Postpartum assessment-1st to do Flashcards
What is the primary focus of a postpartum assessment immediately following childbirth?
The primary focus is on the ‘4 T’s’ to prevent postpartum hemorrhage.
What does uterine tone assess in postpartum care?
It assesses the firmness of the uterus by palpating the fundus.
What is the goal for uterine tone shortly after delivery?
The uterus should be firm and midline, around the level of the umbilicus.
What indicates uterine atony during a postpartum assessment?
A soft or ‘boggy’ uterus indicates uterine atony.
What immediate action is taken if the uterus is found to be soft?
Immediate fundal massage is performed to stimulate contraction.
What vital signs should be monitored during the early postpartum period?
Blood pressure, pulse, temperature, and respiration rate.
How frequently should vital signs be assessed in the first hour postpartum?
Every 15 minutes.
What is lochia?
Lochia is the post-birth vaginal discharge.
What are normal findings for lochia immediately postpartum?
Lochia is expected to be heavy but should not contain large clots or have a foul odor.
What aspects should be inspected in the perineum during the postpartum assessment?
Swelling, bruising, and condition of any lacerations or episiotomy repairs.
What comfort measures can be provided for perineal pain relief?
Ice packs or analgesics.
Why is bladder function important in postpartum care?
A full bladder can displace the uterus and impede contraction, increasing bleeding risk.
What should be monitored regarding bladder function postpartum?
Urinary retention or discomfort.
What type of pain should be assessed in the postpartum period?
Pain from uterine contractions (‘afterpains’), perineal trauma, or other sources.
What kind of education should be provided to postpartum patients?
Guidance on postpartum care, breastfeeding, signs of complications, and emotional support.
