Post Partum w/ Assessment Flashcards
1
Q
Postpartum (PP) period
A
- Approximately 6 weeks In duration (longer if c/s)
- Normal reproductive cycle will start again
- Body preparing for lactation
2
Q
Psychological Changes
taking-in
A
1-3 days, will be talking about delivery (bad or good experience)
- talk to mother, ask her about labor! - review pregnancy - dependant in baby care (interested but hungry, cold) - all about mother
3
Q
Psychological Changes
taking-hold
A
Initiating own actions
- mother wants to take on more responsibility - teach but let mother do!! - mother may question ability - give mother support!!
4
Q
Psychological Changes
letting-go
A
(wont usually see)
- ways to help homless - reorganize thought and family
5
Q
Maternal concerns and feelings
A
- Abandonment
- Disappointment
- Postpartum blues
- Postpartum Depression
6
Q
Abandonment
A
Everyone paying attention to baby now instead of mother
7
Q
Disappointment
A
Baby doesn’t live up to fantasy baby
8
Q
Postpartum Blues
A
- 80% of woman.
- hormones are gone
- mother crying and doesn’t know why
- can last up 2 weeks
9
Q
Postpartum Depression
A
- blues lasting longer than 2 weeks
- lasts weeks up to months
- needs meds, therapy
10
Q
Respiratory changes
A
- Hormonal changes relieve stuffiness
- Relief from dyspnea due to the birth the lungs can expand easier and the diaphragm is more useable
11
Q
Hormonal changes
A
- Due to decrease in Placental lactogen, insulin need down
- increased prolactin
12
Q
Urinary changes
A
- urinate and sweat a lot - trying to get rid of fluid
- urine may contain protein
- ureters decrease in size to normal
- will be putting out 3x more urine
- reassure pt this goes away in 24-48 hr
- bladder should return to normal within 6 wk
13
Q
Circulatory changes
A
- If anemic prenatally will be more so postpartum
- elevated WBCs x 5-6 days
- hemoglobin of 9 do not send home
- coagulation will still be high
- varicosities/hemorrhoids recede
14
Q
GI changes
A
- will have BM by second day
- may be afraid to poop because afraid it might hurt
- bowel sound active
15
Q
Integumentary changes
A
- Stretch marks still red, will start to change to silvery (cauc) , darker (Blacks) at 3-6 months
- Hair may still fall out
