postpartum care - RLE Flashcards
primary responsibilities of nurses in postpartum setting are to assess postpartum patients, provide care and teaching, and if necessary, report any significant findings
routine postpartum assessment and patient education
BUBBLE LE
BREAST
UTERUS
BOWEL FUNCTION
BLADDER
LOCHIA
EPISIOTOMY/PERINEUM
LOWER EXTREMETIES
EMOTIONS
including fullness, around postpartum days 3 and 4
breast engorgement
hot, red painful, edematous - fever after 24 hrs
mastitis
fundus 1hr post-delivery is firm at the level of the
umbilicus
the fundus continues to ___ into the pelvis
descend
the rate of descent is approximately
1cm
Fundus should not be palpable by
14 days pospartum
patient are assess for ____ ____ and treated for pain as needed
uterine cramping
patient or a family member can be taught to assess the ____ of the fundus and to provide ______ in the event of a ______ or ______ ____
firmness
massage
boggy
excessive bleeding
patient are encourage to ____
void
assessment of the bowel is important in all postpartum patients especially for post ____
c section
bowel sounds return at
3 days
Post C-section is prescribed
stool softeners or laxatives (for constipation, ease perineal discomfort)
assessment of the urniation and bladder function includes
return of urination (6-8 hrs)
should be able to void atleast
150ml
less than 150ml per void would indicate
urinary retention due to decreased bladder tone post delivery
asses for (bladder)
UTI
frequent urination
bladder spasm
cloudy urine
persisten urge to urinate
pain with urniation
the bladder should be _______ above the symphysis pubis
nonpalpable
patients are encouraged to drink adequate fluid each day to report signs and symptoms of UTI including….
frequency, urgency, painul urination and hematuria
assessed during postpartum period for saturating one pad in less than an hour
lochia
a constant truckle of lochia / presence of large clots indicates
abnormal
significant amount of lochia despite a firm fundu may indicate
laceration in the birth canal
foul smelling lochia
indicates infection
lochia should progress from
rubra to serosa to alba
lochia rubra is present on _______
1,2,3 days
lochia serosa is present on
4-10 days
lochia alba on days
11-21
patients who had _______ have less lochia
c-section
blood fragments of decidua and mucus
rubra
blood mass invading leukocytes
serosa
largely mucus leukocytes, count is high
alba
episiotomy/perineum (REEDA)
redness
edema
ecchymosis
discharge
approximation
lower extremities are examined for the presence of hot, red, painful, and or edematous areas
deep vein thrombosis
a positive haman’s test is thought to be
associated with the presence of thrombosis
the ___ are assessed for adequate circulation by checking the _____ and noting temperature and color
legs
pedal pulses
