Term
| Describe the nursing assessments and interventions for the patient with postpartum hemorrhage |
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Definition
BUBBLE HE
fundus, lochia, VS, urine output, comfort level, skin |
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Term
| Describe factors which can lead to subinvolution of the uterus |
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Definition
| prolonged discharge of lochia, irregular or excessive uterine bleeding, profuse hemorrhage. feelings of pelvic pain or heaviness, backache, fatigue, persistent malaise. on bimanual exam, the uterus feels larger and softer than normal for that time of the puerperinum |
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Term
| Identify how the interventions in normal postpartum care prevent puerperal infection |
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Definition
| vital sign monitoring, temp changes, change in LOC, imbalanced fluid and electorlyte imbalance |
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Term
| Describe the types of puerperal infection and identify their various signs and symptoms |
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Definition
| endometritis, mastitis, endomyometritis, endoparametritis, metritis |
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Term
| Discuss hematomas and describe their clinical pictures |
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Definition
| hematomas occur when bleeding into loose connective tissue occurs while overlying tissue remains intact |
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Term
| Discuss the factors placing the postpartum woman at risk for thrombosis |
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Definition
| inactivity, prolonged bed rest, obesity, C section, sepsis, smoking, previous thrombosis, varicose veins, DM, trauma, prolonged labor, prolonged 2nd stage, maternal age > 35, increased parity, dehydration, 1st degree relative with thrombosis, use of forceps, antiphospholipid syndrome, air travel |
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Term
| Discuss the nursing measures to assess for and prevent thrombosis in the postpartum woman |
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Definition
| analgesics, rest and elastic support, elevation, warm packs, NSAID, anticoagulants (if severe) |
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Term
| Formulate a plan of care for the patient with urinary retention |
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Definition
| bathroom trips every two hours, increase fluid intake, increase ambulation, pt teaching, |
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Term
| Discuss interventions to prevent postpartum urinary tract infections |
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Definition
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Term
| Discuss mastitis with regard to its etiology and management |
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Definition
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Term
| Describe nursing care of the postpartum mother with an active case of herpes |
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Definition
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Term
| Formulate a plan of care for the delivered woman who is HIV positive |
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Definition
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Term
Describe the three subclasses of postpartum psychiatric disorders with regard to:
a. Incidence
b. Symptoms
c. Treatment |
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Definition
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Term
| Discuss risk factors for postpartum depression versus postpartum psychosis |
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Definition
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Term
Discuss the physiological action, potential side effects and nursing implications for each of the following medications. Be prepared to identify the therapeutic effect of each medication.
Classification: Oxytocic Classification: Antiviral
Methergine Acyclovir (Zovirax)
Hemabate Zidovudine (Retrovir)
Oxytocin (Pitocin, Syntocinon) |
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Definition
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