NURSING CARE OF THE FAMILY DURING THE POSTPARTUM PERIOD Flashcards

1
Q

Postpartum discharge

A

Lochia

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2
Q

BUBBLELE to remember necessary components of
postpartum assessment:

A
  • Breast
  • Uterus
  • Bowel Function
  • Bladder
  • Lochia
  • Episiotomy/Perineum
  • Lower Extremities
  • Emotions
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3
Q

fullness around postpartum days 3 and 4

A

engorgement

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4
Q

Hot, red, painful and edematous areas which
could indicate (BREAST)

A

mastitis

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5
Q

By approximately 1 hour post-delivery, the fundus is ________ at the level of the _________

A

firm; umbilicus

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6
Q

The fundus continues to descend into the pelvis at the rate of approximately ___________________ per day and should be non-palpable __ days postpartum

A

1cm or fingerbreadth; 14

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7
Q

The bowel is assessed for:

A
  • Bowel sounds
  • Return of bowel function (3 days postpartum)
  • Flatus
  • Color and consistency of stool
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8
Q

Return of bowel function

A

(3 days postpartum)

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9
Q

Return of urination, which should occur

A

within 6 to 8 hours of delivery

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10
Q

Patient should void a minimum of

A

150 mL per void

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11
Q

Less than 120 mL per void could indicate __________________ due to decreased bladder tone postdelivery.

A

urinary retention

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12
Q

Signs and symptoms of UTI includes

A

fragment urination, bladder spasm, cloudy urine, persistent urge to urinate and pain with urination

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13
Q

The bladder should be ______________ above the symphysis pubis

A

non-palpable

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14
Q

A significant amount of lochia despite firm fundus may indicate a _______________ in the birth canal, which should be addressed ASAP

A

laceration

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15
Q

Foul smelling lochia typically indicates _______________ and needs to be addressed ASAP

A

infestation

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16
Q

Lochia should progress from_________________________. Any changes in this progression could be considered abnormal and should be reported.

A

rubra to serosa to alba

17
Q
  • Is present on days 1-3
  • Blood, fragments of decidua and mucus
A

Lochia Rubra

18
Q
  • Days 4-10
  • Blood, mucus and invading leukocytes
A

Lochia Serosa

19
Q
  • Days 11-21
  • Largely mucus, leukocyte (may last 6 weeks
A

Lochia Alba

20
Q

EPISIOTOMY/PERINEUM
REEDA to assess an episiotomy of laceration to the
perineum

A
  • Redness
  • Edema
  • Ecchymosis
  • Discharge
  • Approximation
21
Q

Can only do episiotomy if

A

2nd degree laceration

22
Q

Tear

A

1st degree perineal tear

23
Q
  • Anal sphincter (not torn)
  • Perineal muscle (torn)
A

2nd degree laceration

24
Q
  • Anal sphincter (torn)
  • Perineal muscles (torn)
A

3rd degree laceration

25
Q
  • Anal sphincter (torn)
  • rectum (torn)
A

4th degree laceration

26
Q

the lower extremities are examined for the presence of hot, red, painful and or edematous areas.

A

Deep Vein Thrombosis

27
Q

calf pain at dorsiflexion of the foot)

A

Homan’s sign

28
Q

The legs are assed for adequate circulation by assessing or checking the ________________ and noting temperature and color.

A

pedal pulses

29
Q

Postpartum women typically exhibit symptoms of the “baby blues” or “postpartum blues”, demonstrated by

A

tearfulness, irritability and sometimes insomnia.

30
Q

The postpartum blues are caused by:

A
  • Hormonal fluctuations
  • Physical exhaustion
  • Maternal role adjustment
31
Q

Early phase beings at onset of regularly perceived uterine contractions and ends when rapid cervical dilatation begins

A

Latent Phase

32
Q

Contractions during this phase are mild and short lasting 20 to 40 seconds

A

Latent Phase

33
Q

Cervical dilatation occurs more rapidly

A

Active Phase

34
Q

Contractions grow stronger, lasting 40 to 60 seconds and occur approximately every 3 to 5 minutes

A

Active Phase

35
Q

Show increased vaginal secretions and perhaps spontaneous rupture of the membranes occur

A

Active Phase

36
Q

Contractions reach their peak of intensity, occurring every 2 to 3 minutes with a duration of 60 to 70 seconds and a maximum dilation of 8 to 10 centimeter occurs.

A

Transition Phase