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;
8 Cards in this Set
- Front
- Back
|
Vitals |
HR - bradycardia in first 48 hours is normal - blood that was going to the fetus returns to circulation, cause HR to slow - tachycardia may indicate hemorrhage, infection, of hypoxia BP - should not change much from baseline - if there's a change, assess if lochia is excessive and red RR - may be slowed from meds given, but shouldn't change much from baseline overall Temperature - elevated temperature is abnormal |
|
|
Fundus |
- should see involution as uterus returns to pre-pregnancy size - decreases by 1cm per day for 10 days - not decreasing =subinvolution - should be firm to indicate contraction - should be midline - if deviated, may be die to full bladder, which may also affect contractions |
|
|
Interventions to correct uterus that's not contracting |
- massage - nipple stimulation (breastfeeding) - oxytocin |
|
|
Lochia |
Rubra = red and bloody, 3 days Serosa = pink mucous and blood, 3-10 days Alba = clear pr white mucous, 10-21 days - abnormal if sequence goes backwards - brown, green, or foul smelling is abnormal and may indicate infection - large clots followed by excess rubra is abnormal |
|
|
Teachings to give regarding lochia |
- report foul smell - rubra blasting more than 3 days - unusually heavy flow - lochia regressing to rubra after getting to next stage |
|
|
Perinuem |
- episiotomy/laceration should heal on 2-3 weeks - assess with REEDA - hemorrhoids may develop from pushing |
|
|
Interventions for episiotomy and lacerations |
- cool pads for first 24hrs and hot pack after - peri bottle to wash perineum after voiding - topical meds - ring pillows for hemorrhoids |
|
|
Bladder/urethra |
- increased volume as kidneys try to get rid of the excess fluid in system - 3000mL/24hrs - full bladder may displace uterus and cause bleeding - assess distension and urination from poor muscle tone |
