L&D postpartum Flashcards
What medication is put in the cervix and pt must stay in bed for 30 min-2 hrs after administration?
cytotec - prostaglandin
What medication is given orally to cause abortion?
Methrotrexate
Methrotrexate is what kind of drug?
Antineoplastic
What does an Antineoplastic do?
a cancer drug that kills cells
What drug is used in small doses in PP to control bleeding and maintain uterine firmness?
Methergine
____ can not be given to a patient with PIH.
Methergine
What do Cervidil do?
Causes cervical softening and dilation
What must you watch for if giving cervidl?
NVD, and Orthostatic Hypotension and to check this just check lying down and sitting not standing cause it is vaginally inserted
What does Pitocin do?
stimulates the smooth muscle of the uterus to induce labor and prevent PP hemorrage
What nursing care would you do for Pitocin?
monitor contraction >90 sec dc flow rate and give NS, turn pt to left side and put oxygen on
What is normal FHR
110-160
What does a Uterine Relaxant do?
stops premature labor
Give and example of a Uterine Relaxant
Terbutaline or Brethine
What kind of stimulant is a Uterine Relaxant?
Beta-adrenergic receptor
What nursing care do you do with a uterine relaxant
monitor for tachycardia, hypotension, and assess for glycosuria
Read Clomid notes
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Why do we give Magnesium Sulfate?
raises the threshold for a seizure
What nursing care is given for magnesium sulfate?
assess for hypotention, depressed patellar, cardiac depression and respiratory paralysis
What is the antidote for magnesium sulfate?
Calcium Gluconate
How do u give RhoGAM
1 standard dose IM at 28 weeks. Then a dose within 72 hours after delivery
look at notes about how to give IM and put in ointment drops
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What is the word for blindness caused by gonorrhea in neonates?
ophthalmia neonatorum
What is the word for blindness caused by to much oxygen?
Retrolental Fibroplasia
Another word for Postpartum
puerperium
immediate postpartum
1st 24 hours
early postpartum
first week
late postpartum
next 5 weeks
What 2 dangers are in the first 1-2 hours
Hemorrhage, and hypovolemia
after initial dager what do we watch for
Infection because of the open wound in uterus
the first 1-2 hours how ofter do u check vitals
q15min
BUBBLE HE
breast, uterus, bowel, bladder, lochia, episiotomy, homans, emotions
Primary cause of involution is sudden withdrawal of ____________ &________
progesterone and estrogen
What is the position of the fundas in 1-2hr?
midway between umbilicus and symphysis pubis
What is the position of the fundas in 12hrs?
At umbilicus or 1 cm above it
What is the position of the fundas in 3 days?
3 cm below umbilicus(descent coninues at 1 cm/day
What is the position of the fundas in 10 days?
not palpable above the symphysis pubis
Blood saturation on a peripad, if scant: 2inch stain
10mL
Blood saturation on a peripad, if small: 4inch stain
10-25mL
Blood saturation on a peripad, if moderate: 6inch stain
25-50mL
Blood saturation on a peripad, if Large: >6inch stain
50-80mL
how long PP should uterine contractions occur?
2-3days PP
______ released by the pituitary gland strengthens contractions. compresses blood vessels and prevents excess blood loss
oxytocin
______ stimulates oxytocin to be released.
breastfeeding
____ _____ happens in days 1-3 PP with bright red bloody consistency, fleshy odor
lochia rubra
numerous large clots; foul smell; saturation of perineal pad in days 1-3 PP
abnormal lochia rubra
days 4-9 pinkish brown is of serosanguineous consistency
lochia serosa
days 10 to appx 3 weeks creamy white; fleshy odor
lochia alba
REEDA
redness, edema, ecchymosis, discharge, approximation
tears involving the skin mucosa of the vagina and the fourchet, but not muscles
first degree
tears extending from the skin and mucosa into the muscles of the perineal body
second degree
tears extending from the skin, mucous membranes, and the perineal body involving the anal sphincter
third degree
tears extending through the rectal mucosa, which may extend up the anterior wall of the rectum
fourth degree
temperature for a sitz bath water should be?
100-105 degrees F
5 lovenox guidelines
- pinch, 2. lovehandles, 3. 90 degree angle, 4. reclining position, 5. don’t aspirate
how much blood is lost during vaginal birth
at least 300 mL
how much blood is lost during cesarean births
about 600mL
elimination of placenta diverts 500 to 750mL of blood flow in the maternal systemic circulation and could cause ___
CHF
extra fluid is disposed of in 2 way:
PP Diuresis, and PP Diaphoresis
decrease risk of blood clot by
early ambulation
increased HR may mean one of 5 things
hemorrhage, infection, pain, anxiety, cardiac problems
breasts sagging and swinging
pendulous
mini pill is
progesterone only
signs of a distended bladder
fundus above umbilicus or above base line level; fundus ove to side, displaced from midline area; bulge of bladder above symphasis; excess lochia; tenderness of bladder area; frequent voidings of less than 150mL of urine indicating urinary retention with overflow
this phase is focused mainly on the mother’s need for food, fluid and sleep, lasts 2-3 days, depends on others to meet her needs
taking-in phase
the mother becomes more independent as she takes an interest in and responsibility in her own physical care, her focus shifts to the care of her infant, lasts apprx 10 days
taking-hold phase
letting go of the carefree lifestyle,
letting-go phase
