postpartum Flashcards
frequency of checking pads for lochia?
every hr
stages of lochia?
- lochia rubra (first 3 days)
- lochia serosa till 10th day
- lochia alba till 14th day (can last for 6 weeks)
which stage of lochia is WBC present in?
lochia serosa & alba
when will internal Os of cervix close?
fully close after delivery
when will external Os of cervix close?
< 1cm after 1st week (think of only one more left to close)
when will vagina return to its prepregnancy state?
6 weeks
how big is external Os after delivery?
about 2-3cm
when will plasma vol return to its prepregnancy state
6 weeks (plasma has 6 letters)
when will constipation resolve?
2-3 days after (p O O p - 2 Os)
is it normal for uterus to be elevated or laterally displaced?
no, indicates urinary retention
will levels of progesterone, estrogen, human chorionic gonadotropin be low or high after delivery?
low
will levels of oxytocin be low or high after delivery?
high, helps stimulate milk letdown. it also helped with uterine contractions during labour.
when will breastfeeding mothers have menses/ ovulation again?
10 weeks - 6 mths (breastfeed has 10 letters)
when will non-breastfeeding mothers have menses/ ovulation again?
6 - 10 weeks
when will uterus return to its prepregnancy state?
2 weeks
<1cm/ day
when will elevated WBC level return to normal?
1 week
how to promote relaxation of perineal muscles?
blow bubble through a straw
signs of PPH?
- pad soaked by blood in 1h
- numerous clots (some clots are normal for the first few days)
is pulse/ BP low or high after delivery?
low due to blood loss
high BP on 2 occasions could indicate preeclampsia
factors of postpartum assessment?
BUBBLEHE
breast, uterus, bowel, bladder, lochia, episiotomy, homan sign, emotion
episiotomy assessment?
REEDA
redness, edema, ecchymosis, discharge, wound edge not Approximated
care for episiotomy?
- ice pack
- sitz bath (warm water bath for pt to sit in)
