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IM 6 Test 1 > Postpartum > Flashcards

Postpartum Flashcards

1
Q

What is
Uterine involution
Uterine stony
Uterine inversion
Uterine subinvolution

A

The return of the uterus to its pre-pregnant size
The failure of uterus to contract even after fundal rub
Uterus turn partially or entirely inside out
Uterus isn’t decreasing in size

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2
Q

PP focus assessment
BUBBLE HEB

A

Breasts- engorgement, nipple, milk production
Uterus- fundal height, consistency & location
Bladder function- voiding or catheter
Lochia- color, odor, consistency, and amount
Episiotomy/ laceration - edema, ecchymosis
Hemorrhoids
Emotional/education needs
Bonding

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3
Q

What body part do you compare when measuring the fundal height (postpartum)

A

The umbilicus

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4
Q

What do these fundal tone indicate
Boggy
Tenderness

A

Boggy- atony- needs to be massaged
Tenderness- infections

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5
Q

What is Lochia

A

Vaginal discharge

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6
Q

What are the different stages of Lochia (3)

A

Rubra
Serosa
Alba

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7
Q

What are the characteristics of Rubra
Time frame
Expected findings

A

1-3 days
Moderate to light bleeding
Fleshy odor

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8
Q

What are some characteristics of serosa
Time frame
Expected findings

A

4-10 days
Light- scant bleeding
Fleshy odor

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9
Q

What are some characteristics of alba
Time frame
Expected findings

A

Yellow-white color
Scant-none bleeding
Fleshy odor

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10
Q

What are some abnormal findings of Lochia (5)

A

Heavy bleeding
Foul odor
Placenta fragments
Large clots
Bright red bleeding

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11
Q

How much blood loss is it considered for a hemorrhage
Vaginal delivery
C section

A

More than 500
More than 1000

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12
Q

What are some inteventions to prevent DVT

A

Early ambulations
Walking to the bathroom
SCD or compression socks

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13
Q

What is the timeframe for this PP Hemorrhages
Early (Primary)
Late (secondary)

A

1-24 hours early delivery
24hrs- 6 wks

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14
Q

What are some s/s of hypovolemia (6)

A

Tachycardia
Hypotension
Pale,
Clammy
Anxious
Confused

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15
Q

What are some s/s of hemorrhagic shock (7)

A

Blue lips/fingernails,
Decrease urine output
Excessive sweating
Chest pain
Shallow breathing
Hypotension
Confusion

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16
Q

What are some s/s of PP hemorrhage caused by uterine atony

A

Boggy fundus
Steady or sudden saturated pad -15 mins

17
Q

What are s/s of PP hemorrhage caused by the laceration (3)

A

Continuous trickledown
Bleeding in spurts
Bleeding in of a contracted fundus

18
Q

What some s/s of PP hemorrhage caused by hematoma (5)

A

Swollen, bruised perineum
intense pain
Pressure on vagina, urethra, or bladder
Possible urinary retention, or displacement
Pallor, tachycardia, and hypotension

19
Q

What are some nursing interventions for PP hemorrhage

A

FUNDAL massage
Get IV assess
Vital signs
O2
Ice, pain meds
Oxytocin
Notify physician

20
Q

What does oxytocin do

A

Stimulates uterine muscle to contract

21
Q

What does Methylergonovine maleate used for

A

To stimulate contractions

22
Q

What are some contradictions for Methylergonovine maleate

A

Hypertension

23
Q

What does carboprost tromethamine do

A

Stimulates contractions

24
Q

What is a contraindication for carboprost tromethamine

A

Asthma

25
Q

What are some risk factors for uterine inversion (6)

A

Excessive fundul massages
Retention of placenta
Short cords
Uterine atony
Excessive traction on cord
Prolonged labor

26
Q

What some nursing interventions for uterine inversion (3)

A

Stop oxytocin immediately
Give terbutaline, antibiotics
Monitor for hypovolemic shock

27
Q

What are some nursing interventions for PP infections (4)

A

VS
Labs
Analgesics, antibiotics
Warm compresses

28
Q

What are some s/s of endometriosis (5)

A

Fever, tachycardia, excessive uterine tenderness
Lochia regressing stages
Foul smelling Lochia
Sore,cracked, bleeding nipples

29
Q

What is a Homan sign?

A

Pain with moving calf

IM 6 Test 1 (4 decks)

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