Mat 6d Flashcards
2020 healthy incentive goals
Reduce infant mortality
Increase breast feeding rates
Fourth trimester is defined as……
Defined as from childbirth until 6 weeks post birth
Rn goal
Mom and baby
Promote family adj
Promote comfort and healing
Facilitate binding with dad and siblings
When are vitals done post vag delivery
Q15 for first hour
Q30 for second hour
Once during 3rd hour
Q8 hours until discharge is stable
Vitals after c section
Q30 for 4 hours
Q 1 hour for 3 hours
Then q 4-8
Temperature after birth
100.4 for 24 hours
Caused by exertion and dehydration
Pulse after birth
50-70 beats per minute 6-10 days (bradycardia)
Bp after birth
Equal to approx first trimester
Resp rate after birth
Within norm 12-20 range
Chills and shaking immed after giving birth
Due to pressure changes in abdomen
Temperature readjustment
Excitement and exhaustion may also play a part
Uterine fundal height immed after birth
Midline, half way between umbilicus and symphysus pubis
1 hour after risen to umbilicus where it remains for 24 hours
Then 1finger width per day
Not palpable after 10 days
Perineum assessment……
R-redness E- edema E-ecchymosis D-drainage of discharge A- approximation of episiotomy if present
Hemorrhoid treatment
Ice packs (20 min max)
Frozen tea peripads
Watch hazel pads
No hard surfaces or donuts as it seperated butt cheeks
Postpartum assessment head to to of mom
B-breasts U-uterus B-bladder B-bowels L-lochia E- episiotomy, incision H- homans for DVT E- emotions also b for bonding!❤️
Breasts in pregnancy…..
Soft first 2 postpartum days
3rd day firm and warm
Involution
Uterus returning to no pregnant state
Why is homans sign controversial?
It may actually a cause the person to throw a clot… Instead look for swelling, equal
Calf circumference and feel for heat
Mom feels urge to poooop after birth….
Check for presence of hematoma, roll mom on side, seperate ass…. Use good lighting
After pains are…..
Intermittent uterine contractions during in volition
Worse for multi para, large baby, multiple births, hydramnios.
Breast feeding and exogenous oxytocin increase
Bladder…..
Spontaneous void should occur within 6-8 hours, at least 150ml per hour
3,000 per day diuretics
Gi after childbirth is….
More active soon after childbirth, relaxin during pregnancy suppresses
Ambulation, fluids, high fiber diet all prevent constipation
Blood loss during delivery
500 ml vaginal delivery
800-1,000 in csection
White blood count after delivery
Increases for 5-6 days
Norm is 4500 to 10k
Episiotomy
1-2”surgical incision in perineum
Midline= straight
Mediolateral-,downward and off to side
