Term
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Definition
| The return of the reproductive organs to their normal nonpregnant state |
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Term
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Definition
| Failure of the uterus to return to a nonpregnant state; the most common causes of subinvolution are retained placental fragments and infection |
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Term
Postpartum Assessment
B-U-B-B-L-E H-E |
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Definition
B: Breasts
U: Uterine fundus
B: Bladder function
B: Bowel function
L: Lochia
E: Episiotomy (Perineum)
H: Homan's sign (legs)
E: Emotions |
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Term
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Definition
| Palpate breasts to determine if they are soft or filling |
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Term
| Abnormal Findings (Breasts) |
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Definition
| Redness, heat, pain, cracked, and fissured nipples, inverted nipples, palpable mass, painful, bleeding, bruised, blistered, cracked nipples |
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Term
| Assessment of Uterine Fundus |
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Definition
Ensure bladder is empty & lay patient supine
Fundus should be firm; if not firm massage until firm
fundus is 2 cm below the level of the umbilicus immediately after birth |
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Term
| Assessment of Bowel Function |
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Definition
| Assess abdomen for distention, LBM, bowel sounds, hemmorrhoids |
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Term
| Abnormal Findings (Bowel) |
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Definition
| Constipation, diarrhea, epigastric pain, hemorrhoids |
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Term
| Assessment of Bladder Function |
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Definition
| Asses last void, rule out urinary retention |
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Term
| Abnormal Findings (Bladder) |
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Definition
| Inability to void, frequency, urgency, dysuria |
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Term
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Definition
Rubra (red) - lasts 3 to 5 days
Serosa (pink) - lasts 22 to 27 days
Alba (white) - continues for 10 to 14 days |
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Term
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Definition
LIFE THREATENING EVENT*
Defined as: loss of more than 500 mL of blood after vaginal birth, loss of more than 100 mL of blood after cesarean birth, a 10% change in HCT between admission for labor and postpartum or the need for RBC transfusion |
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Term
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Definition
Characterize by emotional liability, crying, easily and for no apparent reason, a let-down feeling, restlessness, fatigue, insomnia, headache, sadness, anger
Symptoms are usually mild and short lived
The "blues" are normal
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Term
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Definition
| An intense and pervasive sadness with severe and labile mood swings; it is more serious and persistent than the baby blues |
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Term
| Risk Factors for Postpartum Hemorrhage |
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Definition
Early: uterine atony (hypotonia of the uterus), lacerations
Late: subinvolution of the uterus, endometritis |
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Term
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Definition
Is given to Rh- women who may give or gives birth to an Rh+ infant
Suppresses antibody formation in Rh - women
Given 28 weeks gestation as prophylaxis |
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Term
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Definition
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