Postpartum Flashcards
“BUBBLE” assessent
breast, uterus, bottom/belly, bowels, lochia, edema
uterine involution
contraction after delivery
types of lochia
rubra (red 1-3 days), serousa (pink/brown 4-10 days), alba (yellow/white 11 days-6weeks)
lochia amounts
scant= 10cm heavy= every 2 hours excessive= every 15 min
preventing nipple trauma
- correct latch, all of areola in mouth, not just nipple
- change start side
- change positions
- let nipples air dry
- don’t wipe of secretions (tubules of Montgomery)
- frequent nursing
3 phases of role adaptation
- taking in
- taking hold
- letting go
Promoting infant bonding
skin to skin, let mom undress, en face positioning, recognize uniqueness, smile, talk, prideful communication
Signs of Depression
apathy, disgust of bodily functions, thinks baby is disruptive/uncooperative, expresses disappointment, handles roughly, lack of preparation
Signs of Hemorrhage
Increased pulse, decreased BP, lightheadedness, syncope, SOB. Hematoma formation or shiny bulging skin in the perineal area
• Decreased level of consciousness
• Lowered hemoglobin and hematocrit results
Signs of mastitis
Fever, purulent discharge from vagina or incision, erythema at incision site, increased WBCs, burning during urination, redness/pain in breast about fourth postpartum week
Causes of mastitis
•milk stasis •increased bacteria •breast/nipple trauma •obstruction of ducts tight clothing •failure to empty breasts during feeding weaning, missed feedings, prolonged sleeping lowered maternal defenses fatigue, stress
Causes of thromboembolic disease
Cesarean section Inactivity Obesity •Cigarette smoking •Previous thromboembolic disease •Trauma to the extremity (may be related to positioning during labor and delivery) •Varicose veins •Diabetes •Advanced maternal age •Inherited thromboembolic disorders • Multiparity • Anemia
