POSTPARTUM 2

Question 1

1.) Reponses to drug therapy monitoring uterine status relief of perineal discomfort

2.) Relief of fatigue resumption of activity sexual activity Postpartal exercises.

Answer 1

1.) Comfort Measures

2.) Safety measures

Question 2

produced by hypothalamus
stored in the posterior pituitary
uterus to contract
control postpartum hemorrhage
~ Can increase BP therefor always check before administering

Answer 2

Oxytocin (Pitocin)

Question 3

NarcoticAnalgesic
1-2 tablets PO every 4 hours PRN
For relief of mild to moderate pain

Answer 3

Acetaminophen (Tylenol)

Question 4

Acetaminophen Responsibilities:

Answer 4

~ Determen wether if woman is sensitive

~ Monitor Bowel Sounds

~ Administer with food or after meaks

~ Take one full glass of water

Question 5

~ Prevent Constiation

~ Lower surface tension of feces

~ Allow lipids and water to penetrate and soften stool

Possible Effects:
Occasional Abdominal Pain or Diarrhea

Answer 5

Docusate Sodium (Colace. Surfak)

Question 6

If (+) atony, investigate causes like…

Answer 6

~ Determine relationship of fundus to umbilicus

~ Assess firmness of fundus

~ Note if fundus is in midline or displaced to either side of abdomen

~ Record results of assessment

Question 7

Monitor uterine status every 1.)______ Hours or more frequently if problems arise

Answer 7

1.) 8

Question 8

Five Signs in assessing Episiotomy healing:
~ Without excessive tenderness
~ Normal inflammation associated with healing
~ Pain with redness infection

Answer 8

redness

Question 9

Five Signs in assessing Episiotomy healing:
~ Mild Edema is common
~ Severe Edema interferes with healing

Answer 9

Edema

Question 10

Five Signs in assessing Episiotomy healing:
~ Few small superficial bruises (common)
~ Larger Bruises (Interferes with normal healing)

Answer 10

Ecchymosis

Question 11

Five Signs in assessing Episiotomy healing:
~ To reduce edema
~ First 24 hours
~ Reduce possibility of hematoma formation
~ Provide numbing of the tissues

Answer 11

Ice Pack

~ Apply for 20 minis
~ Remove for 10 mins

Question 12

Five Signs in assessing Episiotomy healing:
~Decrease Pain
~ Promotes circulation to tissues, healing and reducing incidence of infection

Answer 12

Sitz Bath

~ Add water at 102-105 F / 38-40 C

Question 13

Use sitz bath for 1.)_______ a day

Maximum of 2.)________ minutes a day each time

Answer 13

1.) 3-4 times

2.) 20 minutes

Question 14

~ Reduce perineal edema
~ Reduce response of nerve endings which cause perineal discomfort

Answer 14

Cool Sitz bath

Question 15

Sexual Activity can resume if…

Answer 15

~Healed Episiotomy

~ Lochial Flow has stopped

~ Return to prepregnant levels of sexual interest

~ When breastfeeding women experience decreased libido for several months

Question 16

Postpartal Exercises
~ Should begin while in the 1.)_________ and to continue the at home

~ Help maintain 2.)_________ and 3.)_________ cholesterol levels

Answer 16

1.) Birthing Unit

2.) Insulin

3.) HDL

Question 17

Postpartal Exercises:

Improves 1.)_________
Project a feeling of 2.)________
Increase 3.) __________
Promote less 4.)_________

Answer 17

1.) Aerobic Fitness
2.) Well being
3.) Self Esteem
4.) Fatigue

Question 18

Safety Measures include…

Answer 18

~ Limitations in movement
~ Protection from fall