OB final - Post Partum Flashcards
PP vitals
-temp below 100.4
-slight elevation in BP
-bardycardia for 6-10 days
causes of the elevated BP postpartum
-PreE
-hypertension
-renal disease
-anxiety
causes of low BP postpartum
-uterine hemorrhage
-hematoma
causes of tachycardia postpartum
-difficult labor & birht
-hemorrhage
causes of marked tachypnae postpartum
respiratory disease
pulmonary edema
how to treat elevated BP postpartum
-procardia 30 XL, labetalol, aldomet
-Mag Sulfate IV
cardiovascular postpartum
-CO declines by 30% in the first 2 weeks & normalizes by 6-12 weeks
-diuresis assists to decrease extracellular fluid and wt loss
-failure to eliminate fluid can lead to pulmonary edema & cardiac problems
what is the most common side postpartum
headache -> may result from fluid shifts in the first week after birth or leakage of CSF d/t epidural, HTN, PreE, stress & fatigue
postpartum nutrition
-high iron foods
-continue prenatal vitamin esp if BF
-BF mother increase 300kcal per day
-non BF mother decrease intake by 200kcal
postpartum changes in labs
-non pathologic leukocytosis during 1st wk (wbc 25000-30000)
-2 to 3 % drop in hct = blood loss of 500ml
-plasma levels reach pre pregnant state by wks 4-6
-platelets return to normal by week 6
ovulation/menstruation for non breastfeeding mothers
-menstruation usually occurs in 7-12 weeks
-ovulation usually occurs within 70 to 75 days
ovulation/menstruation for breastfeeding mothers
-menstruation may be delayed 3 months or longer
Not reliable form of BC
BUBBLE HE
breast
uterus
bowel
bladder
lochia
episiotomy/incision
homan’s/hemorrhoids
emotions
breast assessment
-size & shape
-abnormalities, reddened areas or engorgment
-presence of breast fullness d/t milk
-assess nipples for cracks, fissures, soreness or inversion
suppression of lactation
-well fitting bra or wraps
-cold compression or cabbage leaves
-anti inflammatory medications
-no warm water on breasts
-no stimulation
