Ch 16

Question 1

Typical Assessments in Postpartum Period

Answer 1

During the first hour: every 15 minutes
During the second hour: every 30 minutes
During the first 24 hours: every 4 hours
After 24 hours: every 8 hours

Question 2

Postpartum Danger signs

Answer 2

Fever > 100.4
Foul-smelling lochia
Unexpected change in color or amount of lochia
Large blood clots
Saturating a pad in 1 hour
Severe headache
Blurred vision
Calf pain with ambulation
Swelling, redness, discharge at episiotomy, epidural, or abdominal sites
Dysuria, burning, or incomplete emptying of the bladder
Shortness of breath or difficulty breathing without exertion
Depression or extreme mood swings

Question 3

Postpartum vital signs assessment

Answer 3

Temperature: slight elevation during 1st 24 hours; normal afterwards
Pulse: 40 to 80 bpm= WNL; puerperal bradycardia
Respirations: 16 to 24 breaths/minute
Blood pressure: within usual range
Pain: goal between 0 and 3 on pain scale

Question 4

Postpartum physical assessment

Answer 4

BUBBLEEE:
Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy and perineum
Extremities
Emotional status

Question 5

Bonding

Answer 5

Close emotional attraction to a newborn by the parents that develops the first 30 to 60 minutes after birth
Unidirectional, from parent to infant

Question 6

Attachment

Answer 6

Development of a strong affection between an infant and a significant other (mother, father, sibling, caretaker)
3 factors- parents’ background, infant, care practices

Question 7

4 stages in the transition to est a maternal identity

Answer 7

Commitment, attachment, preparation for an infant during pregnancy
Acquaintance with and attachment to the infant, learning how to care for the infant; physical restoration in first weeks after birth
Moving toward a new normal routine in the first 4 months after birth
Achievement of a parenthood role around 4 months