PowerPoint 1 Flashcards
Postpartum aka puerperium begins….
Last for….
Immediately after birth
6 weeks
Postpartum aka puerperium begins….
Last for….
Immediately after birth
6 weeks
When does postpartum technically begin?
Delivery of the placenta
Patient is no longer considered pregnant
How long do we closely monitor the patient (Recovery Period) once the Placenta is delivered….
Vag delivery 1 - 2 hrs
Cesaren Section 2 - 3 hrs
Once recovered from delivery the patient is moved to…
Mother/baby Postpartum unit
What is a couplet?
Mother baby pairing.
Nurse has 2 patients
Postpartum Unit length of stay…
Vag delivery 1 - 2 days
C/S 2-3 days
How should baby be in the bassinet?
Tucked in swaddle & No obstruction in crib
C/S born new born infants: Keep this handy to prevent aspirations
Bulb syringe
Safty:
Ensure that Parents don’t walk with baby in Hallways & Everyone wears proper ID & follows safety measures
You will make 70,000$ first year
Teach parents to recognize Beaumont Workers how?
Only give their babies to these workers
Photo name tag with a Pink Strip
Most important teaching
Parents are taught how to prevent kidnapping
Describe profile of a baby stealer
Female
Lives close to facility
Does reconoce
Married
Multiple lost pregnancies
Will take ANY infant available
Should a mom take the new born’s crib into the bathroom when showering?
Yes, to prevent kidnapping.
58% taken from mothers room
Which is best bottle or breast feed?
Both
According to PowerPoint
LATCH Score….
Assesses babies ability to get milk from breast.
0 (Worst) - 2 (Best)
L =latch
A = Audible Swallowing
T = Type of nipple
C = Comfort (of breast)
H = Hold (how baby holds the breast)
What is a good LATCH Score?
> 7
Latching problems on babies end include…
Supply of milk issues on moms end….
Being premature, poor positioning, underdeveloped suck reflex, anatomical difficulty
Diabetes/ thyroid issues
Colostrum is produced when….
Describe composition….
Mid-pregnancy 12 - 18 weeks
Yellow, clear, white: immune factors, protein, sugar and fats
Colostrum has a laxative effect and clears meconium from the infant.
What will happen if meconium isn’t cleared out?
Describe other SE of giving a baby a “laxative “
Jaundice
Weight loss is expected
Colostrum has more or less calories than Formula or Mature milk?
Protein?
Less calories
More protein
Care of mother postpartum (5)
Promote self-care
Peri Care (Use bottle NO WIPING) - Castile soap maybe used
Pain meds
Ambulation
Be her advocate
Measures to suppress lactation if not breast feeding (3)
Tight fitting bra 24hrs a day
Ice for discomfort
No warm water on breast during shower
What is BUBBLE-DEP
- Breasts:
Assess for engorgement, nipple condition (cracks, soreness), and breastfeeding effectiveness.
U - Uterus:
Check the firmness and position of the uterus. It should be firm and descending toward the pelvis. A soft (boggy) uterus can indicate uterine atony and increase the risk of hemorrhage.
B - Bladder:
Assess for urinary function, bladder distention, and any issues with urination (e.g., retention or incontinence).
B - Bowels:
Monitor bowel sounds, bowel movements, and any signs of constipation or discomfort with defecation.
L - Lochia:
Assess the amount, color, and odor of postpartum vaginal discharge (lochia). This helps monitor healing and detect signs of infection.
E - Episiotomy/Perineum:
Check the condition of the episiotomy site, perineum, and any lacerations for healing, signs of infection, or hematoma.
D - Deep Vein Thrombosis (DVT):
Assess the legs for signs of DVT, such as pain, redness, warmth, or swelling in the calves, which can indicate clot formation.
E - Emotional Status:
Evaluate the mother’s emotional and psychological state for signs of postpartum depression, anxiety, or baby blues.
P - Pain:
Assess the type and severity of any pain, such as perineal pain, incisional pain (from cesarean), or breast discomfort, and provide appropriate pain management.
The BUBBLE-DEP assessment is a critical component of postpartum care, ensuring the health and recovery of the mother while also identifying any potential complications early.
Discharge teaching for new mothers (6)
BUBBLE-DEP
Birth control plans?
Ovulation is usually before menses - Ovulation can occur 3 - 6 weeks postpartum. Before the first period
Breast Self Awareness
Importance of 6 week check-up
Can breast feeding stop ovulation?
Yes (lactational amenorrhea)
But it is not a sure method of birthcontrol
Swelling: One leg, usually the calf or thigh, may become noticeably swollen compared to the other.
Pain or Tenderness: The patient may experience pain, cramping, or tenderness in the leg, especially in the calf area. This pain often worsens when walking or standing.
Redness or Discoloration: The skin over the affected area may appear red or bluish in color.
Warmth: The affected leg may feel warmer than the other leg due to increased blood flow and inflammation in the area of the clot.
Leg Heaviness or Fatigue: The affected leg might feel heavy, tired, or uncomfortable.
Visible Veins: Sometimes veins on the surface of the leg may become more prominent or noticeable.
Symptoms of…
DVT
Symptoms of DVT (6)
Swelling: One leg, usually the calf or thigh, may become noticeably swollen compared to the other.
Pain or Tenderness: The patient may experience pain, cramping, or tenderness in the leg, especially in the calf area. This pain often worsens when walking or standing.
Redness or Discoloration: The skin over the affected area may appear red or bluish in color.
Warmth: The affected leg may feel warmer than the other leg due to increased blood flow and inflammation in the area of the clot.
Leg Heaviness or Fatigue: The affected leg might feel heavy, tired, or uncomfortable.
Visible Veins: Sometimes veins on the surface of the leg may become more prominent or noticeable.
Since postpartum patients are at a higher risk of DVT due to pregnancy-related changes in the body (such as increased clotting factors and reduced mobility), any suspicion of DVT should be taken seriously. Immediate medical attention and diagnostic tests, such as an ultrasound, are necessary to confirm the diagnosis and begin appropriate treatment.