Postpartum Assessment Flashcards
0
Q
What am I assessing and in what stage of labor?
A
4th stage duh! It's postpartum foo. Anyway, assess: •vitals including pain •skin color •color and amount of lochia •perineum REEDA •IV(what, rate, evaluate site of insertion) •urinary Output:time and amount •incision? Dressing? •level of feeling and movement
1
Q
Teaching a woman that is breast feeding to prevent engorgement:
A
Feed every 2-3 hours
2
Q
If I’m doing an SBAR handoff to the maternal nurse what am I going to mention?
A
Alert oriented Has she moved Time and amount of last urinary output VS Pain meds anesthesia? Factors that could cause complications? •GTPAL •lochia- color and amount •time and type of delivery • lacerations or episiotomy •significant medical Hx •meds during labor or routinely taken •allergies •method of infant feeding •condition of baby (last APGAR score) •lab data: prenatal Hct Hgb group B rubella syphillus blood type Rh factor hep b antigen?
3
Q
Safety alert! What are postpartum risk factors for hemorrhage?
A
- Grand multiparity (>5 previous pregnancies)
- over distention
- rapid or prolonged labor
- placenta previa/placenta previa
- drugs
- operative procedures
- uterine fibroids
- HX of hemorrhage
- preeclampsia
- coag defect
4
Q
Safety alert (again) what are risk factors for infection?
A
Operative procedures Multiple cervical examinations Prolonged labor Prolonged ROM Manual extraction of placenta Diabetes Foley cath Bacterial colonization of lower genital tract.
