chapter 12 postpartum assessment and nursing care

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marshelej_6
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chapter 12 postpartum assessment and nursing care
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2015-01-08 21:34:35
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maternity ob paopartum nursing care
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  1. involution of uterus describe it
    • -begins after expulsion of placenta
    • -placental site contracts to a size less than half its size STAT after birth
    • -contractions cause uterine muscles to ac like "living ligatures" and compress blood vessels
    • -caused by sudden withdrawal of estrogen and progesterone
  2. term for definition: enables the placental site to heal without scarring
    exfoliation
  3. factors that slow involution
    • prolonged labor
    • incomplete expulsion of placenta and membranes
    • anesthesia
    • previous labors
    • distended (full) bladder
    • blood clots
    • boggy uterus
  4. failure of the uterus to return to original state is called__
    common cause
    subinvolution and common cause is retained placental fragments
  5. AFTERPAINS
    -how many days does it occur postpartum
    -what hormone
    -what can cause it
    -what medication is given
    • ibuprofen suckling can cause afterpains
    • -oxytocin: strengthens uterine contractions, compress blood vessels
    • -ibuprofen can be given
  6. words used to assess lochia for quantity
    • -scant
    • -light
    • -moderate
    • -large
    • -ecessive
  7. ASSESING EPISIOTOMY SITE
    -scale?
    -healing time
    • -REEDA scale: 
    • Redness
    • Edema
    • Ecchymosis (bruising)
    • Discharge
    • Approximation of wond
    •             
    • -healing overall take around 6 weeks
  8. ____help the puboccoccygeal muscle (muscle that aids bowel and bladder control)
    kegel exercise
  9. _____occurs when the longitudinal muscles of the abdomen separate during pregnancy
    diastasis recti
  10. VITAL SIGNs (postpartum)
    -temp
    -pulse
    -blood pressure
    TEMP: first 24 hrs after delivery temp rises, result in
  11. constipation postpartum is d/t:
    • -decreased peristalsis
    • -stretched abd muscles
    • -limited foods or fluid intake
    • -soreness and swelling of perineum or hemorrhoids
    • -fear pain
  12. bowel movement should be within ___days postpartum
    3 days
  13. what should a woman intake if breastfeeding
    • -3 balanced meals a day
    • -adequate Ca+ and phosphorus intake
    • -high fluid and fiber to reduce constipation
    • -increase calories by 500 per day if breastfeeding
  14. pg 233 ovulation and menstruation resumption
    NONlactating woman
    • Menstruation: resumed within 3 months
    • Ovulation: may return within 1 month
  15. POSTPARTUM ASSESSMENT
    BUBBLE-HE
    • Breast
    • Uterus
    • Bladder
    • Bowel
    • Lochia
    • Episiotomy (perineum)
    • Homans Sign
    • Emotions (psyche)
  16. Resumption of Ovulation and Menstruation
    LACTATING woman
    • ovulation: may return in 1 month
    • menstruation: usually resumes within 6months, menstruation may be heavy

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