postpartum care - RLE

Question 1

primary responsibilities of nurses in postpartum setting are to assess postpartum patients, provide care and teaching, and if necessary, report any significant findings

Answer 1

routine postpartum assessment and patient education

Question 2

BUBBLE LE

Answer 2

BREAST
UTERUS
BOWEL FUNCTION
BLADDER
LOCHIA
EPISIOTOMY/PERINEUM
LOWER EXTREMETIES
EMOTIONS

Question 3

including fullness, around postpartum days 3 and 4

Answer 3

breast engorgement

Question 4

hot, red painful, edematous - fever after 24 hrs

Answer 4

mastitis

Question 5

fundus 1hr post-delivery is firm at the level of the

Answer 5

umbilicus

Question 6

the fundus continues to ___ into the pelvis

Answer 6

descend

Question 7

the rate of descent is approximately

Answer 7

1cm

Question 8

Fundus should not be palpable by

Answer 8

14 days pospartum

Question 9

patient are assess for ____ ____ and treated for pain as needed

Answer 9

uterine cramping

Question 10

patient or a family member can be taught to assess the ____ of the fundus and to provide ______ in the event of a ______ or ______ ____

Answer 10

firmness
massage
boggy
excessive bleeding

Question 11

patient are encourage to ____

Answer 11

void

Question 12

assessment of the bowel is important in all postpartum patients especially for post ____

Answer 12

c section

Question 13

bowel sounds return at

Answer 13

3 days

Question 14

Post C-section is prescribed

Answer 14

stool softeners or laxatives (for constipation, ease perineal discomfort)

Question 15

assessment of the urniation and bladder function includes

Answer 15

return of urination (6-8 hrs)

Question 16

should be able to void atleast

Answer 16

150ml

Question 17

less than 150ml per void would indicate

Answer 17

urinary retention due to decreased bladder tone post delivery

Question 18

asses for (bladder)

Answer 18

UTI
frequent urination
bladder spasm
cloudy urine
persisten urge to urinate
pain with urniation

Question 19

the bladder should be _______ above the symphysis pubis

Answer 19

nonpalpable

Question 20

patients are encouraged to drink adequate fluid each day to report signs and symptoms of UTI including….

Answer 20

frequency, urgency, painul urination and hematuria

Question 21

assessed during postpartum period for saturating one pad in less than an hour

Answer 21

lochia

Question 22

a constant truckle of lochia / presence of large clots indicates

Answer 22

abnormal

Question 23

significant amount of lochia despite a firm fundu may indicate

Answer 23

laceration in the birth canal

Question 24

foul smelling lochia

Answer 24

indicates infection

Question 25

lochia should progress from

Answer 25

rubra to serosa to alba

Question 26

lochia rubra is present on _______

Answer 26

1,2,3 days

Question 27

lochia serosa is present on

Answer 27

4-10 days

Question 28

lochia alba on days

Answer 28

11-21

Question 29

patients who had _______ have less lochia

Answer 29

c-section

Question 30

blood fragments of decidua and mucus

Answer 30

rubra

Question 31

blood mass invading leukocytes

Answer 31

serosa

Question 32

largely mucus leukocytes, count is high

Answer 32

alba

Question 33

episiotomy/perineum (REEDA)

Answer 33

redness
edema
ecchymosis
discharge
approximation

Question 34

lower extremities are examined for the presence of hot, red, painful, and or edematous areas

Answer 34

deep vein thrombosis

Question 35

a positive haman’s test is thought to be

Answer 35

associated with the presence of thrombosis

Question 36

the ___ are assessed for adequate circulation by checking the _____ and noting temperature and color

Answer 36

legs
pedal pulses