POSTPARTUM 2 Flashcards
produced by hypothalamus, stored in the posterior pituitary
that causes uterus to contract to control post partum hemorrhage
Oxytocin(pitocin)
oxytocin can increase __________ that is why you should always measure ___________before administering
BP
when administering oxytoxin, with BP>140/90 mmHG, what action of the nurse should do?
Withhold agent and Notify woman’s physician
Narcotic Analgesic, 1-2 tablets PO every 4 hours PRN For relief of mild to moderate pain
Acetaminophen (Tylenol)
acetaminophen
Determine whether woman is to__________ acetaminophen
Monitor ______________, _________________ and ____________
Administer with food or after meals if GI upset occurs
Take 1 full glass of water with tablet
sensitive
bowel sound, RR, and UO
prevent constipation
by lowering surface tension of feces; allow lipids & water to penetrate & soften stool
Docusate Sodium (Colace, Surfak)
Possible adverse effects of Docusate Sodium
occasional abdominal pain and Diarrhea
if (+) atony, investigate causes
Determine relationship of _______________ to umbilicus
Assess ____________ of fundus
Note if fundus is in _____________________ or displaced to either side of abdomen
Record results of assessment
fundus
firmness
midline
rationale why the fundus is displaced on either side of abdomen
the bladder is full
1st hour after child birth should monitor VS every__________
15 mins
next after after first hour after child birth, monitor patient every ____________________
30 mins
2 hours after child birth, monitor patient every _________
1 hour
monitor uterine status every ___________ or more frequently if problems arise
8 hrs
5 signs to assess episiotomy
R redness
E edema
E ecchymosis
D discharge
A approximation
mild edema is ______________
severe edema __________________ with healing
common
interferes
few small superficial bruises (common)
larger bruises (interfere with normal healing)
ecchymosis
Redness associated with healing without excessive tenderness
True
pain with redness
infection
discharge should be present in episiotomy healing
false
suture line should not be separated
approximation
decreases pain and promotes circulation to tissues that causes healing and reduce incidence of infection
sitz bath
applied in first 24 hours to reduce edema, reduce possibility of hematoma formation, provide numbing of the tissues
cold therapy
apply ice pack for approximately ________________, then remove for about _____________
20 mins
10 mins
have a clean, unused towel to pat dry perineum _____________sitz bath
after
use sitz bath _____________x/day
3-4
sitz bath maximum of ___________ each time
10 mins
reduce perineal edema and reduce response of nerve endings which cause perineal discomfort
Cool sitz bath
sexual activity can resume if:
healed episiotomy and lochial flow has stopped
when is the return to prepregnant level of sexual interest and activity
3 months post-partum
When breastfeeding women experience decreased ___________ for several months
libido
example of postpartal exercise
Kegel’s Exercise
