postpartum

Question 1

postpartum follow up at what time?

Answer 1

6 weeks or 2 weeks for high risk

Question 2

6 Bs of PP care?

Answer 2

belly - cramping, pain
bottom - episiotomy, hemerrhoids, perineum
breasts - feeding method, breast condition,
bladder - UTI symptoms
bowel - consti[ation
blues -

Question 3

2 week follow up assessment includes?

Answer 3

vital signs, thyroid, breasts, abdomen (inspection, palpation), rectovaginal exam, external cervical os

Question 4

6 week follow up includes?

Answer 4

vital signs, thyroid, breasts, abdomen (inspection, palpation),
complete pelvic including bimanual
preventative screen - [a[, GC, chlamydia, check rubella and varicella, H&H as indicated.
screen for Post Partum

Question 5

Postpartum eclampsia S&S?

Answer 5

occurs 48 hours+ after delivery

seizures, proteinuria, hypertension,

Question 6

complications of postpartum?

Answer 6

perineal or vaginal hematoma
VTE
sub involution
endometritis
stress incontinence
PP blues

Question 7

tx perineal vaginal hematoma?

Answer 7

manage with ice picks, may need surgical evacuation

Question 8

symptoms sub involution?

Answer 8

painless, excessive bleeding, chills, fever, pain uterus larger than excpt.

CBC, ESR, lochia culture, quant bHCG, pelvic US

Question 9

tx sub involution?

Answer 9

methergine, antibioitics, do PE

Question 10

s&s endometritis?

Answer 10

fever, tender, boggy uterus, foul lochia, leukocytosis.

Question 11

tx endometrititis?

Answer 11

hospitilization IV fluids and antibiotics (rule out other infections, CMT, retained gauze