Download (UPDATED) 2026: Postpartum and more Quizzes Advanced Education in PDF only on Docsity!
>5 pregnancies
Postpartum • • (^) Also known as PuerperiumFirst 6 weeks after birth
- Adaptation to the maternal role and modification to the family system
Choose an answer 1 What is grand multiparty? 2 Postpartum 3 Nursing Interventions 4 Descent of the Uterine Fundus Don't know?
BUBBLE(E) Assessment • • BreastUterus
- • BladderBowel
- • LochiaEpisiotomy
- Emotion 3 Processes of Involution of the Uterus 1. Contraction of the muscle fibers2. Catabolic processes
- Regeneration of uterine epithelium The site of placental attachment heals by ___ Process of exfoliation Descent of the Uterine Fundus • • About 1 cm per dayFourteen days after childbirth, the fundus should no longer be palpable.
Afterpains Or intermittent uterine contractions, cause discomfort for many women(multiparas, breastfeeding).
Lochia Rubra Bright red, clots, 1-3 days after delivery Lochia Serosa Pinkish/brown, serosanguineous. Lasts day 4-10 postpartum Lochia Alba Whitish/yellowish discharge - lasts 10-14 days, may last 3-6 weeks and remainnormal.
Vagina Postpartum It takes 6-10 weeks for the vagina to regain its nonpregnant size and contour. Perineum Postpartum Perineal trauma and hemorrhoids cause discomfort and can interfere with activityand bowel elimination.
Evaluation of Episiotomy Healing • • RednessEdema
- • EcchymosisDischarge/drainage
- Approximation Nursing Interventions • • (^) Sitz bath 3-4 x/day 20 min warm H2O ( procedure 15-1 pg 480 )Ice 24hrs
- • (^) Change pad frequentlyDry heat (lamp, hot packs)
- • (^) Topical medicationPeri care after each void
Breast Assessment • • Inspect for size, contour, asymmetry and engorgementNipples check for cracks, redness, fissures (positioning and latch critical for successful breastfeeding) • Note if nipples are flat, inverted or erect
Uterine Atony Signs • • Fundus is difficult to locate"Boggy" or soft feel to the fundus
- • Becomes firm when massagedExcessive lochia and clots
Uterine Atony Management • • Measures to contract the uterusProvide fluid replacement
Subinvolution Delayed return of the uterus to its nonpregnant size and consistency (Retention ofplacental fragments or Infection)
Postpartum Infection • • Fever, chillsPain or redness of wounds
- • (^) TachycardiaPurulent wound drainage or wound edges not approximated
- • (^) Abnormal duration of lochia, foul odorUterine subinvolution
Risk Factors for Postpartum Infection • • Operative procedures (cesarean birth, vacuum extraction, forceps)Multiple cervical examinations
- • Prolonged laborProlonged rupture of membranes
- • Manual extraction of the placentaDiabetes
- Catheterization Mastitis • • Infection of the breast (one sided)Infected nipple fissure -> to ductal system involvement -> edema obstructs milk flow in a lobe -> mastitis When is Mastitis seen? 2-3 weeks after delivery What is Mastitis caused by? Staphylococcus aureus Bonding • • The initial attraction felt by parents for their infants.It is unidirectional from parent to child.
Attachment • developed. The process by which an enduring bond between a parent and child is
- This begins in pregnancy and extends for many months after birth. What is postpartum blues/baby blues? Mild depression lasting no longer than 2 weeks Postpartum blues affects what percentage of women? 70%-80% What is postpartum depression? A disabling affective disorder that affects the entire family lasting at least 2 weeks
