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38 Cards in this Set
- Front
- Back
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What are some key nursing activities days 1-3 postpartum?
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Monitor and prevent complications
Facilitate breastfeeding or bottle feeding Promote comfort Encourage family bonding Teaching |
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Why might a postpartum temperature be slightly elevated?
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Exertion and dehydration.
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What may indicate infection after 48 hrs postpartum?
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An elevated temperature.
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What may a rapid pulse be indicative of postpartum?
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Infection or hemorrhage.
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What is preeclampsia?
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Gestational hypertension.
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What is colostrum?
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A thin fluid that is the precursor of milk.
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When does breast milk come in?
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2nd - 3rd day postpartum.
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When does engorgement occur?
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2nd - 3rd day postpartum.
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What are some nursing interventions for engorgement?
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Apply warm packs
Pump Hand expression |
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What role does oxytocin do for breast feeding?
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It causes the milk to be expressed from the alveoli into the larger ducts, which lead to the nipples.
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When does menstruation return for lactating mothers?
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5-6 months later depending on how long the mother breast feeds.
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When does mensturation return for nonlactating mothers?
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About 8 weeks after delivery.
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Can a woman conceive even if no menstruation occurs?
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Yes.
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What are you observing during a breast assessment of a postpartum woman?
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The general appearance and observe for any nodules.
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What should be assessed when assessing breast feeding?
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The knowledge of breastfeeding
Infant's maturity level and gestational age Infant's ability to suck Infant's ability to correctly latch-on Infant for clicking noises when breastfeeding Mother for pain when infant sucks Assess for milk let-down |
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What is mastitis?
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A breast infection usually caused by staphylococcus aureus.
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What are the symptoms of mastitis?
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Fever, headache, warm, reddened, painful area of the breast.
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Should a mother with mastitis still feed on the side that is infected?
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Yes, in fact more so.
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If a woman is bottle feeding how can they reduce engorgement?
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Wear tight bras.
Apply a cabbage leaf. Cold vs. hot packs. |
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How much formula should the infant take during each feeding while in the hospital (bottle fed)?
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1 - 1.5 oz every 3-4 hours.
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How do you know if the baby is getting enough to eat?
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Look at their diaper and assess the output.
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How long should a baby nurse on each side?
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10-15 min.
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What is involution of the uterus?
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The process by which the uterus clamps down.
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What is lochia?
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The uterus's way of getting rid of the decidua cells and debris present after birth.
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What are the 3 types of lochia?
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Rubra, serosa, and alba.
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When does rubra occur and what does it look like?
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1 - 3 days postpartum.
Dark red in color. |
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When does serosa occur and what does it look like?
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3 - 10 days postpartum.
Pink in color. |
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When does alba occur and what does it look like?
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The final discharge postpartum.
Cream or yellowish color. |
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What are you looking for when assessing the fundus?
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The height
The firmness The position. |
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Are clots ok?
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Up to the size of a plum.
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How do you chart lochia?
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1st chart the amount followed by the characteristic and note any clots.
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What might the vagina look like following delivery?
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Edematous and possibly bruised.
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Why is thrombophlebitis more common in prgenant/postpartum women?
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Because of the increased vascularity of pregnancy.
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How do you check for a DVT?
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Do a calf assessment.
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How low might the hgb values be in a postpartum woman?
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9 or sometimes slightly lower.
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Why do you want the mother to be up and walking as soon as possible after delivery?
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To prevent clots.
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What are 3 interventions for low hgb?
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1.Iron supplement
2.Iron rich foods 3.Blood products |
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How long do the postpartum blues normally last?
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1-2 weeks.
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