Exam (elaborations)
NURS 306 Quiz 3 Post Partum changes, Meds, PP danger signs, PP blues depression
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- Chamberlain College Of Nursing
NURS 306 Quiz 3 Post Partum changes, Meds, PP danger signs, PP blues depression
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Name: Score:35 Multiple choice questions
Definition
a rare and severe form of depression that occurs in women just after giving birth and includes
delusional thinking and hallucinations
-first 8 weeks after childbirth
-hallucinations
-agitation
-confusion
-delusions
REQUIRES HOSPITALIZATION AND TREATMENT
postpartum endometrium
postpartum psychosis
postpartum danger signs
episiotomy1 of 35
Definition
midline: incision that is midline on the perineum.
-type of incision tends to heal more quickly and cause less pain then a mediolateral episiotomy
Mediolateral: is an incision that is made at a 45 degree angle to the perineum
episiotomy
postpartum psychosis
maternal touch
postpartum blues2 of 35 Definition
Used to prevent an immune r esponse to Rh positiv e blood in peopl e with an Rh nega tive blood
type
-Adverse reactions: muscl e pain, headaa che, heada che
Postpartum Endometrium
Oxytocin (pit ocin)
RhoGAM
Episiot omy3 of 35
Definition
Assess for ton, location, and position
-every 15: first hour
-every 30: second hour
-every 4 hr: next 22 hr s
-every shift: first 24 hr s
-tone: firm if boggy massa ge
-height: fundal height = day PPD (3 PPD = 3 cm bel ow navel)
-location: midl ine ut erus left or right means drain bl adder
-support the lower uterine segment by placing one hand jus t above the s ymphy sis pubis
-evaluate lochia
SUBINV OLUTION: failure of the ut erus to involute/ descend as expect ed
-causes: pl acental fragments, over-distended ut erus
Postpartum Ut erus
Postpartum P sychosis
postpartum bl ues
post partum depr ession4 of 35 Definition
-grape siz e is fine
-egg/l ike is not ok
Location of fundu s after birth ?
Clot:
Urine change s?
RhoGAM5 of 35
Definition
Under goes exfoliation and r egener ation after birth
-assess Lochia:
Lochia Rubr a- Days 1-3, bloody with smal l clots, mo derate to scant amount , fleshy odor
Lochia Serosa- D ays 4-10, pink or brown color, scant amount , incr eased flow during phy sical
activity , fleshy odor
Lochia Alba- Day 10, yellow to white in color, scant amount , fleshy odor
-assess for clots
-clots size of egg or larger shoul d be weighed
-1g=1 ml blood loss
-assess for color
-assess for odor
Patient Educa tion:
-physical activity and getting up can incr ease flow
Postpartum Endometrium
postpartum Br easts change s
Postpartum Change s Of Muscular And Ner vous Systems
Maternal Touch6 of 35 Definition
a mild, transient emotional letdown e xperienced by a majority of women after giving birth
-lasts a few days
-first few days
CAUSES :
-changes in hormonal levels
-fatigue
-stress from taking on the ne w role of mother
S/S:
-anger
-anxiety
-moo d swings
-sadness
-weeping
-difficul ty sleeping
-difficul ty eating
NURSING ACTIONS:
-explain that this occur s in the majority of women
-explain import ance of rest in reducing s tress
-educa te that if sympt oms last longer then 4 weeks to contact HCP
postpartum p sychosis
Postpartum Ut erus
post partum depr ession
postpartum bl ues7 of 35
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