postpartum care (exam1)

Question 1

post partum priorities

Answer 1

prevent hemorrhage

Question 2

normal sized clots at 24 hours

Answer 2

nickel sized

Question 3

rubra color up to 3 days post op

Answer 3

dark red

Question 4

baby blues

Answer 4

2-3 days after birth
gone within 1-2 weeks

Question 5

improper latch leads to

Answer 5

tenderness

Question 6

colostrum

Answer 6

precursor to milk
golden yellow - thick secretion
5-10 mL per feeding

Question 7

when is breast milk produced?

Answer 7

within 72 hours after birth

Question 8

linea nigra

Answer 8

hormone induced darkened pigmentation
fades after delivery
NORMAL

Question 9

BUBBLER assessment

Answer 9

breasts
uterus
bladder
bowel - want BM prior to discharge
lochia
extremities
response

Question 10

LATCH score

Answer 10

latch
audible swallow
type (nipple)
comfort
hold

Question 11

abdominal incision assessment

Answer 11

R edness
E dema
E ecchymosis
D ischarge
A pproximation

Question 12

urterine assessment

Answer 12

fundal height
fundal location (midline)
uterine tone (firm)
fundus decreases 1 finger width (1cm) each day

Question 13

what does a boggy uterus mean?

Answer 13

uterus is not contracting
can lead to PP hemorrhage

Question 14

perineal edema management

Answer 14

ice packs for 24 hrs - 20 mins on/20 mins off
sittz bath for 24 hrs (enhancing circulation)

Question 15

clot size that should be reported

Answer 15

larger than a quarter

Question 16

deep tendon reflexes rating scale

Answer 16

normal +2
pts w preeclampsia

Question 17

post term skin assessment

Answer 17

dry and cracking

Question 18

taking in stage post partum

Answer 18

post birth
first 24 hrs
self focused
need to talk about birth

Question 19

taking hold stage post partum

Answer 19

day 2-3
baby focused
open to learning

Question 20

letting go stage post partum

Answer 20

interdependent
family moves forwards

Question 21

lacerations

Answer 21

1st skin tear
2nd muscle tear
3rd continues to anal
4th involves rectal wall

Question 22

post partum teaching

Answer 22

kegels
exercise - prevent DVT
nutrition - vitamin C
fluids 8-10 glasses water
lactating - 500 cals per day
no tampons / tub baths

Question 23

post part immunizations

Answer 23

rubella- terategenic during pregnancy
rhogam - Rh- moms @ 28 wks / PP
TDaP - get with rhogam - 27-36wks / PP
influenza - can be given with rhogam

Question 24

who is at risk for after pains?

Answer 24

pts who breast feed
causes cramping/ contracting of uterus

Question 25

cramp with feeding

Answer 25

this is good!
means your uterus is contracting

Question 26

edinburg

Answer 26

post partum depression scale
prior to hospital discharge
possible depression: score of 10 or greater
always look at them: 10 or lower (suicidal thoughts)