Pospartum

Question 0

Postpartum “baby blues” signs

Answer 0

Tearful, anorexia, diff sleep, feeling let down, evaluate if persist 2-3 weeks

Question 1

Lochia

Answer 1

Bright red
Rubra 1-3 days
Serosa ( pink) 4-10
Alba (white) 11-21 day possibly 6 wks

Question 2

BUBBLEHEB

Answer 2

Breast, uterus, bladder, bowel, lochia, episiotomy/ laceration, hemorrhoid a, emotional, bonding

Question 3

Uterine/fundal assessment

Answer 3

After delivery 6-12 hrs at umbilicus
Fundal height decreases 1cm/ day until 10th day
Massage fundus right before breast feeding

Question 4

After pains

Answer 4

Intermittent uterine contractions after delivery
Common in multigravida
Last 2-3 days

Question 5

Episiotomy

Answer 5

Heals in 4-6 weeks

No intercourse for 6 weeks to heal ( use lube)

Question 6

REEDA

For episiotomy assessment

Answer 6

Redness, edema, ecchymosis, drainage, approximation

Question 7

Perineal lacerations

Answer 7

1. Vaginak mucous membrane and skin of perineum to the fourchette
2. Involve vagina, perineal skin, fasci, levagor ani muscle and perineal body
3. Entire perineum and reach external sphincter of rectum
4. Entire perineum, recital sphincter, some of he mucous membrane of rectum

Question 8

Bladder

Answer 8

Encourage voiding 6-8 hours after delivery, void every 2-3 hours
C-section: void within 4 hours of removing foley