Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Gender And Reproductive Health Finals > 4500 Class 7 Postpartum > Flashcards

4500 Class 7 Postpartum Flashcards

1
Q

Postpartum assessment and signs of potential complications

A

(table 22.2)

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

Intervention for episiotomy

A

(box 22.2)

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

Intervention for lacerations

A

(box 22.2)

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

Interventions for hemorrhoids

A

(box 22.2)

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

Signs of potential psychosocial complications

A

(box 22.3)

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

What is BUBBLLEE (post partum assessment)

A

B — Breasts: firmness and nipples
U — Uterine fundus: location; consistency
B — Bladder function: amount and frequency
B — Bowel function: passing gas or bowel movement, (for vaginal birth)
L — Lochia: amount, colour
L — Legs: perioheral edema (or ‘E’ for extremities)
E — Episiotomy / Laceration or Caesarean borth incision: perineum, discomfort, conditionor repair (if done)
E — Emotionsl Status: mood, fatigue, confidence

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

Usual duration of postpartum stay in a hospital with vaginal delivery

A

24-48 hours

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

Usual duration of postpartum stay in a hospital with caesarian birth

A

~4 days

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

When is the 4th stage of labor

A

1-2 hours postpartum

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

What are part of our nursing assessments during 4th stage of labor (first 1-2 hours postpartum)

A
  1. Physical assessments of birther (VS, targeted assessments)
  2. Skin-to-skin initiation
  3. Breast/chest feedingninitiation
  4. Assisting php with perineal repair - assess perineum
  5. Assessment of placenta
  6. Administration of uterotonic medications - meds that promote uterine tone / contraction
  7. Administration of analgesic meds as needed
  8. Removal of epidural catheter, post epu assessment, as needed
  9. Encourage, monitor for void
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What do we do when a birther experienced a laceration of they have gone through episiotomy

A

It will need to be sutured, (perineal repair)

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

Nurses do with perineal repair

A
  1. Assess pain management needs
  2. Positioning and lightning
  3. Skin to skin bonding with newborn
  4. Spinge and needles count
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Parameters for BP assessment postpartum

A

q 15 minutes first hour
q 30 minutes after that for the remainder of 4th stage

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

Parameters for pulse assessment postpartum

A

Same as BP

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

Parameters for measuring temp postpartum

A

Initially and one more before transfer to podtpartum unit

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

How often do we assess fundal height and firmness

A

Same as BP

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

What donwe assess in perineum PP

A

Laceration - redness, edema, bruising drainage, approximation
Prescence of hemorrhoids

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

What are relevant obstetrical history

A

HTN, diabetes, placenta previa, placental abruption

+ rubella status
+ prescence of infections
+ GBS status and TREATMENT if positive
- RH STATUS
- hepatitis seroslogy
- HIV status
- syphylis

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

What are LABOUR CONSIDERATIONS

A
  1. Length of labour - dystocia
  2. Induced/augmented
  3. ROM - time, issues with meconium-stained amniotic fluid
  4. Any complications (temp/infection, antobiotic administration, blood cultures - FHR concerns, placental abruption)
  5. IV in situ?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

RH protocol

A

IF MOTHER RH NEG, AND BABY IS RH POS
- treated within 72 hours

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

What does the uterine (fundal) assessment look like in
A. Normal prgress, days 1-9
B. Size and position of uterus 2 hours after childbirth
C. Two days after childbirth
D. Four days after childbirth

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

What does the fundus look like at the end of 3rd stage of labour

A

@u or u/u (fundus at the level of ambilicus)
u/1-2 (fundus 1-2cm below umbilicus)

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

Fundus 12 hours after birth

A

May rise to 1 cm above umbilicus

24
Q

Fundus/uterus 24 hours after birth

A

Uterus is about the same size that it was at 20 weeks gestation

25
Q

Uerus after two weeks

A

No longer abdominally palpable
- ~350 grams

26
Q

Normal uterine findings

A
  • placement should be midline abdomen. Deflection may indicate a distended bladder
  • size and shape should feel round, about the size of a grapefruit, ; larget usually indicates hemorrhage
  • the tone should feel firm (again life a grapefruit. If boggy (soft) massage gently, nitofy primary HCP
27
Q

What are nursing interventions for uterus

A
  1. Fundal massage
  2. Uterotonics as ordered
28
Q

Information we need to prevent excessive bleeding

A

U - uterus
L - Lochia
E - Lacerations / episiotomies

29
Q

What does a distended bladder look like

A

THE UTERUS DISPLAV}CEF ABOVE UMBILICUS AND WELL TO ONE SIDE OF THE MIDLINE
- bladder appears and round, supraoubic bulge
- may be able to palpate bladder
- uterus is usually boggy, above umbilicus and off to the right
- LOCHIA IS HEAVIER

30
Q

Normal bladder

A
  1. Should be able to void spontaneously within 8 hours of birth
  2. No distension
  3. Able to empty bladder completely
  4. No dysuria
31
Q

When does diuresis start PP
Approx how much

A

12 hours after birth,
May void up to 3000 ml/day

32
Q

Intrapartum RIC}SK factors that may cause bladder distension

A
  1. Epidural
  2. Trauma due to extensive vaginal or perinel lacerations / episiotomy or Instrument assissmted birth
  3. Prolonged labour
  4. In-dwellling catheter during labour
33
Q

Minimum amount per void

A

150 mL

34
Q

When is bowel movement expected

A

After 3 days

35
Q

What are meds that contribute to constipation

A

Opiod analgesics, iron supplements, Magnesium sulphateq

36
Q

Interventions for constipation

A
  1. Adequate roughage
  2. Increase fluids
  3. Ambulation
  4. Risk of opiod analgesics
  5. Stoll softeners / laxatives
37
Q

What is the normal vaginal discharge after delivery callede

A

Lochia

38
Q

What is a lochia composed of

A

Leukocytes, epithelial cells, decidua, suto-lysed protein and bacteria

**NORMAL AMOUNT SHOULD BE SCANT TO MODERATE WITH FEW CLOTS

39
Q

How does a normal lochia look like Day 1-3, Day 3-10, Day 10-Week8

A

Dark red (rubra)
Pink / brownish red (serosa)
Yellowish-white (alba)

40
Q

What do we worry for when
Redness, tenderness, pain, warmth, unilateral swelling?

A

VTE

41
Q

How domwe avoid VTE

A

Ambulation, TEC stockings,
Those at risk LOW MOLECULAR-WEIGHT HE{ARIN during postpartum period

42
Q

What is the inital nursing intervention with swollen perineum

A

Offer an ice pack - FOR 15 MINS, NOT MORE THAN 1 TIME IN AN HOUR

43
Q

How should a normal hemorroid look like in the rectal area postpartum

A

Soft and pink

44
Q

How do we assess for episiotomy or laceration

A
  1. Intactness — edges should be well approximated
  2. Edema, bruising, hematoma SHOULD NOT BE PRESENT and should be documented. Inform pcp.
  3. Infection? Redness, warmth, drainage, nitofy pcp
45
Q

Classify/differentiate 1st to 4th degree lacerations

A

1st — skin and strictures superficial to the muscles
2nd — extends through the muscle
3rd — extends through anal sphincter
4th — involves the anterior rectal wall

46
Q

When should temp be a concern

A

When 38 degrees or higher lasting more than 4 hours

47
Q

What is uterine atony, what can cause it

A

It is the faiture of the uterus to contract firmly
It is the most frequent cause of excessive bleeding
It can be cause by retained placental fragments / membrane

48
Q

How does excessive bleed happen with uterine atony

A

The relaxed uterus will fill with blood and clots and blood vessels at the placental site are not clamped off

49
Q

What to assess w uterine atony

A
  • Significant drop in BP
  • check resps, pulse, skin conditiom, urinary output, conciousness (SIGNS OF HYPOVOLEMIC SHOCK)
50
Q

Top 2 nursing interventions for uterine atony, how?

A
  1. Maintain uterine tone
  2. Prevent bladder distension

BY uterine/fundal massage, uterotonics(prevent PPH)

51
Q

How and when do we administer Oxytocin?

What does it do

A

5-10 unites IM or IV after delivery of the anterior shoulder — 3rd stage of labour

Encourage uterine to ‘clamp down” on the open blood vessels at the open placental site, prevent PPH

52
Q

Name 2 other possible source of excessive bleeding postpartum

A
  1. Vaginal / vulval hematomas
  2. Unrepaired lacerations of the vagina or cervix
53
Q
  • can be common and can be r/t to both ohysical and psychologicl
  • may be inpacted by pain
  • can be ralated to anemia or infection
A

FATIGUE

54
Q

Analgesics recommended/preferred for breat feeding persons

A

Non-opiods (NSAIDS)

55
Q

Priorities of Helath Promotion Planning for Future Pregnancies

A
  1. Rubella vaccine
  2. Rh immune globulin; if RH NEG
56
Q

Hpw much rh immune globulin is given

A

Usually 300 mcg

Gender And Reproductive Health Finals (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions