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Flashcards in Postpartum Care Deck (28):

Supine hypotension syndrome

Woman is lying flat and bp goes down from pressure on vena cava, starts at 2nd trimester- lay on left side


Postpartum changes in uterus

Palpable fundus 1-2 cm below belly button, size of large grapefruit, descends 1 cm every 24 hrs,


Uterus Involution process

Regeneration of endometrium, uterus decreases bc of this, oxytocin from beast feeding helps it contract and shrink, auto lysis occurs



When protein material of the uterine wall is broken down into simpler components that are absorbed by the body


Exfoliation process of the uterus

Prevents scar tissue formation by growing new endometrium under placental site w


Types of lochia

Rubra- red (day 1-3)
Serosa- pink (day 4-9)
Alba- white (day 10- 3-6 weeks)


Postpartum changes in cervix and vagina

Soft, opens to 2 cm, takes a fish mouth appearance, external os closes after a few days, vagina regains elasticity in 3-6 weeks, episiotomy heals 3-6 weeks


Postpartum changes in abdominal wall

Flabby when standing, pouches over like 3 month pregnancy


Postpartum changes in cardiovascular system

Hr- bradycardia for 1-2 days as low as 50 bpm from hemodynamics chants and vagal stimulation of sympathetic NS, blood volume decreases for 2 weeks, coagulability increases, watch for clots, blood pressure unchanged


Postpartum changes in hgl and hct

Rises within 5-7 days, may need iron supplements


Postpartum changes in urinary system

Increased capacity of bladder may cause over-distention or residual urine, bladder infections may occur, Gfr increased for a few more weeks


Postpartum changes in ovulation and menstration

Influenced by breast feeding, non lactating women get period back in 10-14 weeks, lactating women up to 17 weeks


Postpartum changes in GI system

Motility and tone return to normal within 2 weeks, constipation is common, episiotomy and hemorrhoids make bowel movements painful


Postpartum changes in breasts

Colostrum until 3-4 days the milk supply is kept up by consistent breast feeding


2 hours post Partum assessment

Vs, fundus should feel firm, lochia is rubra, check underneath, assess anesthesia effects


Daily nursing care for breasts

Soft then firm after 2 days, warm compresses if feeding, if not avoid stimulation and use tight bra and cabbage leavesn


Daily nursing care for uterus

Firm. Decrease in size 1cm per day


Daily nursing care for bladder

Voids 150 ml for first 3 voids


Daily nursing care for bowel

Fiber, increase liquids, walking, oob


Daily nursing care for lochia

Check qshift and note color and amount


Daily nursing care for episiotomy

Ice 24 hours, check qshift, turn on left, check for intactness, comfort pt because crying is normal


Homans sign

Assess for pain in the calf of each leg- don't rub or massage, assess for redness too for possible dvt


Red flags- call if experiencing

Pain, fever, bleeding, malaise, excessive sadness


Danger signs for neonate

Decreases in wet diapers, lethargic, fever, poor eating


Reva Rubens tasks for assumption of maternal role

Identify new child
Determine relationship
Guide and construct family unit to include baby


Reva Rubens taking in phase

Moms concerned with own needs, needs to be mothered, passive and dependent, nurse needs to meet dependency needs, takes in information to get to know infant, lasts 1-2 days


Reva Rubens taking hold phase

Mother strives for independence
More in control, active beginning of mothering, easily frustrated. Lasts 10 days


Reva Rubens letting go phase

When mom goes home
Accept physical separation, adapt to loss of freedom, post Partum bluesy