Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Nursing 2300 (VIcky Hansen) > Unit 2 - Part 1 - Postpartum Care > Flashcards

Unit 2 - Part 1 - Postpartum Care Flashcards

1
Q

How long does postpartum period last

A

6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Main thing to look for immediately after birth

A

intense tremors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What causes intense tremors

A
  1. reaction to epidural

2. reaction to maternal adrenal production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What to assess during intense tremors

A

Temp: presence of fever?

Displaced Uterus = full bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Definition: the rapid reduction in size of the uterus and the return of the uterus to a non pregnant state

A

involution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F: Afterpains are greater after multiple births

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A fundus that is above the umbilicus and is boggy (feels soft and spongy rather than firm and well contracted) is associated with excessive _____ _____

A

uterine bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Definition: relaxation of uterine muscle tone

A

Uterine Atony

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The cause of a distended fundus in a recently delivered woman is likely due to a distended bladder causing a temporary upward displacement of the uterus. What is the first action a nurse should take at this time?

A

Have the woman empty her bladder and then remeasuring the height of the fundus

If the client is unable to void, an in and out catheterization to empty the bladder is indicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

During involution, bleeding is controlled by what?

A

compression of muscle fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is one thing someone can do to firm up the uterus

A

massage it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Definition: represents the healing of the uterus

A

Lochia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What to assess with lochia

A

amount. color, odor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe Lochia Rubra:

A
  • dark red

- day 2-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe Lochia Serosa:

A
  • pinkish color

- day 3-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe Lochia Alba:

A
  • creamy/yellowish discharge

- day 10 up to 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T/F: Lochia with large plum-sized clots are normal the first few days after birth

A

FALSE!

- only a few SMALL clots (no larger than a nickel) are common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When the lochia flow stops, the cervix is considered to be _____, and chances of infection ascending from the vagina to the uterus _____

A
  • closed

- decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

T/F: A steady trickle of blood could indicate a laceration in the birth canal and should be reported to the healthcare provider for follow up.

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Total average volume of lochia is approximately

A

225 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Why is lochia discharge greater in the morning?

A

because of pooling in the vagina and uterus while the mother lies sleeping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The amount of lochia may also be increased by _____ or _____

A

exertion or breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

T/F: Mul­tiparous women usually have more lochia than first-time moth­ers.

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Women who undergo a cesarean birth typically have _____ lochia than women who give birth vaginally.

A

less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Tone and contractility of the vaginal orifice may be improved by
Kegel exercises (perineal tightening exercises)
26
Describe cervical changes after birth
- flabby, formless - admits 2 fingertips for few days - first childbearing permanently changes
27
Describe vaginal changes after birth
- appears swollen, bruised | - decreased size
28
How long does it take rugae to return after birth
3-4 weeks
29
Describe Perineal changes after birth
- soft tissue swollen, bruised | - episiotomy, laceration edges drawn together
30
How long does it take perineum to heal after birth
2-3 weeks
31
Nursing care for perineum changes
1. ice packs 2. sitz baths 3. assess urination 4. episiotomy care
32
_____ has been identified as an essential amino acid that decreases the pain of an episiotomy.
Lysine [can be found in meat, cheese, fish, eggs, and nuts]
33
The nurse should instruct the client to _____ _____ _____ before sitting to reduce the pain.
tighten the buttocks
34
To prevent infection, not to reduce pain, the client should...
wash the area daily and the peripad should be changed four times a day
35
_____ is often prescribed for postpartum pain when a client is experiencing moderately severe pain with inflammation.
ibuprofen (Advil)
36
_____ is often prescribed on 2nd and subsequent births for after pains.
Percocet
37
The client needs to be closely monitored for _____ _____ when Percocet is used.
respiratory suppression
38
When does a women start ovulating/menstruating again after childbirth
6 weeks after if not breastfeeding | - Breastfeeding = at least 3 months after birth
39
T/F: exclusive breastfeeding reduces the risk of pregnangy
T
40
Physiologic changes to abdomen
- uterine ligaments stretched - diastasis recti abdominis (gap of >/= 2.7 cm between the 2 sides of rectus abdominis muscles - striae/stretch marks
41
______ stimulate breast duct proliferation, development
progesterone
42
Once the placenta is expelled, progesterone levels....
fall -> triggers milk production
43
Best way to get hindmilk rich in fat
When breastfeeding, start off on breast she last left on
44
Why is colostrum important
It passes immunity to baby
45
3 stages of human milk
1. Colostrum: immediately available at birth 2. Transitional milk: Day 2-5 3. Mature milk: present by 2 weeks
46
Are the mother's bowels sluggish following birth?
Yes | - may provide a stool softener
47
What can a mother have to eat/drink after a C-section
clear liquids until bowel sounds are present
48
what is puerperal diuresis
difficult urinating first day, but by day 2 woman will urinate 2-4 L
49
Describe the temperature of mother after childbirth
- afebrile (normal temperature) except first 24 hours after birth
50
Describe the BP of mother after childbirth
- immediately: increased BP
51
Describe the pulse of mother after childbirth
puerperal bradycardia (50-70 bpm) (6-10 days)
52
When is a seizure most likely to occur in mother
during labor, first 24 hours | - pre-eclamptic = up to 48 hours
53
Describe WBC/leukocytes after childbirth
increase
54
Describe hgb & hct after childbirth
normal
55
Describe platelet levels after childbirth
initially high (so you want to prevent blood clots by ambulating), then they fall
56
Describe the weight of mother after childbirth
- initial weight loss of 10-12 lbs
57
Describe labs after childbirth
normal 2-6 weeks after birth
58
T/F: there is a risk for obesity during the childbearing years
T
59
mid-stature woman will gain about how much weight during pregnancy
~28 lbs
60
Describe clinical assessment after childbrith
assess for hypovolemia
61
T/F: inadequate intake of nutrition can reduce milk volume
T
62
How much protein should a mother intake when breastfeeding
65 g/day
63
How much liquid should a mother intake while breastfeeding
A LOT!
64
Blood pressure elevations may result from excessive use of _____ _____ _____ _____.
oxytocin or vasopressor medications.
65
Risk for Deficient Fluid Volume secondary to _____ _____ _____ _____
boggy fundus and nausea
66
Mothers should usually be focused on the infant. Assess for detachment. Mother not wanting to look at baby or take care of baby. Encourage her to care for the baby by...
Demonstrating and getting them involved.
67
Reddened breasts may indicate _____
mastitis
68
Pulse range
50-90 bpm
69
RR range
16-24 breaths per minute
70
Temperature range
36. 6-38 C (98-100.4) | - > 100.4 = infection
71
Can you breastfeed with mastitis
Yes, it is the best thing to do!
72
Is it normal to have separation of musculature in abdomen?
Yes, soft/doughy texture is expected
73
T/F: many women get hemorrhoids during pregnancy, but is not a problem as long as they are not very large
T
74
How often should mother void
every 4-6 hours
75
When should mother have bowel
- normal BM by 2nd/3rd day
76
When is the mother expected to start assuming more responsibility/eagerness to learn
after 12 hours | *explain postpartum blues/depression (should not progress longer than a couple of weeks)
77
Nursing cares to implement if mother does not want to breastfeed
- provide supportive, well-fitting bra within 6 hours of birth - ice packs over axiliary area of each breast * dry out period = 4-5 days
78
When can a mother resume intercourse after childbirth
- episiotomy healed | - lochia flow stopped
79
T/F: you should ambulate mother the day after surgery
yes, as soon as you can, but make sure she is steady
80
Definition: VBAC
vaginal birth after cesarian birth: very high risk! | *treat like surgical pt*
81
Definition: REEDA
* Redness * Oedema: excess watery fluid collecting in cavities of body tissues * Ecchymosis: discoloration of skin from bleeding underneath, typically caused by bruising * Discharge * Approximation: bringing tissue edges into desired apposition for suturing
82
What is the Newborns' and Mothers' Health Protection Act of 1996
guarantees a minimum stay of up to 48 hours following a vaginal birth and 72 hours for a C-section
83
protein in the urine leads to
preeclampsia
84
HTN + protein in urine + seizures =
eclampsia
85
Define: HELLP
***LIFE THREATENING TO MOTHER/FETUS*** hemolysis elevated liver ezymes low platelet count * Occurs between 28-36 weeks gestation BUT my occur postpartum in up to 30% of cases. * Reported S/Sx’s - Headache - Nausea/vomiting/indigestion with pain after eating/Abdominal or chest tenderness and upper right upper side pain (from liver distention) - Shoulder pain or pain when breathing deeply - Bleeding/ Changes in vision/ Swelling * Platelet infusion should only be given in patients with severely low platelet counts, those with significant bleeding or with very extremely low platelet counts and may require caesarean delivery. * Right upper quadrant ultrasound my show hepatic infarction or subcapsular hematoma but has no role in acute management of the patient. * Most infant death occurs do to abruption of the placenta / placental failure

Nursing 2300 (VIcky Hansen) (64 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions