Postpartum Flashcards

1
Q

What stage is postpartum?

A

Stage 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How long is the postpartum period?

A

6 weeks up to 1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which systems go through changes in the mother’s postpartum period?

A

Every system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Frequency of a postpartum Assessment

A

Every 15 minutes for first hour, then every 30 minutes for 1 hour, the every hour for two hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How to do fundal massage

A

One hand on top of fundus, one above pubic symphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should be assessed in a postpartum assessment?

A

Vital signs, fundus, bleeding, IV with added pitocin/oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When can a CBC be done on a postpartum patient?

A

1st postpartum day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a common WBC postpartum?

A

15,000-25,000/mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the Hgb decrease postpartum?

A

1.0-1.5 g/dL per 500ml of blood loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What will happen to fibrinogen, clotting factors, and platelets in a postpartum patient? What needs to be monitored because of this?

A

They increase. Respiratory function should be monitored to know if there is a pulmonary embolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How should a patient be positioned for a uterine assessment?

A

Laying flat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does bubblehehe stand for?

A

B- breasts
U- uterus
B- bladder
B- bowels
L- lochia
E- episiotomy/laceration
H- hemorrhoids
E- extremities
H- hemorrhage
E- emotional assessment/education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What should you assess on breasts?

A

Soft, filling, engorgement, colostrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are nipple shells used for? The smaller hole? The larger hole?

A

Everting the nipples
Sore nipples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Symptoms of mastitis

A

Fever, malaise, unilateral breast pain, and tenderness in the infected area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for mastitis

A

Antibiotic therapy, analgesia, rest and hydration

17
Q

If a uterus is firm, how much bleeding would be expected?

18
Q

What should be done if the uterus is boggy?

A

Express clots and note bleeding amounts, give pitocin or other uterotonic, empty bladder or insert a foley, do vital signs as needed

19
Q

How long should a fundus be massaged?

A

Until firm

20
Q

What is the first vital sign that changes during a postpartum hemorrhage?

A

Heart rate becomes tachycardic

21
Q

How many days after childbirth should the uterus no longer be palpable?

22
Q

How much smaller does a uterus become each day following childbirth?

A

1cm per day

23
Q

What should be assessed when assessing the bladder?

A

Assess for pain or difficulty voiding: burning, difficulty starting stream or odor, frequency
Is the bladder palpable?

24
Q

What is cystitis?

A

Bladder inflammation/infection

25
When should bowel sounds be checked?
Before fundal check
26
When should a woman have a bowel movement after childbirth?
2nd or 3rd day postpartum
27
What should be assessed with lochia?
Color, odor, amount and presence of clots or tissue
28
When should lochia be assessed?
With each fundal assessment
29
What kind of lochia is present on days 1-3? 4-10? 11-21?
Lochia rubra, lochia serosa, lochia alba
30
How much lochia is seen at scant, light, and moderate levels? What is it called if the pad is completely soaked?
<1 inch, 1-4 inches, 4-6 inches, saturated
31
What is the most common cause of postpartum hemorrhage?
Uterine atony
32
What should be done for a postpartum hemorrhage?
Start 2 large bore IVs, anticipate uterotonicmedications, anticipate hangingblood, monitor vital signs and breath sounds, foley to monitor output, prep for surgery if uterine atony is not resolved
33
What are the 4 Ts of postpartum hemorrhage etiology?
Tone, tissue, trauma, thrombin
34
What does REEDA stand for?
R=redness, E= edema/swellings, E=ecchymosis or bruising, D=drainage/discharge A= approximation
35
When is the REEDA scale used?
To assess episiotomies and lacerations
36
What should be assessed when assessing extremities?
Edema, pedal pulses, capillary refill, signs and symptoms of DVT
37
What % of women experience perinatal mood disorders?
20%
38
What needs to be done if Duramorph is administered?
Respiratory assessment q1 hr