Chapter 18 Study Guide Flashcards
Discuss Peripads
Saturation of peripad within 15-30 min could indicate a hemorrhage. The peripads can be weighed.
How do you assess postpartum bleeding?
Weighing peripads.
Flexing the foot toward the body to observe for calf pain is called:
Homan’s sign.
What type of lochia should a person have up to 3 days after delivery?
Rubra
What type of lochia should a person have 4-10 days after delivery?
Serosa
What type of lochia should a person ahve 10-17 days after delivery?
Alba
Immediately after delivery, should the fundus be firm or boggy?
Firm. Boggy could be a sign of overdistension.
A preoccupation with self-reviews would be what phase?
Taking-In
Beginning to gain self confidence would be what phase?
Taking-hold
Role Attainment is seen in which phase?
Letting-go
A loss of muscle tone is called:
Atony
Is there a difference in healing time between primiparas and multiparas?
no.
Describe weight loss post-delivery
12-15 lbs after delivery, 5 lbs first week, 10 lbs next 6 weeks.
What are 4 attachment behaviors between mother/baby
Crying, sucking, smiling, clinging
In which phase does a mother resume control over her life?
Taking-hold phase
In which phase does maternal role attainment occur?
Letting-go
In which phase does relationship adjustment occur?
Letting-go phase
In which phase does a mother begin to gain self confidence?
Taking-hold phase
In which phase does a mother compare the child with a “fantasy child”?
taking-in phase
What period is considered to be the early post partum phase?
Second day after birth to the end of the first week.
Are frequent vaginal exams a risk factor for a uti in the post partum period?
yes
12 hours after delivery you find that the client’s fundus is midline and located approximately 1 cm below the level of the umbilicus. Is this normal?
yes.
How do you know a straight cath is indicated in a pp client?
palpable bladder
How can you encourage a client who is constipated and hesitant to defecate because of a fourth degree laceration?
Encourage sitz bath.
What are 3 benefits of mother baby nursing?
- fostering breastfeeding
- promoting the mother’s self-care capabilities
- decreasing incidence of cross-infection
What are 2 signs of pp hemorrhage
- perineal laceration
- uterine atony
- retained placenta
How do you suppress lactation?
- binding breasts with support bra
- applying ice packs to the breasts
