Nursing Care Of The Postpartum Woman (Tb 23)

Front 1

Fourth Stage of Labor

Back 1

**The first 1 - 2 hrs after birth.**
1. For healthy women, HEMMORRHAGE is probaby the most dangerous potential complication.
2. All factors except TEMPERATURE are assessed every 15 minutes for 1 hour.

Front 2

"Baby Blues" vs. Postpartum Depression

Back 2

1. "Baby Blues" = Last for only DAYS after delivery

2. PPD = lasts for WEEKS d/t hormone fluxuation

Front 3

Rh- moms with Rh+ fetuses

Back 3

1. During Pregnancy = give mom RhoGam IM at 20-30 wks gestation and in the even of miscarriage/pregnancy termination/abdominal trauma/ CVS.

2. Postpartum = give IM within 72 hrs of birth.

** We give to mom b/c we want to prevent mom from developing antibodies to Rh+ in baby.

Front 4

Postpartum Fatigue (PPF)

Back 4

Studies have indentified link to PPD after 1 - 2 weeks with PPF.

Front 5

Return to Clinic Appointments

Back 5

1. Vaginal Delivery = 4-6 weeks
2. C-Section = 1 week
3. Breast Feeding Infant = 48 hrs within discharge

Front 6

Discharge Times

Back 6

1. Vaginal Birth = @ 48 hours

2. Cesarean Birth = @ 96 hours

Front 7

The nursing care management approach of ____ has one nurse caring for both the mother and her infant. It is also called ___ care or ___ care.

Back 7

1. Couplet care
2. mother and baby
3. single-room maternity

Front 8

____ is a classification of medication that stimulates contraction of the uterine smooth muscle.

Back 8

Oxytocic

Front 9

___ is the of the uterine muscle to contract firmly. It is the most frequent cause of ___ following childbirth.

Back 9

1. Uterine atony
2. excessive bleeding (hemorrhage)

Front 10

A(n) ___ is a perineal treatment that involves sitting in warm water for approximately 20 minutes to soothe and cleanse the site and to increase blood flow, thereby enhancing healing.

Back 10

Sitz Bath

Front 11

Painful cramps experienced by many women when the uterus contracts after childbirth are called ___.

Back 11

Afterpains

Front 12

___ is the dilation of the blood vessels supplying the intestines as a result of the rapid decrease in intraabdominal pressure after birth. It causes blood to pool in the viscera and thereby contributes to the development of ___ when the women who has recently given birth stands up.

Back 12

1. Splanchnic engorgement
2. orthostatic hypotension

Front 13

A complaint of pain in calf muscles when dorsiflexion of the foot is forced is called ___. The presence of the pain is associated with the presence of DVT.

Back 13

Positive Homan's Sign

Front 14

___ exercises can assist women to regain pelvic muscle tone that is often lost when pelvic tissues are stretched and torn during pregnancy and birth.

Back 14

Kegel exercises

Front 15

___ is the swelling of breast tissue caused by increased blood and lymph supply to the breast preceding lactation.

Back 15

Engorgement

Front 16

___ vaccine can be given to postpartum women whose antibody titer is less than 1:8 or whose enzyme immunoassay value is less than 0.8. It is used to prevent nonimmune women from contracting this TORCH infection during a subsequent pregnancy.

Back 16

Rubella

Front 17

The ___ test is performed if fetal screening test is positive in Rh negative women who give birth to Rh positive newborns to more accurately determine the amount of fetal blood present in the maternal circulation so that the correct dosage of RhoGAM can be given.

Back 17

Kleihauer-Betke test