Postpartum Flashcards Preview

352-OB/Geriatrics Midterm > Postpartum > Flashcards

Flashcards in Postpartum Deck (12):
1

"BUBBLE" assessent

breast, uterus, bottom/belly, bowels, lochia, edema

2

uterine involution

contraction after delivery

3

types of lochia

rubra (red 1-3 days), serousa (pink/brown 4-10 days), alba (yellow/white 11 days-6weeks)

4

lochia amounts

scant= 10cm
heavy= every 2 hours
excessive= every 15 min

5

preventing nipple trauma

•correct latch, all of areola in mouth, not just nipple
•change start side
•change positions
•let nipples air dry
•don’t wipe of secretions (tubules of Montgomery)
•frequent nursing

6

3 phases of role adaptation

1. taking in
2. taking hold
3. letting go

7

Promoting infant bonding

skin to skin, let mom undress, en face positioning, recognize uniqueness, smile, talk, prideful communication

8

Signs of Depression

apathy, disgust of bodily functions, thinks baby is disruptive/uncooperative, expresses disappointment, handles roughly, lack of preparation

9

Signs of Hemorrhage

Increased pulse, decreased BP, lightheadedness, syncope, SOB. Hematoma formation or shiny bulging skin in the perineal area
• Decreased level of consciousness
• Lowered hemoglobin and hematocrit results

10

Signs of mastitis

Fever, purulent discharge from vagina or incision, erythema at incision site, increased WBCs, burning during urination, redness/pain in breast about fourth postpartum week

11

Causes of mastitis

•milk stasis
•increased bacteria
•breast/nipple trauma
•obstruction of ducts
tight clothing
•failure to empty breasts during feeding
weaning, missed feedings, prolonged sleeping
lowered maternal defenses
fatigue, stress

12

Causes of thromboembolic disease

Cesarean section
Inactivity
Obesity
•Cigarette smoking
•Previous thromboembolic disease
•Trauma to the extremity (may be related to positioning during labor and delivery)
•Varicose veins
•Diabetes
•Advanced maternal age
•Inherited thromboembolic disorders
• Multiparity
• Anemia