uterus
after pains
-intermittent uterine contractions associated with uterine involution
-resting prone w/ pillow under abdomen helps keep uterus contracted
-motrin 600 mg po q8 as needed for cramping
