Ch21 study guide, exam 3 (Nursing Care Postpartum) Flashcards
first 3 months after childbirth
fourth trimester
method for giving report that has been shown to increase patient satisfaction and improve patient outcomes
bedside report
depends on many factors, including physical condition of the mother and newborn, mental and emotional status of the mother, social support at home, patient educational needs, and financial concerns
length of hospital stay
classification of medications that stimulate contraction of the uterine smooth muscle
oxytocic
failure of the uterine muscle to contract firmly
the most frequent cause for excessive bleeding following childbirth
uterine atony
perineal treatment that involves sitting in warm water for approximately 20min to soothe and cleanse the site and to increase blood flow, thereby enhancing healing
sitz bath
menstrual-like cramps experienced by many women as the uterus contracts after childbirth
afterpains (postbirth pains)
dilation of the blood vessels supplying the intestines as a result of the rapid decrease in intraabdominal pressure after birth
splanchnic engorgement
splanchnic engorgement can cause
blood to pool in the viscera and contribute to a drop in BP (orthostatic hypotension) when the woman sits, stands, first ambulates, or takes a warm shower
complaint if pain in the calf muscles when the foot is sharply dorsiflexed
(can signal the presence of a DVT)
Homans sign
exercises that can assist women to regain muscle tone that is often lost when pelvic tissues are stretched and torn during pregnancy and birth
Kegel
swelling of the breast tissue caused by increased blood and lymph supply to the breasts as the body begins the process of lactation
(occurs about 72-96hrs after birth)
engorgement
vaccine that can be given to postpartum women whose antibody titer is less than 1:8 or whose IEA level is less than 0.8
(used to prevent non immune women from contracting this TORCH infection during a subsequent pregnancy)
Rubella
blood product that is administered to Rh-neg, antibody (Coombs)-negative women who give birth to Rh-pos newborns
(administered at 28 weeks and within 72hrs after birth)
RhoGAM
telephone-based postpartum consultation service that can provide information and support
(NOT a crisis intervention line to be used for emergencies)
warm line