Postpartum Nursing Care Flashcards
involution
return to prepregnant state
how long should involution take?
6 weeks PP
how much should fundal height decrease per day
1 cm
causes of subinvolution
infection, retained placenta
who is most affected by afterpains?
grand multips, multifetal gestation, polyhydramnios, macrosomia
when do afterpains often occur
when breastfeeding, when infant cries
when should afterpains resolve
3-7 days
common PP bladder concerns
diuresis, decreased urge, distention, incontinence
lochia rubra
bright red, 1-3 days
when is more lochia expected?
breastfeeding, ambulation
lochia serosa
pink/brown, days 4-10
lochia alba
yellow/white, day 10+
concerning lochia findings
saturating more than 1 pad/hour, golf ball sized clots
PP activity restrictions
don’t lift anything heavier than baby, don’t drive for 2 weeks
when should the umbilical stump fall off
2 weeks
causes of PPH
uterine atony, unrepaired lacerations, retained placenta, coag issues
risk factors for PPH
C-section/assisted delivery, LGA, twins, mag sulf usage
interventions for PPH
empty bladder, fundal massage, uterotonic meds
uterotonics
pitocin, misoprostol, methylergonovine, carboprost, TXA
what medication is contraindicated for pts with asthma?
carboprost
what medication should be used carefully in pts with HTN
methylergonovine
s/s of endometritis
pelvic pain, uterine tenderness, foul smelling profuse lochia
s/s of peritonitis
rigid abdomen, abd pain, vomiting
what can cause peritonitis?
endometritis
s/s of mastitis
quick onset fever, painful, swollen, reddened breasts
mastitis tx
abx, feed or pump on affected side, heat before, cold after
s/s of PP preeclampsia
headache, high BP, visual disturbances, edema, epigastric pain
PP preeclampsia tx
mag sulf, labetalol/hydralazine
