Postpartum Care (ch21, exam 3)

Question 1

assessment

Answer 1

• Vitals (BP, temp, pulse, RR)
• lung sounds
• BUBBLE-HE

Question 2

subjective PP bleeding measurement

Answer 2

• scant (<2.5cm)
• light (<10cm)
• moderate (>10cm)
• heavy (pad saturated within 2hrs)

always ask how long pad has been in place

Question 3

objective PP bleeding measurement

Answer 3

• H&H (weighing clots and other items that may be soaked with blood)

quantification of blood loss: weigh dry pad -> write number on back -> weigh wet pad ->subtract number on back

Question 4

gentle fundal massage

Answer 4

maintain/restore uterine tone

Question 5

palpating the fundus

Answer 5

• place upper hand above the fundus

- dip lower hand right above the symphysis pubis

Question 6

kegel exercises

Answer 6

• strengthens the decrease in muscle tone from stretched and torn pelvic tissue
• reduces urinary incontinence
  (start and stopping a urine stream)

Question 7

Rh immune globulin

Answer 7

RhoGAM

• given to Rh neg mother at 28weeks gestation
• again within 72hrs after birth if Rh+ baby
• usual dose 300mcg IM
• made from human plasma (Jehovah’s Witness)

Question 8

Rubella vaccine

Answer 8

MMR

• SQ prior to discharge
• prevent future rubella infection during pregnancy
• live vaccine
• may continue to breastfeed

Question 9

varicella vaccine

Answer 9

chickenpox vaccine

• SQ prior to discharge
• live vaccine
• 2nd dose after 4-8weeks

Question 10

Tdap vaccine

Answer 10

tetanus, diphtheria, acellular pertussis

• IM
• decrease infant exposure to pertussis (whooping cough)
• recommended by CDC in every pregnancy

Question 11

PP health promotion

Answer 11

Drink plenty of fluids

Eat a well-balanced diet.
- Increase calories if breastfeeding

Do your Kegel exercises

Rest when the baby rests

Start with simple exercises.
- Abdominal exercises shouldn’t be started until 4-6 weeks post delivery for Cesarean clients

No tub baths for 6-8 weeks – prevent bacteria in vaginal area

Keep perineal area clean & dry, as well as c/s incision area