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20 Cards in this Set
- Front
- Back
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most important nursing role for PP families
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education
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puerpium
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- the "fourth trimester" 6W/40D following the birth of the new born.
- make sure homeostasis is taking place |
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legal issues w/PP assessment
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- consent to the touch the pt.
- safety: pt. identification, newborn safety |
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vital signs: temperature
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- 48H for replacement of fluid loss
- >100.4F (38C) may indicate infection - monitor daily |
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vital signs: pulse
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- brady < 60bpm is normal (d/t non-perfusing of the placenta)
- tachy > 100bpm d/t hypovolemia from blood loss or dehydration |
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vital signs: BP
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- 4th day PP should be normal
- decrease d/t fluid loss - increase d/t pain |
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assessment of breasts
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- size, contour, asymmetry, engorgement, and palpation of masses
- nipples: cracked, blistered, fissured, bruised, bleeding. breakdown -> improper latch |
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colostrum
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yellow fluid preceding lactation. breast are soft.
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lactation
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bluish white breast milk w/in 1-3 days in vaginal, delayed in c/s or dehydration
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respiratory changes w/delivery
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diaphragm and rib cage descends and thoracic and abdominal organs revert to normal positions
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type of patient we should be concerned with lung sounds
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CHF & asthma
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involution
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- rapid decrease in size of uterus and fundal height.
- ensure hemostasis by compressing intramyometrial blood vessels |
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lochia rubra
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day 0-3. red, blood, decidual and trophoblastic debris.
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lochia seorsa
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day 4-10. pink/brown, old blood, serum leukocytes, and tissue debris.
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lochia alba
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day 10-6W. yellow/white, leukocytes, decideual, epithelial cells, mucus, serum, and bacteria
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smelly lochia
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indicates infection
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meds for PP hemorrhage
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oxytocin, methergine (urbatrate, take BP first), prostaglandin (causes spasm)
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nursing role w/hemorrhoids
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assist w/ian, itching, increase fluids & fibers
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musculoskeletal system
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- resolution of hyper mobility of pelvic joint by 6-8W
- increase of shoe size, center of gravity returns to normal - nursing role: kegal exercises & building pelvic floor muscles |
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integumentary system
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- excessive persipiration
- changes in pigmentation: linea negra, chloasma - changes in structure: spider angiomas, skin tags |
