Postpartum Physiological Adaptations (Ch. 20 or ATI 17) Flashcards
Immediately after birth the fundus should be _____
Palpable, firm, at the midline and 2 cm below the umbilicus.
1 hour following birth the fundus should be ____
Level with the umbilicus
12 hours after birth the fundus should be _____
1 cm above the umbilicus
Every 24 hours after birth the fundus should descend between ____
1-2 cm.
How should you position the client for fundal assessment?
Supine. Knees slightly flexed.
You should always ___ the uterus with one hand and ____ the fundus with the other
Cup. Palpate.
What should you do if the fundus is boggy?
Massage in a circular motion
Lateral displacement of the fundus is most commonly caused by _____
Full bladder
What are the 3 stages of Lochia?
Lochia rubra, Lochia serosa, Lochia alba.
Lochia rubra is what color/consistency and lasts how long
Dark red color, bloody consistency. Lasts 1-3 days
After laying in bed for an extended period of time is it normal for a surge of discharge to come out?
Yes
Lochia serosa is what color/consistency and lasts how long
Pinkish brown color, serosanguineous consistency. Day 4 to 10.
Lochia alba is what color/consistency and lasts how long
Yellowish, white creamy color. Day 10 to 6 weeks.
Different descriptions of lochia in terms of amount are
Scant, light, moderate, heavy, excessive
Scant lochia
Less than 2.5 cm
Light lochia
2.5 to 10 cm
Moderate lochia
More than 10 cm
Heavy lochia
One pad saturated in 2 hours
Excessive lochia
One pad saturated in 15 minutes or less
Abnormal lochia manifestations include
Excessive spurting, numerous large clots, foul odor, heavy lochia beyond day 3.
How long should you wait after birth for a mother to void before you catheterize?
6 to 8 hours
Frequent voiding with less than 150 mL of urine is indicative of
Urinary retention with overflow.
Cardiovascular changes postpartum
Decrease in blood volume. Weight loss.
How much blood volume decrease for cesarean and vaginal on average
300 to 500 mL vaginal, 500 to 1000 mL cesarean.
