Postpartum Period And Associated Complication

Front 1

involution

Back 1

decrease if unterus to non pregnant state
clients who breastfeed might experience more rapid involution.

Front 2

UTERUS AND FUNDUS FACTS>>IMPORTANT

Back 2

1.weight of the uterus < from 2lbs to 2oz in 6weeks.
2. Fundus steadily descends into the pelvis, one finger breadth per day
By tendays postpartum the uterus can not be palpated abdominally
A flaccid fundus indicates "uterine atony" and should be massaged until firm.
Tender fundus indicates infection.

Front 3

Lochia- discharge color

Back 3

delivery day-3days (rubra, bright red)
4-10 days postpartum(brownish, pink discharge)
10-14 days (white discharge)
smell like normal menstrual flow.
cervix-occurs after 1 week
vagina- distension decreases although muscle tone is never restored to the pregravid state.

Front 4

ovarian function and menstruation

Back 4

menstrual flow return 8 weeks(non breast feeding)
3-4 months among breast feeding mothers(may experience amenorrhea during entire period of lactation)

Front 5

Diuresis usually begin within the first __ __ after delivery.

Back 5

12 hours

Front 6

vital signs postpartum

Back 6

1. temp may be elevated during first 24 hours(result of dehydration)
2. bradycardia is common first week (50-70 beats)

Front 7

rubins postpartum phases of regeneration

Back 7

taking in phase(1st 3 days)
mother focuses on primary needs, important for nurse to listen, not time to teach mother about baby care.
taking hold phase(3-10 days)
mother is in control of her independence, begins to assume task of mothering, optimum time to teach the mother about baby care.
letting go phase-
mother may feel deep loss over separation of baby from body

Front 8

breastfeeding

Back 8

1. put the baby to mother's breast as soon as both are stable.
2. stay with mother until she feels secure and confident with the baby and her feelings.
3. LATCH(l-latch achieved by infant, A-audible swallowing, T-type of nipple C-compfort of mother H-help given to nursing mother)

Front 9

pulmonary embolism

Back 9

the passage of a thrombus (originated in the uterine or pelvic veins) into the lungs, where it disrupts circulation of blood.

Front 10

pulmonary embolism s/s and interventions

Back 10

Feeling of impending doom
Dyspnea, tachypnea, tachycardia

Congested cough
Hemptysis
Pleuritic chest pain

Front 11

suninvolution

Back 11

incomplete involution or the failure of the uterus to return to its normal size and condition
S/S
uterine pain on palpation
uterus is larger than expected
more vaginal bleeding than normal

Front 12

superficial thrombophlebitis

Back 12

tenderness, pain in affected lower extremity
warm , pinkish color over the thrombus area
palpable thrombus that feels bumpy and hard.

apply hot packs(AP)
apply elastic stockings

Front 13

femoral thrombophlebitis

Back 13

chills and fever
pain, stiffness, swelling of affected leg
malaise
shiny white skin over affected area
positive homas sign
diminished peripheral pulses

elevate affected leg, apply heat pack(AP)

Front 14

pelvic thrombophlebitis

Back 14

sever chills
dramatic body temp changes
occurence of pulmonary embolism might be 1st sign

bedrest,