UNIT 4 POSTPARTUM ASSESSMENT/PHYSIOLOGIC CHANGES CHAPTER 18 Flashcards
(40 cards)
How long does the Post Partum Period last?
A. 12 weeks
B. 6 weeks
C. 7 weeks
D. 24 weeks
B. 6 weeks
What does the Post Partum Assessment consist of?
Breast - check for cracking/engorgment
U- check fundus firm/ midline at umbilicus
B- bladder (assess for dysuria,
B- ask about bowel movement date/consistency/size
L- lochea amount/ color
E- check extremities ,dvt-unilateral swelling(OR EPISIOTOMY)
H- assess hemmroids use interventions for comfort
E- check mom’s emotional status
A post partum mother whose G- 4 T- 3 P-0 A-1 L-2 is currently experiencing chills and a decreased level of consciousness ? Which of the following assessment finding would indicate her current state?
A. Temp of 110 Farenheight
B. Hematocrit 38
C. WBC 15,4000
D. Sodium level 144
A. Temp of 110 Farenheight
Can Preeclampsia occur after delivery?
A. Yes
B. No
A. Yes
Is tachycardia a expected fin ding in a post delivery/ Post-partum mom?
A. Yes
B. No
B. No
Which of the following is a sign and symptom of Preeclampsia?
A. inconsistent headache mild in intensity
B. Blurry vision
C. Decreased level of consciousness
D. Hypoglycemia
B. Blurry vision
FILL IN THE BLANK
Within 24 hours of delivery the uterus should be at _________
(the level of a 20 week gestation)?
umbilicus
What is Involution?
return of uterus to
prepregnant state
What is Subinvolution?
Subinvolution is the failure of the uterus to return to a nonpreg- nant state due to ineffective uterine contractions.
Assessment of the nipples and breast?
should they be hard and cracked?
A. No
B. Yes
A. No
Should be soft may be heavy due to milk instruct mom to wear supportive bra
Benefits of Pitocin Post Partum
The uterus is very sensitive to oxytocin during the first week or so after birth. Breastfeeding immedi- ately after birth and in the early days postpartum increases the release of oxytocin, which promotes uterine contractions, thereby decreasing blood loss and reducing the risk for postpartum hemorrhage.
All of these finding are a infection that occurs in the breast , what is it called
- Localized heat and swelling
- Pain; tender axillary lymph nodes
- Elevated temperature
- Complaints of flulike symptoms
Mastitis
Mastitis is inflammation of the breast/chest as a
result of a blocked duct and infection.
Mastitis occurs primarily in breast-feeding/chest- feeding parents 2 to 3 weeks after delivery but
may occur at any time during lactation.
TRUE OR FALSE
the assessment of Uterine Atony is a firm uterus?
FALSE
Assessment: A soft (boggy) uterus noted on palpa- tion of the uterine fundus
All of these finding are a infection that occurs in the breast , what is it called
- Localized heat and swelling
- Pain; tender axillary lymph nodes
- Elevated temperature
- Complaints of flulike symptoms
Mastitis
Mastitis is inflammation of the breast/chest as a
result of a blocked duct and infection.
Mastitis occurs primarily in breast-feeding/chest- feeding parents 2 to 3 weeks after delivery but
may occur at any time during lactation.
Is pain an expected finding after delivery?
A. No
B. Yes
B. Yes
Mother may complain of “Afterpain” after delivery educate them that it is a normal finding, and administer pain medications as prescribed
Why does afterpains occur?
Occur as a result of contractions of the uterus
2. Are more common in multiparas, breast-feed-
ing/chest-feeding parents, clients treated with oxytocin, and clients who had an overdistended uterus during pregnancy, such as with carrying twins.
Is pain an expected finding after delivery?
A. No
B. Yes
B. Yes
AFTERPAIN
Occur as a result of contractions of the uterus
2. Are more common in multiparas, breast-feed-
ing/chest-feeding parents, clients treated with oxytocin, and clients who had an overdistended uterus during pregnancy, such as with carrying twins.
What is the priority intervention when a pt is experienced Uterine Atony(BOGGY SOFT UTERUS)?
MASSAGE THE FUNDUS
Massage the uterus until Firm (Fig. 27.2).
Empty the client’s bladder (by voiding or catheteri-
zation) if that is contributing to the uterine atony.
Notify the obstetrician (OB) or primary health care provider (PHCP) if interventions do not re- solve the atony, because this could be an indica-
tion of hemorrhage.
Your 3 day Postpartum patient has reported that she has not had a bowel movement after receiving Docusate on her first day of delivering her baby prior to the planned discharge today. What would be your priority action?
A. Confirm or ask the patient did they pass gas after delivery.
B. Continue with discharge plans
C. Educate the patient on the importance of having a bowel movement after delivery.
D. Notify the HCP
A. Confirm or ask the patient did they pass gas after delivery.
Assessment for GI
Color, Odor, Last Void/BM,
and Amount
What can a distended Bladder do to the uterus?
The uterus will not be midline
The uterus will be deviated
FIRM
MIDLINE
The uterus should be
firm and midline
Should a post partum women pass gas in order to be discharged when there are no present complications in mother or baby?
A. Yes
B. No
A. Yes
What is the proper way to assess the bowels ?
1.Inspect
2.Ascultate
3.Palpate
What is Lochia?
vaginal discharge you have after giving birth.
What are the three consistencies of Lochia?
Rubra-Rubra is bright red discharge that occurs from day of birth to day 3.
Serosa-Serosa is brownish pink discharge that occurs from days 4 to 10.
Alba-Alba is white discharge that occurs from days 11 to 14.
