Post Partum

Question 1

Antepartum

Answer 1

time between conception and onset of labor

Question 2

Intrapartum

Answer 2

time of onset of labor until the birth of the infant and delivery of the placenta

Question 3

Postpartum

Answer 3

time after delivery, immediately after birth for 6 weeks

Question 4

What is the #1 post partum priority?

Answer 4

Prevent hemorrhage

Question 5

What to assess every 4 hours post partum?

Answer 5

BUBBLER

Question 6

BUBBLER:

Answer 6

Breast
Uterus
Bladder
Bowel
Lochia
Extremities
Responses

Question 7

What do you assess when checking Breasts?

Answer 7

history, engorgement, redness/tenderness, lumps, nipple assessment, colostrum presence

Question 8

What is the most common cause of red, cracking nipples?

Answer 8

improper latch

Question 9

What are the components of a LATCH score?

Answer 9

Latch: how well?
Audible Swallow: frequency
Type: nipple type
Comfort: breast/nipple comfort
Hold: how much assist needed

Question 10

What do you assess for the uterus during post partum?

Answer 10

auscultate, visualize, palpate, check fundus, check bladder placement, fundal tone, fundal height

Question 11

What is the progression of the fundus after 6-12 hours?

Answer 11

fundus rises to the umbilicus

Question 12

approximation

Answer 12

how well the edges of a wound butt up against each other

Question 13

What is the importance of checking bladder placement and fullness?

Answer 13

a full bladder can cause the uterus to be displaced and increase risk of PPH

Question 14

Bowel assessment:

Answer 14

sounds, movement, prevent constipation

Question 15

Lochia (perineum)

Answer 15

perineal edema, management of edema and pain. bleeding, hematoma, hemorrhoids

Question 16

Extremities:

Answer 16

Pedal pulses, varicosities, edema, DVT symptoms,

Question 17

What are the 3 responses Post Partum?

Answer 17

1. taking in stage (24 hours): Self focused, dependent, talk ab birth
2. Taking Hold (day 2-3): baby focused, open to learning
3. Letting Go : interdependent stage

Question 18

What is the difference between postpartum Blues and Post Partum Depression?

Answer 18

Blues: let down feeling, 2-3 days after birth and disappears w/in 1-2 weeks
Depression: sever, last weeks-months, maybe unable to give care for baby or self

Question 19

What are the immunizations given Post Partum?

Answer 19

Rubella, RhoGam, TDaP, Flu,

Question 20

Lochia: Rubra

Answer 20

up to 3 days postpartum, dark red

Question 21

Lochia: Serosa

Answer 21

day 3-10 postpartum, pinkish

Question 22

Lochia: Alba

Answer 22

day 10-24 postpartum, white creamy

Question 23

first degree laceration of the perineum

Answer 23

tear that extends through the skin

Question 24

Second degree lacerations of the perineum:

Answer 24

tear extending through the muscle

Question 25

third degree laceration of the perineum:

Answer 25

tear that continues through the anal sphincter muscle

Question 26

fourth degree laceration to the perineum:

Answer 26

tear that involves anterior rectal wall