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301 Cards in this Set

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What are some nursing dx for woman with postpartal complications?
-Risk for altered parenting related to disappointment in the sex of the child
-Fear related to lack of prepartion for child care
-Risk for fluid volume defici related to post-partum hemmorahage
What are some high risk factors for postpartum complications?
PIH
Diabetes
Fast Labor
C-Section
Blood loss from uterus greater than ________ml is considered hemorrhage
1000
Average blood loss is _____ml w/in 24 hours
500
What is the reason for early postpartal hemorrhage?
Uterine Atony
Lacerations
Retained Placental fragments
DIC
What is the most frequent reason for hemorrage?
Uterine Atony
Multiple Gestation, hydraminos, large baby, cervical or uterine tears, myoma, anesthesia or pitocin, fetal death or DIC are all causes of _________ ___ ______
Relaxation of the uterus
If the uterus relaxes, there will be a _____ ___ ______
Gush of blood
What is the most high rsk time period after delievery?
1 hour after delievery
What should the nurse do if PP hemorrhage is suspected?
-Uterine Massage
-Count # of pads
-turn patient on side and look for pooling
-Blood replacement orders
-Pitocin induction if order by physician
Sometimes if the hemmorahage is to bad, a __________ my have to be performed
Hysterectomy
Are small lacerations common after giving birth?
Yes
What are large lacerations caused by?
Difficult labor
Primigravidas
Cervical lacerations are usally on the _____ of the cervix
Sides
The worst perineal laceration is threw entire _______, _____ _______, and also some of the rectal mucous membranes
Perineum and Rectal Scphinter
When a patient has a #4 type perineal laceration you never use or do _________ or _________ ________
Enemas
Rectal Temps
If the patient has a #4 laceration, you always encourage _______ and the use of _____ __________
Fluids
Stool Softeners
An infection of the reproductive tract is called a
Puerperal Infection
If the Puerperal infection progresses it can lead to __________ or __________
Peritonitis
Septicemia
What is the treatment for puerperal infections?
Antibotics
If a person has a vaginal laceration, expect to see ________
Packing
Vaginal lacerations are ______
Rare
Every placenta should be ________ after birth
Inspected
If a large amount is retained _______ bleeding will occur
Immediate
If a small amount of placenta is left in, it may take up to _____ days for hemorrahage to occur
10 days
Rapid contraction of the uterus after delievery of the placenta
Placenta Sealing
How long does it take for a woman to heal after delievery?
6-7 weeks
Contractions after birth reduces the bulk of the uterus and the walls of the uterus thicken and contracts causing ________ ________
Uterine Shrinking
Retrogressive changes that return the reproductive organs, particulary the uterus, to their non-pregnanct size and condition
Involution
Some things that may cause uterine involutions to slow down or be delayed is
-Birth of multiples
-Hydraminos
-exhaustion
-Retained placenta
-Full bladder
Part of the uterus that is the farthest from the cervix above the openings of the fallopian tubes
Fundus
The fundus should be located ______ in the abdomen
Midline
Fundal height should be palpated ________
frequently
The uterine consisentency should feel ______
Firm
If the fundus feels boogey that means that the uterus is not ________ as it should be
Contracting
Uterine flow consisiting of blood fragments
Lochia
Three types of Lochia are:
Lochia Rubia
Lochia Serosa
Lochia Alba
Red vaginal discharge that occurs immediately after childbirth composed mostly of blood
Lochia Rubia
Lochia Rubia last for the 1st _____ days
3
Pinkish or brownish vaginal discharge that follows lochia rubia, composed largely of serous exudate
Lochia Serousa
Lochia serousa starts on the _____ postpartum day
4
White, cream colored, or light yellow vaginal discharge that follows lochia serosa. Occurs when the amount of blood is decreased and the # of leukocytes is increased
Lochia Alba
Lochia Alba last for approx ____ to ____ weeks
2-6
If you saturate a pad in less than 1 hour is ____________
Abnormal
If odor is present it is a sign of uterine _________
Infection
Lochia serousa starts on the _____ postpartum day
4
White, cream colored, or light yellow vaginal discharge that follows lochia serosa. Occurs when the amount of blood is decreased and the # of leukocytes is increased
Lochia Alba
Lochia Alba last for approx ____ to ____ weeks
2-6
If you saturate a pad in less than 1 hour is ____________
Abnormal
If odor is present it is a sign of uterine _________
Infection
These kind of exercises are good for the vagina to get it back in shape
Kegel Exercises
Since the fetal head exerts pressure on the bladder and ureters, it leaves the bladder with loss of _____ and ______
Tone and Edema
After delievery, extensive _________ occurs in the urinary system
Diuresis
The GI system makes this changes after birth to promote healing:
Hungry and Thirsty
Hemorrhoids are common
What is still present in the GI system after labor?
Relaxin
What are some retrogressive changes after childbirth?
Exhaustion
Weight loss
_____ pounds is usually lost upon delievery, and then an additional ____ pounds over 2-5 days
12
5
If a mothers temp is over _____ is is suggested to be febrile and _______ should be suspected
100.4
Infection
The pulse should be slightly _____
decreased
BP returns to ______
Normal
Lactation starts to occur and 3 day milk forms in the breast ducts causing primary __________
Engorgement
During the 1st 24hours, you should assess:
Lab Data (H&H and UA)
Family Profile
Pregnancy HX
Labor and Delievery HX
Infant Data
When you do a physical assessment on a mother, you should include
Appearence
Hair
Face for Edema
Eyes
Breasts
Uterus
While doing the uterus assessment the patient should be in the ____ position
Supine
When assessing the uterus you should ____ the contour, palpate the ______, note the ______ and ______ and ______
Observe
Fundus
Consistency
Location
Height
You should palpate the fundus every ___ minutes for the first 4 hours using the 2 hand approach
15
While doing a lochia assessment you should look for the
Character
Amount
Color
Odor
Prescence of clots
Saturating more than ____ pad an hour is abnormal
1
While assessing the perineus have the patient turn on their _____
Side
You should lift the butt and exam for
Hematoma
Ecchymosis
Edema
Intactness
Drainage or bleeding
You should assess the rectum for hemmorohods noting the ____, ____ and _____
Number
Size
Location
Epistomies are usually ___-___ inches long
1-2
The incision should be fused within ____ hours
24
What are some nursing interventions for a patient with an episotomy?
Pain Relief
Ice Packs
Sitz Baths
Perineal Cleanising and Tucks
Exercise
Cold and Hot therapy
You should always have the patient ______ the bladder before assessment
Empty
B
U
B
B
L
E

H
E
Breast
Uterus
Bowel
Bladder
Lochia
Edema

Homan's sign
Everything Else
While doing a breast exam on a mother, it would be a good time to teach self _____ exams
Breast
Note how many ______ _____ the uterus is at
Fingerbreaths
While assessing the bowel, assess for bowel ____ and for _____
Movement
Gas
While assessing the bladder, assess if it is ____, and how often they are ____ to the bathroom and how much
Empty
Going
While assessing the epistomy, assess for any ______
Edema
The Homans sign is a diagnositc tool for identifying ___________
Thromophebilitis
In the everything else category, assess for emotion ____, if pt is calling baby by _____, how the patient ____ the baby, for ______ displayed
Status
Name
holds
behaviors
When assessing someone who had a c-section, always do:
Pain assessment
Abdomin and fundus assessment
I&O's
Anti-Emb stockings
Mouth Care
Back Rub
Perineal Care
Always try to ____ the client in infant positioing and breastfeeding techniques
Assist
Lactation starts to occur and 3 day milk forms in the breast ducts causing primary __________
Engorgement
During the 1st 24hours, you should assess:
Lab Data (H&H and UA)
Family Profile
Pregnancy HX
Labor and Delievery HX
Infant Data
When you do a physical assessment on a mother, you should include
Appearence
Hair
Face for Edema
Eyes
Breasts
Uterus
While doing the uterus assessment the patient should be in the ____ position
Supine
When assessing the uterus you should ____ the contour, palpate the ______, note the ______ and ______ and ______
Observe
Fundus
Consistency
Location
Height
When getting ready for discharge always give patient advice on _____ classes that are being offered, _______ instructions and make sure they recieve a ____ copy of instructions, and assess for any ____ needs
Group
Individual
Written
Learning
Always tell the patient how important _________ is either if it is in the facility or with their physician
Follow Up Care
If you are to do a PP home visit, make sure you get this info:
Pregnancy HX
Newborn Hx
Future Plans
Family Assessment
Physical Exam
Follow UP info
Menstration
S&S of infection
If a patient is not nursing menstratuation should start back are ___ to ___ weeks after delievery
6-10
Nursing Interventions for mother are
Promote Rest
Promote Adequate fluid intake
Promote urinary elimaination
Prevent Constipation and Hemorrohids
A patient after having a baby should drink ____ glasses of water a day
8
Advise the patient to increase ______ and maintain a high ____ diet and good ____ regimen
Fluids
Fiber
Exercise
Are night sweats normal?
Yes
After pains and a gush of blood when pt initally rises is ______
normal
Family planning includes:
Choosing a ____ to have children
_______ of pregnancy
Time
Prevention
____% of women will conceive within 1 year of actively having sexual relations where both parties are fertile
90
____% of unintended pregnancies are by using birth control incorrectly
50
You need an informed consent for these methods of birth control
Surgical Sterilzation
Oral Contraceptives
Hormonal Injections
IUD's
You always have to remember ____ bias when teaching family planning
Cultural
You always have to _____ circumstnace that lead to choice of contraceptive
Document
When getting ready for discharge always give patient advice on _____ classes that are being offered, _______ instructions and make sure they recieve a ____ copy of instructions, and assess for any ____ needs
Group
Individual
Written
Learning
Always tell the patient how important _________ is either if it is in the facility or with their physician
Follow Up Care
If you are to do a PP home visit, make sure you get this info:
Pregnancy HX
Newborn Hx
Future Plans
Family Assessment
Physical Exam
Follow UP info
Menstration
S&S of infection
If a patient is not nursing menstratuation should start back are ___ to ___ weeks after delievery
6-10
Nursing Interventions for mother are
Promote Rest
Promote Adequate fluid intake
Promote urinary elimaination
Prevent Constipation and Hemorrohids
Some pre-existing medical conditions that may effect choice of birth control method include
Thrombophlebitis
Stroke
HBP
Smoking
Over the age of 35
Over 198lbs
The only 100% effective method against STD's and pregnancies is ________
Abstinence
Always have the patient ____ to you hat you said to them
Repeat
Personal preferences in birth control methods include
Religious
Cultural
Peer Group
What is Plan B prevention?
Morning after pill
The only 2 methods that help prevent STD's are
Male and female condoms
These are warning signs of Oral Contraceptive Complications:
A
C
H
E
S
Abdominal Pain
Chest Pain
Severe Headaches, weakness of extremeties
Eye Problems
Severe leg pain or swelling
Abdominal pain when using oral contra. can be a sign of
Benign liver tumor or gallbladder disease
Chest pain, dyspnea or hemoptysis can be a sign of
Pulmonary Embolismn or MI
Severe headaches, weakness or numbness of extremeties can be a sign of
Stroke
Eye problems such as visual changes, blurred vision, double vision or visual loss and speech disturbances can be a sign of
Stroke
Severe leg pain or swelling in the calf or thigh can be a sign of
DVT
Anyone with a hx of the below should not use _____ ______:
Thromophelbeits
Cerebrovascular or cardiovascular diseases
Estrogen dependent cancer or breast cancer
Benign or malignant liver tumors
Hypertension
Oral Contraceptives
You can use oral contraceptives if hypertension is well controlled by _________
Medication
______ contraceptives should not be used by women who currently hae any of the following:
Impaired liver functions
Suspected pregnancy
Undiagnosised vaginal bleeding
Heavy cigarette smoking
Any women older than 35 who smokes
Oral
If a women smokes it is ____ and should be evaulated individually
Discouraged
_______ advantages are increased popularity amoung adolscents and there is no risk for pregnacy or STD
Abstinence
A disadvantage of abstinece is ________ of perr sexual activty may stigmatic
Perceptions
the ____ method advantages aew:
No monterary cost
no devices or chemicals
avaliable in any situation
No medical side effects
Withdrawal
(coitus interruptis)
Some disadvantages of the withdrawal method include
No protection from stds
unforgiving with incorrect use
Requires self-control and self-awareness on the part of the male
______ _______ is when you abstain from intercourse or use barrier method during times of cycle
Fertitily Awareness
________ awareness advantges are:
Increases user knowledge of reproductive potential
Minimial Cost
Fertility
Some disadvantages with fertility awareness are:
No protection from STD
Adolscent females often have irregular cycels
Complicated and limits spontaneity
the ______ condom is a thin sheath over penis to act as barrier to semen
Condom
The ______ condom is a polyurethane sheath that lines the vagina to block passage of semen
Female
Some advatages to condoms are:
Inexpensive
STD protection
No hormonal influence
Rare side effects
Easily avaliable OTC
Some disadvantages to condoms are:
Reduces sensitivty
Limits spontaneity
May be embarrashing to buy
Female condom complicated to insert
________ are a chemical barrier inserted into the vagina before sexual intercourse
Spermicides
Spermicides include ______, _____, _____, and ____
Foam
Jelly
Cram
Suppository
Some advantages of _______ are:
Readily avaliable
Some STD protection
Rare side effects
Provides lubrication during sex
Spermicides
Some disadvantages to spermicides are:
Limits spontaneity
Skin irritation may occur
Too messy
A _______ is a dome shaped rubber cap with a flexible rim, coated with spermicide and inserted into the vagina to provide a protective barrier over the cervix
Diaphram
Some advantages to a diaphram are:
No systemic side effects
Decreased rates of cervical cancer
Some disadvantages to ______ include:
Increased rates of UTI
Requires health visit for fitting
Female must be comfortable touching herself
Limits spontaneity
Diaphrahm
________ contraceptive is to prevent pregnancy by suppresing ovulation, thickening cervical mucus, and thining the endometrial lining
Birth Control Pills
A destructive process that converts living cells into simipler compounds. Involved in involution of the uterus after childbirth
Catabolism
Position that allows eye-to-eye contact between the newborn and a parent.
En Face
Optimal distance for en face is ____ to _____cm
20-22
Intense fascination and close face to face observation between father and newborn
engrossment
First tactile experience between mother and newborn. The mother explores the infants body with her fingertips only
Fingertipping
First 12 weeks after birth, a time for transtition for parents and siblings
4th trimester
A phase of maternal adaptation that involves relinquishing previous roles and assuming a new role as parent
Letting go
Posterior pituitary horomone that stimulates uterine contractions and the milk-ejection reflex
Oxytocin
Anterior pituitary hormone that promotes growth of breast tissue and stimulates production of milk
Prolactin
Acronym useful for assessing wound healing or prescence of imflammation or infection
R
E
E
D
A
Redness
Ecchymosis
Edema
Discharge
Approximation
First phase of maternal adaption during which the mother passively accepts care and comfort and details about the newborn
Taking In
Second phase of maternal adaptation during which the mother assumes control of her own care and initiates care of the infant
Taking Hold
1st 6 weeks after birth
Postpartum Period
3 processes of _____:
Contraction of muscle fibers
Catabolism
Regeneration of uterine epithelium
Involution
The lochia is shed during regeneration, but the ______ layer remains to provide the source of new endometrium
Basal
Exfoliation
scaling off of dead tissue
Since a new endometrium is generated at the site from glands and tissue, this process leaves the uterine lining free of ______ tissue to allow normal pregnancies again.
Scar
Within a few hours after delievery, the fundus should be located at the level of the ___________ and should remain there for 24 hours
Umbilicus
After 24 hours, the fundus begins to ______ by appx 1 cm a dayso that by the 10th to 14th day it is in the pelvic cavity and cannot be palpated
Descend
Intermittent contractions are
Afterpains
Oxytocin during breastfeeding may also cause strong _______ of the uterine muscles
Contractions
_________ are used to lessen the discomforts of afterpains
Analgesics
If mother is breastfeeding she achieves the maximum relief bt taking analgesics ____ minutes prior to breastfeeding
30 minutes
Lying in the ____ position with a small pillow or folded blanket under the abdomen helps keep the uterus contracted and provides relief for afterpains
Prone
_____ and _______ facilitate the milk-ejection reflex
Comfort and Relaxation
Afterpains decrease repadily after ____ hours
48
Less than 2.5cm stain on peripad is considered?
Scant
Light is considered _____ to ____cm stain
2.5-10cm
Moderate is considered ____ to ____ cm stain
10-15
Lare is saturated peri pad in _____ hour
1
Excessive is saturated peri-pad in ____ minutes
15
The vagina _______ entirely regain the nulliparous size
doesn't
Breast feeding mothers are likely to experience vaginal ________ and experience discomfort during intercourse
Dryness
Epistomony site may take ____ to ___ months to heal completely
4-6
Muscels of the ________ are involved in:
walking, sitting, stooping, squatting, bending, defecating,and urinating
Perineum
Relief of ________ discomfort is a nursing priority!
Perineal
_______ml of blood is lost during a delievery, and ______ml in c-section
500
1000
An _________ in maternal cardiac ouptut occurs after childbirth
Increase
_________ is often noted during the postpartum period
Bradycardia
The rise in cardiac output persists for about ____ hours after childbirth due to an increase in stroke volume
48
Bradycardia is defined as a pulse rate of ____ to ____ bpm
50-60
The body rids itself of excess plasma volume by _____ and ________
Diuresis and Diaphoresis
Increased excretion of urine
Diuresis
A urinary output of ________ml a day is not uncommon
3000
Profuse perspiration
Diaphoresis
Comfort measures for a mom who is experiencing Diaphoresis is ___________ and dry _________
Showers and Dry clothing
An __________ in WBC is normal during postpartum period
increase
Average range of WBC is __________ to ____________
14000 to 16000
WBC falls to ______ values by 4-7 days after birth
normal
Hemocrit returns to normal valuves within ____ to ____ weeks
4-6
Elevations is clotting factors continue for several days or longer after delievery causing a continued risk for ___________ formation
Thromobus
Fibrinolytic activty is _____ during pregnancy, but returns shortley after delievery
Decreased
To reduce the risk of thrombophlebitis, early ___________ is required
Ambulation
Nurses should anticiate the mothers need for early _____ and _____ after childbirth
Food and Fluids
The first stool for the mothers occurs ___ to ___ days after childbirth
2-3
If a patient is complaining of a headache, a careful _______ assessment needs to be done
Neurlogical
Headaches that are most severe when woman is in _____ position and are relieved by the _______ position are bad signs and need to be report to anesthesiologist
Upright
Supine
Menses while lactating may resume as early as _____ weeks or as late as _____ months
12 weeks to 18 months
Uncomplicated normal births a woman stays in the hospital for _____ hours
48
If c-section is done, mother stays in _____ hours
96
Vitals
Skin Color
Location and firmness of the fundus
Amount and color of lochia
Perineum
Presence and location of pain
IV infusions
I&O
Abdominal incision
level of feeling and ability to move

These should all be assessed when?
Fourth Stage of labor!!! 1-2 hours after childbirth
H&H, blood type and RH factor, hepatitis B surface antigen, rubella immune status, syphilis screening, and group B strep ststus
Should all be examined when reviewing lab data
The RH immune globin should be adminstered within _____ hours after childbirth
72
You cannot get pregnant _____ months after recieving the Rubella Immunization
3 months
An increase in BP from baseline suggests
Precclampsia
A decrease in BP from baseline may indicate ________ or __________ resulting from excessive bleeding
Dehydration or Hypovolemia
Hypotension may also indicate _________
Hypovolemia
Risk for injury applies to the woman who has ______ hypotension
orthostatic
__________ may indicate excitement, fatigue, pain, dehydration, hypovolemia, anemia or infection
Tachycardia
Normal pulse should be ____ to ____bpm, but ____ to ____ may be normal
60-90
50-60
A normal respiration rate of ____ to _____ breaths per minute should be maintained
12-20
Multiparity, overdistension of the uterus, precipitous labor, prolonged labor, retained placenta, placenta previa induction or augmenation of labor, adminstration of tocolytics, and operative procedures are all signs of what postpartum high risk factor?
Hemmorrahage
Operative procedures, multiple cervical exams, prolonged labor, prolonged rupture of membranes, manual extraction of placenta, diabetes, indwelling catheter, or anemia are all postpartum high risk factors for?
Infection
A constant trickle of lochia indicates excessive ________ and requires immediate attention
Bleeding
Excessive lochia in the prescene of a __________ uterus suggest lacerations of the birth canal and the health care provider must be noified so that the lacerations can be located and repaired
Contracted
You should continue to support lower uterine segment and massage until firm and apply pressure to the fundus to express clots that may be accumulating in uterus. Also, you need to notifiy doctor and begin oxytocin adminstration if the fundus becomes _____ and ______ when massage is stopped
Soft and Uncontracted
Signs of infection include:
Maternal fever
Tachycardia and uterine tenderness and pain
Abscence of lochia may also indicate a ____________
Infection
Frequent voidings of less than ____ml of urine indicates urinary retention with overflow
150ml
______ or _______ indicates Soft tissue damage that can delay healing of an epistomoy
Ecchymosis or edema
Signs of an empty bladder include a ____ fundus in the midline and a ________ bladder
Midline
Nonpalpable
When the mother can void at least ____ to _____ml, the bladder isusally empty
300-400ml
Subjective symptoms of urgency, frequency and dysuria suggest a ________ _________ ________
UTI
Dimpling or thickening of breast can be a sign of a breast _______
Tumor
The breast may feel Lumpy as the various lobes begin to produce _____
milk
______ pulses should be assessed with each assessment
Pedal
Deep tendon reflexes should be ____+ to ____+
1+ to 2+
Brisker than average and hyperactive reflexes (___+ to ____+) suggest precclampsia
3+ to 4+
!st 24 hours PP is called the ________ postpartum period
Immediate
The 1st week is referred to as the _____ postpartum period
Early
2nd week to 6th week is the _____ postpartum period
Late
The mother should be advised to squeeze her buttocks together before _______ and to lower her weight slowly onto her buttocks
Sitting
Ice Packs, Perineal Care, Topical Meds, Sitting, Sitzs baths and Analgesics are all ______ measures
Comfort measures
Medicating mother for perineal pain, running water placing the mother hands in water and pouring water over the vulva, encouraging urination in shower or sitzs bath, providing hot tea or fluids of choice, and asking the mother to blow bubbles thrugh a straw are all common measure to promote _______ of the perineal muscles to stimulate the sensation of needing to void
Relaxation
Urinary _______ is major cause of uterine atony
Retention
If these things happen a mother must be ________-:
Unable to void
Amount voided is less than 150ml
Fundus is elevated or displaced from midline
Catherizied
Women should be encouraged to drink apprx ______ml of fluids each day
2500ml
If a respiratory rate is below 12 breaths per minutes the nurse should
Notify anesthesologist immediatetlu
Elevate head of the bed
Adminster oxygen and apply pulse oxi
Adminstster nartoic antagonist (narcan)
Observe for reoccurance of resp. depress
These are the signs of ____________ ______ (lack of movement in bowel):
Abdominal distension
Absent or decreased bowel sounds
no pssage of flatus or stool
Paralytic ileus
The mother who delievers baby by c-section is on bed rest for ____ to ____hrs
8-12
Comfort and refreshining measures for c-section client include:
Oral hygeine
perineal care
sponge bath
cclean linen
Clear liquids are changed to soft or regular diet once _____ sounds are heard
Bowel
Mother usually can shower ____ days after c-section
2
The best hold for breast feeding on a mother who had a c-section is:
Side-lying or football hold
The best method for preventing abdominal distension is:
Frequent Ambulation
A person who had a c-section should avoid ___________ beverages and the use of straws because they increase the accumulation of gas.
Carbonated
Before begininng teaching, determine the _______ needs and the major concerns of the family
Learning
Discomfort cna usually be managed by applying _____ and with analgesics for a mother who will not be breast feddding
Ice
Instruct breast feeding mothers to avoid using soap on her ________ because it will remove the natural lubrication
Nipples
The best comfort measure for breasts is to wear a apprioriately fitting _____
BRA
Remind the new mother not to separte the ______ during perineal cleansing so that the water does not enter the vagina
Labia
The mother should maintain a flexble routine that focuses on care of the ______ and infant
mother
Tell the mother to _____ whenever the infant sleeps
nap
Tell mother to plan ____ meals and flexible mealtimes
simple
Tell the mother to ______ assitance with food shopping, meal prepartion and housework
Accept
Tell the mother to ________ any major household projects
postpone
Tell the mother to ______ friends and family to provide care for other children
involve
The infant usually sleeps through the night by _____ months
4
Suggest a ____ fat diet with adequate protein, complex carbs, fruits and veggies
low
C-sections mothers should not begin strenous exercise program for ____ to ____ weeks
4-6
Fever
Localizied area of redness
persistant abdominal tenderness
feelings of pelvic fullness or pressure
persisitant perineal pain
frequency, urgency, or burning on urination
change in color of lochia
signs of dvt
seperation of or foul drainage fromc-section
Signs and Symptoms that should be reported
The 1st 30-60 minutes after birth is know as the
Sensitive period
Process by which enduring bond to a child is developed through pleasurable, satisfying parent-child interaction
Attachment
The mother is focused primarly on her own need for fluid, food, and sleep during the _________ ____ phase
Taking in
The mother exhibits concern about managing her own body functions and assumes responsiblity for her own self care during the ____ _____ phase
Taking hold
The mother may verbalize anxiety about her competence as a mother during the _______ _____ phase
taking hold
The phase when some families are disappointed by the size, sex, or characteristics of the infant who does not match up with the fantasy baby of pregnancy
Letting Go
Process in which the mother achieves confidence in her ability to care for her infant and becomes comfortable with her identity as a mother. This has four stages
Role Attainment
________ stage begins during pregnancy when pregnant women choose a physician or nurse mid-wife
Anticipatory
Begins with the birth of the infant and continues for apprx 4-6 weeks
Formal Stage
A major task for parents during this stage is to become acquainted with their infant so that they can mesh their caregiving with cues from the infant
Formal stage of maternal role attainment
This stage begins once the parents of learned approriate response to their infants cues or signals
Informal Stage
In this stage the parents accept and feel comfortable with the role of the parent
Personal Stage
The 4 stages of maternal role attainment are:
Anticipatory
Formal
Informal
Personal
Who's theme is this?
Heading towards a new Normal?
Martell
Appreciating the body
Settling in
Becoming a new family
these are the 3 phases of _______
Martell
This phase centers on the way a woman feels physically as she deals with discomfort, fatigue and changes in her body. Also involves dealing with emotional lability and changes in the way women think and retain information
Appreciating the body
During this stage the mothers become more secure with their infants and they accommodate their needs and activities to meet the needs of the infant
Settling In
During this stage the new family develop new routines to include the infant and enjoy spending time alone with the newly developed family
Becoming a new family
____ CONFLICT OCCURS WHEN ONES PERCEPTION OF ROLE RESPONSIBLITY DIFFERS SIGNIFICATLY FROM REALITY
ROLE
Postpartum blues is a frequently expressed concern and it effects more than ____% of American Women who have given birth
70
Postpartum blues usually begins in the 1st week and usually lasts no longer than ____ weeks
2
Some characteristics of _________ are:
Insomnia
Irritablity
Fatigue
Tearfulness
Mood instability
Anxiety
Postpartum blues
Mothers with postpartum blues benefit greatly when empathy and ______ are freely given by the family and the health care team
Support
Nurses should teach women to call their provider if their ________ last longer longer than expected and becomes severe
Depression
The fathers developing bond to his newborn is called
Engrossment
These are all factors that affect ___________:
Lingering discomfort or pain
Chronic Fatigue
Knowledge of infant needs
Available support system
Expectations of the newborn
Previous experience with Infants
Maternal Temparment
Infant characteristics
C-section, pre-term or ill child, or multiple babies
Adaptation
A common nursing dx is _____ for impaired parenting related ti multiple factors including ....
risk
These nursing measures to promote _______ and _______:
Assiting
Positioning
Pointing out
Encouragement
Bonding and Attainment
You should assist the parents in unwrapping the baby to ______ the toes, finger and body. This process allows the parents to become acquainted with the real baby
Inspect
Position the baby in the ___ ____ position because eye-to-eye contact is a first step in establishing mutual interaction
En face
Point out the ________ bonding activities of the infant: "Look how she holds your finger"
Reciprocal
Encourage the parents to spend time with the infant so that they can _______ at their own sppeed threw the discovery of getting-acquainted stage
Progress
Assist the mother in feeding the infant, and ______ her questions about feeding
answer
Teach model behaviors by holding the infant close and speaking in _____-pitched soothing tones
High
When the baby looks away, splays the fingers, arches the back, or fussiness, this indicates a need for quiet time are are called _______ cues
Avoidance