Term
| How long may a woman stay in the hospital after an infant birth? |
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Definition
| May stay up to 48 hours for vaginal birth and 96 hours for cesarean birth |
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Term
| How long before a nursing assessment begins after an infant birth? |
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Definition
| Comprehensive nursing assessment begins within 1 hour of birth and continues through discharge from facility |
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Term
| Physical assessment acronym BUBBLEEE represents what focal points in the assessment? |
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Definition
B = Breasts
U = Uterus
B = Bladder
B = Bowels
L = Lochia
E = Episiotomy
E = Epidural Site
E = Extremities |
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Term
| What specifically are you assessing in breasts? |
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Definition
Inspect for size, contour, asymmetry, engorgement, or erythema
Check nipples for cracks, redness, fissures, or bleeding –erect, flat, or inverted? |
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Term
| What are you looking for in a postpartum assessment of the uterus? |
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Definition
1)Palpate fundus for degree of involution
2)Fundus should be midline and firm
3)Boggy or relaxed uterus is a sign of uterine atony
4)If fundus is not firm, massage in circular motion until it becomes firm
Full bladder and retained placental fragments can displace uterus upward and to right
Predisposes woman to hemorrhage |
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Term
| What should the fundal height be at delivery? |
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Definition
| Right above the umbilicus |
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Term
| What are you assessing in regard to the postpartum bladder? |
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Definition
1)Assess for distention and adequate emptying by palpation
2)Be alert to signs and symptoms of UTI
3)Document I&O |
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Term
| What do you need to be aware of in doing a postpartum bowel assessment |
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Definition
Spontaneous bowel movements may not occur for 2-3 days after delivery
1)Decreased muscle tone in intestines due to elevated progesterone
2)Auscultate for bowel sounds
3)Normal BM patterns usually resumes within a week
4)Consider perineal pain due to episiotomy, lacerations, and hemorrhoids |
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Term
| Postpartum assessment of lochia |
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Definition
Assess in terms of amount, color, odor, and change with activity and time
Peri-pads per hour
Alba - occurs next, lasting up to six weeks after childbirth. Lochia alba is white or yellowish-white.
Serosa - occurs until about the tenth day after childbirth. Lochia serosa is thinner than lochia rubra and is brownish or pink.
Rubra - the first three to five days of postpartum vaginal discharge. Lochia rubra appears very bright red and contains a large amount of red blood cells. |
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Term
| Postpartum assessment of episiotomy |
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Definition
Inspect for irritation, ecchymosis, tenderness, or hematomas
Early postpartum period –typically edematous and slightly bruised…
Assess for hemorrhoids
Lacerations classified based on severity and tissue involvement:
1st degree = only skin and superficial structures above muscle
2nd degree = extends through perineal muscles
3rd degree = extends through anal sphincter muscle
4th degree = continues through anterior rectal wall |
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Term
| What are you looking for in a postpartum extremities assessment? |
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Definition
1)Assess for clots –DVTs
2)Altered coagulation
3)Localized vascular damage
4)Inspect degree of sensory and motor function by touching various areas and observing ambulation stability |
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Term
| Why is breastfeeding good for an infant? |
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Definition
| Human milk is uniquely tailored to meet the nutrition needs of human infants. It has the appropriate balance of nutrients provided in easily digestible and bioavailable forms |
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