week 6- ch 16

Question 1

when are typical assessments performed postpartem

Answer 1

every 15 minutes in the first hour
30 minutes the second hours
4-6 hours in the first 24 hours
and after 24 hours twice a shift

Question 2

what are some postpartum danger signs

Answer 2

fever greater than 100.4
foul smelling loch
large blood clots or saturating a pad in 30min-1hour
severe headaches
visual changes
calf pain
swelling/redness/discharge from episiotomy/laceration/epidural site
dysuria’SOB
depression

Question 3

what are normal vital signs findings after birth

Answer 3

slight temp elevation within first 24 hours, normal afterwards
pulse 60-100 but some Brady
rest are 16-20
BP normal range
pain goal is 0-2

Question 4

what does BUBBLEHE stand for

Answer 4

breasts, uterus, bladder, bowels, lochia/lower extremities, episiotomy, hemorrhoids, education and emotional status

Question 5

how should the uterus move down after birth

Answer 5

1cm every hour

Question 6

what are some teaching topics for postpartum period

Answer 6

pain, immunizations, nutrition, activity/exercise, lactation, discharge teaching, sexuality and contraception, follow up

Question 7

what kind of contraception can mothers be on while breastfeeding

Answer 7

only progesterone because estrogen can stop lactation

Question 8

when is baby’s and mom’s first follow up

Answer 8

2-3 days after and moms is around 6 weeks unless there were complications then it will be 2 weeks

Question 9

how often should a postpartum mother void

Answer 9

2-3 hours

Question 10

how often are babies breast fed and bottle fed

Answer 10

2-3 hours for breast and 3-4 for bottle

Question 11

how is postpartum hemorrhage defined

Answer 11

500mL for vaginal birth and 1000mL for after cesarean, and 10% change in hct

Question 12

what are early or late PPH parameters

Answer 12

early is within 24 hours and late is more than 24 hours but less than 6 weeks

Question 13

what are the 5 Ts of PPH

Answer 13

tone, tissue, trauma, thrombin, traction (causing uterine inversion)

Question 14

what are the interventions for PPH

Answer 14

firm massage of the uterus, elimination of bladder distention, continuous IV infusion of oxytocin

Question 15

what is subinvolution, cause and complications

Answer 15

incomplete involution of the uterus after birth, retained tissues, distended bladder, uterine myopia, and infection. complications include hemorrhage, pelvic peritonitis, salpingitis, and access formation

Question 16

what are puerperal infections defined as

Answer 16

any clinical infection of the genital tract that occurs within 28 days after miscarriage, induced abortion, or birth. defined as a fever of 100.4 or more on 2 successive days of the first 10 postpartum days