Postpartum Flashcards
MATERNAL RESPONSE TO LABOR
PAIN
FATIGUE
FEAR
Fear leads to the release of ____________ ➔ and interferes with the release of _____________ ➔ineffective uterine contractions
adrenaline; oxytocin
CO increases ________ from prelabor levels
40-50%
____ total oxygen needed during 2nd stage of labor
100%
Void every___________ - overfilling can decrease postpartal bladder tone
2 hours
__________ is secreted from ovaries causing the cartilage between joints to be more flexible➔ allows fetal passage (pelvis open as much as 2cm)
Relaxin
is an individual with specialized training who provides physical, emotional, and psychological support to laboring parents.
Duola
Falling BP may indicate
hemorrhage, hypovolemic shock
DANGER SIGNS OF LABOR
High or low BP
Abnormal pulse
Inadequate or Prolonged Contractions
Abnormal Lower Abdominal Contour
Increasing Apprehension
Inadequate or Prolonged Contractions
contraction becomes less frequent, less intense and shorter duration
Uterine exhaustion (inertia)
Contractions longer than __ seconds may compromise fetal well-being for it interferes with adequate uterine filling
70
No amplitude range is detectable.
ABSENT
Amplitude range is detectable but is 5 beats per minute or fewer
MINIMAL
Amplitude range is 6- 25 beats per minute
MODERATE
Amplitude range is more than 25 beats per minute
MARKED
FHR – is lower than 110/min for 10 minutes
Fetal bradycardia
FHR- is faster than 160 beats/min for 10 minutes
Fetal tachycardia
Use of music or aroma
Relaxation technique
Use of a photograph
Focusing and imagery
Slow-paced breathing
Breathing technique
Use of chamomile, raspberry leaf
Herbal preparations
It reduces anxiety, promotes relaxation
Aromatherapy and Essential Oils
For backpain
heating pad
Exhausted
cold washcloth
dry mouth
Ice chips
Biofeedback
Bathing or Hydrotherapy
Transcutaneous Electrical Nerve Stimulation (TENS)
Therapeutic Touch and Massage
Intracutaneous Nerve Stimulation
Yoga and Meditation
Acupuncture and acupressure
Reflexology
Many nurses find it useful to use the acronym BUBBLE-LE to remember the necessary components of the post partum assessment and teaching topics. These include:
B Breasts
U Uterus
B Bowel Function
B Bladder
L Lochia
E Episiotomy/perineum
L Lower Extremities
E Emotions
The acronym REEDA is often used to assess an episiotomy or laceration of the perineum. REEDA stands for:
R Redness
E Edema
E Ecchymosis
D Discharge
A Approximation
