Ch. 12

Question 1

Afterpains

Answer 1

Moderate to severe cramp-like in response to infant suckling

Question 2

When is the risk for postpartum hemorrhage the greatest?

Answer 2

Within the first hour

Question 3

Why do you support the uterus with on hand above symphysis pubis?

Answer 3

Prevent uterine inversion

Question 4

Interventions for boggy uterus

Answer 4

massage fungus with the palm of hand to stimulate contractions

Question 5

Comfort measures after labor

Answer 5

1. Encourage patient to empty bladder to reduce afterpains
2. Apply warm blanket
3. Warm compress
4. Analgesics such as ibuprofen

Question 6

Where should the fundus be 12 hrs after birth?

Answer 6

level of umbilicus or 1 cm above and is firm and midline

Question 7

How much does the uterus move per day?

Answer 7

1 cm

Question 8

what should the first 3 days of lochia look like?

Answer 8

ruba: red and bloody

Question 9

what should the lochia look like for days 4-10?

Answer 9

serosa (pink or brown)

Question 10

What should the last stage of lochia look like?

Answer 10

albua: Clear or whitish 1

Question 11

What is considered heavy saturation?

Answer 11

1 within an hour; excessive is 1 within 15 minutes

Question 12

REEDA

Answer 12

Perineum assessment

Redness, edema, ecchymosis, discharge, approximation of edges

Question 13

Do you apply ice or heat to perineum?

Answer 13

ice

Question 14

Normal colostrum

Answer 14

clear, yellowish fluids

produced till 2 week postdelivery till mature milk is made

Question 15

Breast education

Answer 15

1. Wear support bra 24hrs a day till breast become soft