Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
256 Cards in this Set
- Front
- Back
Product of conception from the 2nd to 3rd week of development
|
embryo
|
|
child in utero from after the 8th week following conception
|
fetus
|
|
first 6 wks of the post partum period
|
fourth trimester
|
|
upper portion of the uterus
|
fundus
|
|
total number of pregnancies
|
gravida
|
|
primigravida:
|
a woman who is having her first pregnancy
|
|
multigravida:
|
a woman who has had at least one pregnancy before
|
|
The process by which the uterus shrinks and returns to a non-pregnant state
|
involution
|
|
total number of births after point of viability
|
para
|
|
puerperium means
|
post partum period
|
|
term infant would be a live infant born:
|
b/n 38-42 wks gestation
|
|
point at which fetus is capable of surviving outside the uterus
|
viability
|
|
how many wks is a fetus viable?
What is the fetal wt. that the fetus will be viable at? |
>500g
|
|
Check consistency of uterus: it should feel:
|
firm and grapefruit like
|
|
if the uterus is soft and flabby:
|
boggy uterus
|
|
when is the most dangerous time for the mom?
|
first hour PP
|
|
There are 10 factors that can retard involution. What are they?
a,a,a,f,g,i,m,p,p,p |
-anesthesia (esp. general
-anything that overstreches muscle fibers -anything that interferes with muscle contraction (meds) -full bladder -grand multiparity (6+ viable preg's) -infection -multiple gestation (ex.twins) -polyhydramnios >1.5L -prolonged/diff. labor -presence of amniotic membranes or placenta fragments |
|
to assess the uterine fundus, make sure pt. is in what position?
|
flat bed
|
|
when assessing the uterine fundus, place hand:____________. then palpate by placing other hand:_________
|
just above symphysis pubis.
at level of uterus |
|
does palpating the fundus hurt the client?
|
not if done correctly
|
|
Health History: When taking the general history of the mom, find out: (6)
|
-age
-support systems -Living children -housing -education/occupation level -general health |
|
Health history: When assessing pp mom, take her pregnancy history which includes: (gpeqc)
|
-gravida
-para -EDC -quickening (rxn to) -complications (diabetes/htn/bonding) |
|
It's important to take Labor and Delivery history, including what maternal data?
(lptaaell) |
-length of labor
-position of fetus -type of delivery -analgesia -anesthesia -episiotomy -lacerations -labor complications (fetal distress/meconium aspiration) |
|
It's important to take Labor and Delivery history, including what newborn data?
(gqamc) |
-gender
-wt. -apgar -method of feeding -congenital anomalies |
|
what lab data might you look at in the pp mom?
|
hgb/hct
plasma fibrinogen |
|
why do you look at the pp mom's h+h?
|
determine bld loss during delivery
|
|
Should the plasma fibrinogen be low or high in the pp mom?
|
elevated
|
|
What does plasma fibrinogen do?
|
seals off, so there isn't hemorrhage when placenta separates.
|
|
it's important to do a pp assessment how often?
|
at least 1x per shift
|
|
Physical assessment in PP mom:
1. Provide for ______ 2. Time for_______ 3. Have woman ___ prior to assessment 4. assess_______ status 5. perform general ___ assessment |
1. privacy
2. teaching 3. void 4. psychosocial 5. postpartum |
|
during the physical assessment of the pp client, why is it important for the woman to void first?
|
full bladder will displace uterus
|
|
look at pp woman's conjunctiva to:
|
check for dehydration
|
|
BUBBLE B assessment stands for
|
breasts
uterus (loc/firmness) bowels bladder lochia episiotomy/lacerations bonding |
|
with a pp woman who had a vaginal delivery, how often do we take vital signs?
|
q4h for 24h
|
|
with a pp woman who had a C/S delivery, how often do we take vital signs?
|
q4h for 48h
|
|
contraction of uterus seals placental site
|
physiology of uterine involution
|
|
with uterine involution, the endometrium should regenerate in approximately:
|
3wks
|
|
Uterine involution: the healing process:
|
leaves no scars
|
|
Uterine involution: does the uterus return to the pre pregnant state?
|
no, never
|
|
the wt. of the uterus immediately following delivery is
|
1000g
|
|
the wt. of the uterus at the end of the first wk
|
500g
|
|
when involution is complete, what will the wt. of the uterus be?
|
50-60g
|
|
*Placement of the uterus: 2-12 hr PP, the uterus:
|
rises to level of umbilicus to 2 fingerbreadths above
|
|
*Placement of the uterus: 12-24 hr PP, fundus of uterus:
|
at umbilicus
|
|
the uterus descends at the rate of _____ daily
|
1FB
|
|
10-14 days PP, the uterus contracts and is where?
|
beneath the pelvic bone and can't be palpated
|
|
Placement of the uterus: 1-2h PP, where is the uterus?
|
2-3FB below umbilicus
|
|
relationship of involution to lactation: Breast feeding helps ___________. It doesn't prevent _______.
|
-contract the uterus
-hemorrhage |
|
___________: these are intermittent contractions that persist after delivery
|
afterpains
|
|
give _______ before nursing
|
pain meds
|
|
Nursing care for Boggy uterus: First:
|
massage uterus
|
|
Nursing care for boggy uterus: if the uterus is shifted to R/L:
|
have pt. void
|
|
If the uterus remains boggy and you have massaged it and the woman has voided, what do you do?
|
notify physician/CNM
|
|
If the uterus remains boggy and you have massaged it and the woman has voided, you would be calling the physician/cnm. While you're calling, do what?
|
put baby on breast
|
|
What's another name for methylergonovine?
|
methergine
|
|
what two routes can metergine be given?
|
IM/PO
|
|
Methergine is usually given IM or PO, but in emergencies it can be given:
|
IV
|
|
What is the freq. methergine (methylergonovine) can be given?
|
q2-4h up to five doses
|
|
what is the usual dose of methergine (methylergonovine)?
|
0.2mg
|
|
methergine (methylergonovine) is given for what?
|
prevents/treats PP hemorrhage
|
|
What is another word for oxytocin?
|
pitccin
|
|
What two routes is oxytocin (pitocin) given?
|
IM or IV
|
|
When oxytocin (pitocin) is given Intravenously, what do we hang it with?
|
lactated ringers
or normal saline |
|
whats the usual IM dose of oxytocin (pitocin)?
|
10-20U
|
|
whats the usual IV dose of oxytocin (pitocin)?
|
10-40mg
|
|
What are some reasons oxytocin (pitocin) is given?
|
-induction of labor
-facilitation of UC's -PP control of bleeding |
|
2 other names for the medication prostaglandin are:
|
prostin
hemabate |
|
what is the usual route/dose of prostaglandin?
|
0.25mg IM
|
|
If prostaglandin is given intramyometrially (middle layer of uterine wall), how often is it given? up to how many doses?
|
q15-90min up to 8 doses
|
|
Nursing care for involutional pain: types of medication:
|
1. motrin (ibuprofin)
2. percocet (oxycodone/acetaminophen) 3. Darvon (propoxphene) 4. Tylenol (acetaminophen) 5. PCA |
|
______ can be used as adjuvents to percocet
|
motrin (ibuprofin) or Tylenol (acetaminophen)
|
|
_______ may be used as adjuvent to darvon
|
tylenol
|
|
Nursing care for involutional pain: may have PCA via _____ ______
|
epidural catheter
|
|
Nursing care for involutional pain: If PP woman has epidural catheter, check that:
|
it's taped on
|
|
How long will the C/S mom have PCA?
|
for a day
|
|
Pain medications may not reach milk until _____. They will be out of system when?
|
30 mins of more
48hrs |
|
When should you remove foley?
|
1h after epidural cath is removed
|
|
Postpartum vaginal discharge aka
|
lochia
|
|
what does lochia consist of? (4)
|
bld fragments
mucous bacteria luekocytes |
|
Physiology of Lochia: Decidua basalis separates into 2 layers. The inner layer creates ___ _______. The outer layer becomes _____.
|
new endometrium
lochia |
|
This type of lochia may be dark red in color initially on the first day. It may include several small clots, NOT LARGE CLOTS.
|
lochia rubra
|
|
On the 2nd-3rd day PP, lochia should be:
|
dark red with no clots
|
|
This type of lochia is pink or brownish in color and thinner consistency.
|
lochia serosa
|
|
How long does lochia serosa last?
|
1wk
|
|
this type of lochia is creamy white or yellow, leukocytes and deciidua.
|
lochia alba
|
|
how long does lochia alba last?
|
3wks
|
|
when lochia alba ceases, it generally indicates:
|
cervix is healed
|
|
so the order of lochia is:
|
rubra
serosa alba |
|
we should not see a reverse in the stages of lochia. if we do, then do what?
|
call health care provider
|
|
Lochia should be draining, not _____. This could indicate a tear.
|
spurting
|
|
Evaluating lochia flow: Assess for: (5)
|
-character
-amt -clots -pattern -odor |
|
To assess amt of lochia, look at pad.
Scant= Light= large= |
<1 in
1-2 in saturated (do pad count, may mean hemorrhage) |
|
pt. should not go home if lochia is:
|
clotting
|
|
To assess lochia pattern means describe if lochia is: __________. Flow with increase with _________. Flow will pool with ________.
|
pooling/spurting
ambulation sitting |
|
when assessing odor of lochia, you know that:
|
there should be no odor
|
|
Teach the PP pt. what about lochia?
|
-change pads freq (b/c they're a breeding ground for organisms)
-nothing in vagina before 6wk checkup |
|
Physiological changes occur to the cervix during puerperium. these changes happen to the ______ and the ______
|
-internal os
-external os |
|
What physiological change happens to the internal os during puerperium (pp)?
|
closes back to what it was prior pregnancy
|
|
What physiological change happens to the external os during puerperium (pp)?
|
never returns to prenatal state
|
|
Vagina: physiological changes during the puerperium(post partum): Takes _______ of PP period to fully involute and will return approximately to pre pregnant state.
|
entire 6 wks
|
|
Breast feeding mom may c/o of what changes in her vagina?
|
vaginal dryness
|
|
why do breast feeding moms experience vaginal dryness?
|
because estrogen hasn't returned to normal yet.
|
|
Assessment of the perineum includes assessing: (4)....remember REEDA which stands for:____
|
-intactness
-episiotomy -lacerations -hemorrhoids REEDA- redness, ecchymosis, edema, drainage, approximation |
|
For hemorrhoids:
|
use tucks in witch hazel
|
|
When assessing an episiotomy:
|
edges should be approximated
|
|
Perineum may be too edematous to check:_________
|
episiotomy
|
|
With lacerations, how long does the bruising last until healing?
|
2-3wks
|
|
warm water bottle (used as external flush)
|
peribottle
|
|
When providing nursing care of the perineum, place patient in what position?
|
sims position
|
|
Nursing care of the perineum includes:
chaph |
-changing pads
-hygenic care -application of ice/warmth -protective devices -hemorrhoidal care |
|
Nursing care of the perineum of the C-section mom: provide pericare _____ on bedpan if unable to perform for self.
|
q3-4h
|
|
Nursing care of the perineum of the C-section mom: can usually shower:
|
on PP day2
|
|
Hormonal changes in puerperium: name four Placental hormones:
|
-HCG (human chrionic gonadotropin)
-HPL (human placenta lactogen) -Estrogen -Progesterone |
|
Hormonal changes in puerperium:
____ is undetectable within 1 wk PP |
HCG (human chrionic gonadotropin) pregnancy hormone
|
|
Hormonal changes in puerperium:
_____ is undetectable within 24 hrs PP (bld sugar drops) |
HPL (human placenta lactogen)
|
|
Hormonal changes in puerperium: ________ and ______ decrease and begin to rise again _____PP in non lactating woman.
|
estrogen
progesterone 2wks |
|
If women is lactating, estrogen and progesterone are _________
|
suppressed
|
|
what are 3 ovarian hormones?
|
-prolactin
-FSH (follicle stimulating hormone) -LH (leutenizing hormone) |
|
what is the ovarian hormone associated with lactation?
|
prolactin
|
|
What happens to prolactin with pregnancy?
|
it increases
|
|
Without lactation, prolactin levels decline to prepregnant state within _______
|
2wks
|
|
Prolactin concentration is influenced by
|
amt of breastfeeding.
|
|
FSH and LD are LOW for all women for ______ PP
|
10-12 days
|
|
Non Lactating women:
-Resumption of menstruation: -Resumption of ovulation: |
-avg 70-75 days
-50% ovulate c 1st menstrual cycle |
|
Lactating women:
-Resumption of menstruation: -Resumption of ovulation: |
-avg by 6 months
-avg 190 days |
|
In order for lactating woman to resume ovulation, she must have:
|
one or more anovulatory cycle prior to first ovulatory cycle
|
|
breast feeding is not a reliable method of __________
|
birth control
|
|
increased diuresis (water loss) and diaphoresis accounts for _____ wt. loss
|
5lb
|
|
Expected blood loss with the normal vaginal delivery:
|
300-500mL
|
|
Expected blood loss with c/s delivery?
|
500-1000mL
|
|
When will blood work be normal after woman gives birth?
|
3wks pp
|
|
Breastfeeding moms need to increase intake by ____mL of usual intake
|
500
|
|
Circulatory status changes PP:
(5) ecccd |
expected bld loss
changes in plasma volume changes in hct changes in clotting time diuresis/diaphoresis |
|
Teaching r/t fluid volume changes:
1. Diuresis/diaphoresis continues for: 2. increase ____ glasses of fluid per day more then usual intake. 3. Breastfeeding mom's increase intake by ____mL of usual intake |
1. 2-5 days
2. 3-4 3. 500mL |
|
teach client signs of pulmonary embolism:
|
SOB
Doom tachycardia |
|
check what to r/o PE?
|
homan's sign
|
|
Three changes with bld values during puerperium:
|
-coagulation factors
-elevated leukocytes (WBCs) -changes in hct |
|
This happens with long/difficult labor as defense mechanism against infection/helps with healing.
|
elevated leukocytes (WBC)
|
|
average # of leukocytes for 10-12 PP:______. Sometimes ____-_____are common results
|
12,000
20,000-25,000 |
|
Temperature: consider infection if T > ______F after first 24 hrs
|
100.4
|
|
Temp may be increased from inflammation, but if >24 hrs PP, it's probably:_________
|
infection
|
|
Blood pressure should:
|
remain stable after birth (or what it was like prelabor.)
|
|
BP will be increased if PP woman had:
|
PIH
|
|
Postpartum woman's pulse is generally b/n:
|
50-70bpm.
|
|
Postpartum woman's pulse is generally returns to pre pregnancy level within ______
|
8-10wks
|
|
respirations: should be no changes or back to prepregnancy state in ______
|
6-8wks
|
|
Breath sounds are assess only with _______ or with clients who have had __________
|
C/S
resp hx incl. URI, asthma |
|
Nutritional status: PP woman's appetite:
|
hungry and thirsty!!!
|
|
Nutritional status: PP woman's initial wt. loss from infant/placenta/fluid:
|
10-12lbs
|
|
Nutritional status: PP woman's wt. loss from diuresis and diaphoresis:
|
5lbs
|
|
Nutritional status: PP woman should be at prepregnant wt (if gained 25-30lbs) within __________
|
6-8wks
|
|
PP mother often loses wt. more rapidly if
|
breast feeding
|
|
Nursing care about dietary needs: Calories needed:______-_____calories. If breastfeeding increase by 500 calories, so ____ calories.
|
2200-2300
2800 |
|
continue use of prenatal vitamins/iron until when?
|
6wk check up
|
|
why do women take prenatal vitamins until 6wk checkup?
|
they're needed for tissue repair
|
|
Elimination status: Urinary: Diuresis:
|
increased in first 24 hrs
|
|
Elimination status: Urinary: difficulty voiding PP b/c: (2)
|
-edema/swelling around urethra
-meds slow sensation |
|
Elimination status: Urinary: effect of full bladder:
|
displaces uterus, can decrease uterine involution causing increased risk of hemorrhage
|
|
Elimination status: Urinary: Hematuria may been seen ____PP. It may be a ____
|
2-3 wk
UTI |
|
Nursing care r/t urinary elimination: OOB when?
|
1h after delivery
|
|
Nursing care r/t urinary elimination: If bladder is distended, or pt. hasn't voided c in 6h:
|
get order for catheterization.
|
|
Nursing care r/t urinary elimination: if pt. voids <100mL c in 6 hrs after delivery:
|
cath for residual
|
|
Nursing care r/t urinary elimination: If PP pt. voids >150mL
|
leave cath
|
|
bladder will be back to normal in ___-___days
|
5-7
|
|
Elimination status: bowel: Physiological changes of GI tract:
|
Gi tract is sluggish
|
|
GI tract may be sluggish due to _____, ______ or from ______.
|
hormones
disruption analgesia |
|
Elimination status: bowel: encourage:
|
fiber
stool softener fluid |
|
when can pp pt. take a laxative?
|
2-3days after delivery
|
|
nursing care for hemorrhoids:
|
-pain meds/sprays/suppositories
-avoid straining -stiz bath (for pain) |
|
Musculoskeletal status: abdomen: Uterine ligaments (round and broad) are________ and will involute in _______
|
stretched
6wks |
|
Musculoskeletal status: abdominal wall:_____ and _____
|
loose/flabby
|
|
Musculoskeletal status: abdominal wall: with exercise muscle tone improves in ____-____-
|
2-3months
|
|
Musculoskeletal status: diastasis recti abdomnius:
|
may not go back together after pregnancy
|
|
Musculoskeletal status: ambulation includes assessment of ______ _____ and nursing care for ____ _____
|
lower extremities
muscular aches |
|
Musculoskeletal status: ambulation. Assessment of lower extremities is important especially hx of:
|
pih, edema, thrombophlebitis
|
|
Comfort Rest status: following birth, woman often feels simultaneously: eee
|
exhausted
euphoric exhilirated |
|
Comfort Rest status: following birth, woman often wants visitors. Nurse should:
|
take charge of multivisitors if woman needs rest
|
|
Comfort Rest status: there is a ______________in peurperium
|
need for sleep
|
|
Comfort Rest status: effects of spinal anesthesia may cause PP woman to develop:
|
spinal h/a
|
|
if PP woman develops spinal headache, put her in what position for 6-12hrs? What other 3 things could you do? An IV might be started for ______.
|
-laying flat
-increase fluids/pain meds -close blinds -nausea |
|
Comfort Rest status: the post partum chill does not mean:
|
infection
|
|
Comfort Rest status: the post partum chill is r/t ____ and ____ changes
|
pressure/temp (neurological)
|
|
if PP mom is experiencing PP chill: (2)
|
be supportive
give warm blankets |
|
Psycho-social changes: The taking in phase is aka
|
dependent phase
|
|
Psycho-social changes: during the taking in phase, PP mom may be:
|
very passive
somewhat dependent |
|
Psycho-social changes: how long does the taking in phase last?
|
24-48h
|
|
Psycho-social changes: during the taking in phase, PP mother may be preoccupied with:
|
own needs.
|
|
Psycho-social changes: dont assume PP mother:
|
understands teaching
|
|
Psycho-social changes: the taking hold phase (dependent-independent phase) begins PP day _ to around __days
|
2
10 |
|
Psycho-social changes: During the taking hold phase, the mother feels:
|
more rested/ready to resume control
|
|
Psycho-social changes: the letting go phase is completed at approx. _____PP
|
6wks
|
|
Psycho-social changes: the letting go phase is aka
|
the accepting phase
|
|
Psycho-social changes: during the letting go phase: PP mom is accepting:
|
the reality of birth
|
|
Psycho-social changes: during the letting go phase, the PP mom is figuring out:
|
how they'll manage (work etc)
|
|
Psycho-social changes: attachment process: what are some factors they may affect bonding?
|
rest
cultures not planned |
|
Psycho-social changes: what is a sign of poor attachment?
|
complaining about changing diaper/drooling etc
|
|
Psycho-social changes: tell woman she may get baby blues. This is due to hormonal changes. Tell her she may be ___ and it may happen ___-___PP
|
weepy
1day-1wk |
|
Psycho-social changes: PP depression may go on for:
|
months!
|
|
Psycho-social changes: nursing care to promote attachment: (3)
|
maternal, family, sibling attachment
|
|
Charting:
1._______on all PP clients 2. ___ ___ ____ will also incl. all post op assessments 3.all ______need additional notes (pain, dvt, poor bonding etc.) |
1. bubble b
2. c/s dar notes 3. abnormals |
|
Post Partum assessment: temperature: for first 2-24 hours, may have a slight elevation (100.4F) due to:
|
dehydration/fatigue
|
|
Post Partum assessment: temperature: after first 24 hrs, should be
|
WNL
|
|
Post Partum assessment: temperature: for a temp over 100.4, _____ needs to be r/o
|
sepsis
|
|
Post Partum assessment: pulse: for first 2-24 hours, may exhibit bradycardia (___-___bpm) due to decreased cardiac output, decreased blood volume and normal cardiac changes
|
50-70
|
|
Post Partum assessment: pulse: after first 24hours:
|
should be WNL
|
|
Post Partum assessment: pulse: tachycardia may indicate:
|
excessive PP bleeding
|
|
Post Partum assessment: respirations:
|
no significatn changes in PP period
|
|
Post Partum assessment: Blood pressure: for the first 24 hours:
|
should remain WNL
|
|
Post Partum assessment: Blood pressure: low bp may indicate
|
excessive PP bleeding
|
|
Post Partum assessment: Blood pressure: elevated bp may indicate:
|
PIH
|
|
Post Partum assessment: Breasts: check breasts for:
|
firmness
|
|
Post Partum assessment: Breasts: firmness varies on 3 things:
|
parity, breastfeeding or not, PP day
|
|
Post Partum assessment: Breasts are generally _____ day of delivery to PP day 1
|
soft
|
|
Post Partum assessment: Breasts are generally _____ PP day 1 to PP day 2
|
filling
|
|
Post Partum assessment: Breasts are generally _____ PP day 2 to PP day 3
|
firm
|
|
Post Partum assessment: Breasts: check the woman's nipples for signs of
|
intactness
|
|
Post Partum assessment: Breasts: when checking the woman's nipples for signs of intactness, ask are they: (4). Do they show:
|
bleeding?
sore? cracked? red? -signs of infection? |
|
Post Partum assessment: Breasts: check for leakage. Colostrum is produced for:
|
first 24 hours
|
|
Post Partum assessment: Breasts: what does the speed of breast milk production vary with?
|
parity
|
|
Post Partum assessment: Breasts: Check the woman's breast feeding technique. Assess the ____ ___, the infant's ability to _____ __, and the ____/___ of nursing sessions.
|
positions used
latch on timing/scheduling |
|
Post Partum assessment: Client's torso: the fundus is assessed in relation to:
|
umbilicus
|
|
Where is the fundus immediately PP?
|
2-3 fingerbreadth below umbilicus
|
|
Where is the fundus at 2-12 hrs?
|
1FB above umbilicus
|
|
Where is the fundus at 12-24 hrs PP?
|
at umbilicus
|
|
after 24 hrs, the umbilicus
|
decreases at the rate of 1 FB per day
|
|
What 3 things do you assess about a fundus?
|
firm or boggy
position r/t midline location in r/t umbilicus |
|
What does it mean if the fundus is shifted to the R or L?
|
it indicates a full bladder
|
|
When assessing the abdomen, assess if it is _____ or _____. Does woman have ____ ____?
|
soft/distended
bowel sounds |
|
Abdomen: with the C/S client, check the ____ and _____. Look for signs __________
|
incision, dressing
of infection |
|
When assessing PP woman's bladder, we are looking to see what?
|
if it's distended
|
|
What do we want to know about regarding PP mother's urine output?
|
how freq is she voiding?
how much is she voiding? |
|
Lochia:
Check for (3) |
color
amt odor |
|
From day of delivery to the 2nd post partum day, what is the lochia like?
|
moderate to scant rubra (may have clots)
|
|
From day 2 until day 7, what does is the lochia like?
|
moderate to scant serosa
|
|
from day 7 until day 14, the lochia is _________. (It may last up to ____wks)
|
scant alba
6 |
|
What is the lochia like with a C/S client?
|
there is markedly less then with a vag. delivery
|
|
Lochia should have what type of odor?
|
menstrual, not foul
|
|
Perineal region.
A. assess the _______ B. Assess the ____/_____ C. assess for _________ |
A. perineum
B. episiotomy/lacerations C. hemorrhoids |
|
When assessing the perineal, what 4 things are we looking for?
|
edema
hematomas bruising varicosities |
|
When assessing the episiotomy/lacerations, we are looking for 3 things:
|
intact
red signs of infection |
|
When assessing the hemorrhoids, we want to know what 2 things?
|
size, number
|
|
Voiding: Client is due to void ______ PP or after the removal of a catheter.
|
6-8h
|
|
Voiding: For the first 24 hours the woman may void up to ____mL
|
3000
|
|
Voiding: Teach woman that she:
|
may not always feel the urge to void
|
|
for 24-72 hours: _______________ until WNL
|
decreasing amts of urine
|
|
check the urine for 3 things:
|
color
cloudiness dysuria |
|
Bowel/defecation: Client may not have a BM before the _____ PP day
|
2nd-3rd
|
|
Lower extremities: Is there ____? _____?_____?_____?
|
edema
tenderness redness warmth |
|
Besides edema, tenderness, redness and warmth, we assess 2 other things while checking the lower extremities:
|
homan's sign
degress of varicosities |
|
Psychological/emotional status: The taking in phase: lasts ______PP
|
1-2days
|
|
Psychological/emotional status: During the taking in phase, the mother is (3)
|
passive
dependent preoccupied with self |
|
Psychological/emotional status: the mother in the taking in phase may be hesitant
|
in making decisions
|
|
Psychological/emotional status: the taking hold phase generally begins when?
|
2nd day PP
|
|
Psychological/emotional status: during the taking hold phase, the mother resumes control of life and is:
|
participating in care.
|
|
Psychological/emotional status: episodes of mild depression, lasting 2-3 days due to hormonal changes and psychological adjustment:
|
PP blues
|
|
Attachment behavior:
|
how does mother hold baby?
|