CH 16

Question 1

Typical Assessments in PP - timewise

Answer 1

1st hr = every 15 min
2nd hr = every 30 min
24 hr = every 4 hours

Question 2

Factors Increasing Risk for PP Complications

Answer 2

prolonged labor
anemia
multiple vag exams during labor
precipitous labor
uterine atony
placenta previa/ abruptio
retained placental fragments

Question 3

PP Danger Signs

Answer 3

Fever
Blood clots
Calf pain - DVT
SOB - PE
Visual changes

Question 4

Teaching Topics for PP Period

Answer 4

-pain/ discomfort
-lochia
-uterus
-hygiene
-immunizations
-activity/ exercise
-lactation

Question 5

Ambulation PP

Answer 5

-check BP first
-elevate HOB
-pt sit on side of bed
-help pt stand
-stay w/ mom the whole time. she might faint

Question 6

Postpartum Blue

Answer 6

-transient emotional disturbances
-anxiety, irritability, insomnia, crying, loss of appetite, sadness

-s/s begin 2 to 4 days after birth and resolve by day 8

-need sleep

-pp depression + psychosis are more serious and require tx

Question 7

Physical Assessment PP

Answer 7

-breasts (size, contour, engorgement)
-uterus (fundus height, firmness)
-bladder (voiding)
-bowels (distention, sounds)
-lochia (amount, color, odor)
-episiotomy (lacerations, hematoma, check sutures)