Podcast
Questions and Answers
What symptom is most indicative of possible postpartum hemorrhage?
What symptom is most indicative of possible postpartum hemorrhage?
- Slight abdominal tenderness
- Bright red bleeding after lochia has diminished (correct)
- Mild breast engorgement
- Low-grade fever
Which symptom is associated with the need to contact a healthcare provider after discharge?
Which symptom is associated with the need to contact a healthcare provider after discharge?
- Slight dizziness
- Mild back pain
- Occasional headaches
- Foul-smelling lochia (correct)
What does unilateral breast tenderness and fever commonly indicate postpartum?
What does unilateral breast tenderness and fever commonly indicate postpartum?
- Cystitis
- Postpartum depression
- Mastitis (correct)
- Preeclampsia
Which of the following is a common expected physical change postpartum?
Which of the following is a common expected physical change postpartum?
What is a potential serious complication indicated by a combination of blurry vision, severe headaches, and fluid retention postpartum?
What is a potential serious complication indicated by a combination of blurry vision, severe headaches, and fluid retention postpartum?
What role does oxytocin play in the management of postpartum hemorrhage?
What role does oxytocin play in the management of postpartum hemorrhage?
Which of the following symptoms indicates a potential risk for venous thrombosis postpartum?
Which of the following symptoms indicates a potential risk for venous thrombosis postpartum?
What symptom paired with difficulty caring for oneself or the infant can suggest postpartum depression?
What symptom paired with difficulty caring for oneself or the infant can suggest postpartum depression?
What is the expected decrease in hemoglobin per 500 mL of blood loss?
What is the expected decrease in hemoglobin per 500 mL of blood loss?
Which symptom is NOT indicative of deep vein thrombosis?
Which symptom is NOT indicative of deep vein thrombosis?
What should be done if the uterus is boggy and displaced to the side?
What should be done if the uterus is boggy and displaced to the side?
Why is quantifying blood loss (QBL) important?
Why is quantifying blood loss (QBL) important?
What is the relationship between grams and milliliters when measuring blood loss?
What is the relationship between grams and milliliters when measuring blood loss?
Which of the following methods can be used when assessing blood in the context of excessive bleeding?
Which of the following methods can be used when assessing blood in the context of excessive bleeding?
What does early assessment of calves and groin areas help identify?
What does early assessment of calves and groin areas help identify?
What is a possible indication that a vessel might be affected by thrombosis?
What is a possible indication that a vessel might be affected by thrombosis?
What is lochia primarily composed of?
What is lochia primarily composed of?
Which statement correctly describes colostrum?
Which statement correctly describes colostrum?
What is a primary complication associated with breastfeeding?
What is a primary complication associated with breastfeeding?
What should be monitored for during the first postpartum week?
What should be monitored for during the first postpartum week?
When assisting a woman who feels dizzy or faint, what is the first step to take?
When assisting a woman who feels dizzy or faint, what is the first step to take?
What does the hematocrit measure in the context of postpartum care?
What does the hematocrit measure in the context of postpartum care?
How long does colostrum typically continue after delivery?
How long does colostrum typically continue after delivery?
What action should be taken if a woman faints?
What action should be taken if a woman faints?
Which phase describes a period of dependent behaviors occurring in the first 24 to 48 hours after birth?
Which phase describes a period of dependent behaviors occurring in the first 24 to 48 hours after birth?
What is the primary aim of AWHONN's Perinatal Quality Measures?
What is the primary aim of AWHONN's Perinatal Quality Measures?
The 'Taking Hold Phase' is characterized by which of the following?
The 'Taking Hold Phase' is characterized by which of the following?
During which phase do mothers often experience emotional adjustments and role transitions?
During which phase do mothers often experience emotional adjustments and role transitions?
What significant hormonal changes occur postpartum?
What significant hormonal changes occur postpartum?
What is a characteristic of the 'Baby Blues' emotional state?
What is a characteristic of the 'Baby Blues' emotional state?
Which statement best describes Lochia discharge?
Which statement best describes Lochia discharge?
Under what condition can nurses refuse to assist with a health-care procedure?
Under what condition can nurses refuse to assist with a health-care procedure?
What occurs during uterine involution postpartum?
What occurs during uterine involution postpartum?
Why is skin-to-skin contact significant for mother and baby?
Why is skin-to-skin contact significant for mother and baby?
What is typically observed in the cardiovascular adjustments during the postpartum period?
What is typically observed in the cardiovascular adjustments during the postpartum period?
In terms of menstrual cycle, what is the expected outcome postpartum?
In terms of menstrual cycle, what is the expected outcome postpartum?
Why should a capable pregnant woman's decision to refuse recommended medical interventions be respected?
Why should a capable pregnant woman's decision to refuse recommended medical interventions be respected?
What is the significance of evidence-based practice (EBP) in nursing?
What is the significance of evidence-based practice (EBP) in nursing?
How can culture impact the care of a childbearing family?
How can culture impact the care of a childbearing family?
What role does family play in childbirth according to cultural perspectives?
What role does family play in childbirth according to cultural perspectives?
In which area might cultural beliefs especially affect a woman's experience during labor?
In which area might cultural beliefs especially affect a woman's experience during labor?
Which of the following practices is most associated with postpartum care in various cultures?
Which of the following practices is most associated with postpartum care in various cultures?
What might be a consequence of not respecting a capable pregnant woman's autonomy?
What might be a consequence of not respecting a capable pregnant woman's autonomy?
What aspect of evidence-based practice can contribute to enhancing patient outcomes?
What aspect of evidence-based practice can contribute to enhancing patient outcomes?
What is administered to Rh-negative women who give birth to Rh-positive neonates if they are Coombs' negative?
What is administered to Rh-negative women who give birth to Rh-positive neonates if they are Coombs' negative?
Which of the following is NOT part of the postpartum assessment overview?
Which of the following is NOT part of the postpartum assessment overview?
What is a common reason for pain during the postpartum period?
What is a common reason for pain during the postpartum period?
Which of the following nonpharmacological interventions can help alleviate postpartum pain?
Which of the following nonpharmacological interventions can help alleviate postpartum pain?
What is the maximum daily dose of ibuprofen recommended for postpartum pain relief?
What is the maximum daily dose of ibuprofen recommended for postpartum pain relief?
Which statement regarding NSAIDs for postpartum pain management is true?
Which statement regarding NSAIDs for postpartum pain management is true?
Which of these pharmacological interventions is specifically reserved for moderate to severe pain postpartum?
Which of these pharmacological interventions is specifically reserved for moderate to severe pain postpartum?
What does the acronym BUBBLELE stand for in the postpartum assessment?
What does the acronym BUBBLELE stand for in the postpartum assessment?
Flashcards
Pregnancy and Childbirth Beliefs
Pregnancy and Childbirth Beliefs
The beliefs and practices surrounding pregnancy, childbirth, and the postpartum period that are specific to a cultural group.
Pain Perception and Management
Pain Perception and Management
The way individuals within a culture perceive and cope with pain, including during labor and childbirth. This can vary greatly across cultures.
Postpartum Practices
Postpartum Practices
Postpartum practices are customs and traditions followed after childbirth. Examples include dietary restrictions, bathing practices, and specific care for the mother and newborn. These practices vary significantly across cultures.
Role of Family
Role of Family
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Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP)
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Rationale for EBP
Rationale for EBP
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Impact of EBP
Impact of EBP
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Uterine Atony
Uterine Atony
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Uterine Involution
Uterine Involution
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Lochia
Lochia
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Afterpains
Afterpains
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Breast Engorgement
Breast Engorgement
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Oxytocin
Oxytocin
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Oxytocin (Pitocin)
Oxytocin (Pitocin)
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Postpartum Hemorrhage
Postpartum Hemorrhage
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What is lochia?
What is lochia?
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How does the placental site heal?
How does the placental site heal?
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What is colostrum?
What is colostrum?
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What is mastitis?
What is mastitis?
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What is orthostatic hypotension?
What is orthostatic hypotension?
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Why should women rise slowly after childbirth?
Why should women rise slowly after childbirth?
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Why is a CBC done postpartum?
Why is a CBC done postpartum?
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What is hematocrit?
What is hematocrit?
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Coombs' Test
Coombs' Test
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Rh(D) Immune Globulin
Rh(D) Immune Globulin
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BUBBLELE
BUBBLELE
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Postpartum Pain
Postpartum Pain
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Nonpharmacological Interventions
Nonpharmacological Interventions
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NSAIDs
NSAIDs
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Opioid Analgesics
Opioid Analgesics
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Acetaminophen
Acetaminophen
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Blood Loss and Hemoglobin/Hematocrit
Blood Loss and Hemoglobin/Hematocrit
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Deep Vein Thrombosis (DVT) Symptoms
Deep Vein Thrombosis (DVT) Symptoms
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Assessing for DVT
Assessing for DVT
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Boggy Uterus
Boggy Uterus
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Massaging a Boggy Uterus
Massaging a Boggy Uterus
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Displaced Uterus
Displaced Uterus
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Quantifying Blood Loss (QBL)
Quantifying Blood Loss (QBL)
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Importance of QBL
Importance of QBL
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What is AWHONN?
What is AWHONN?
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What is AWHONN's stance on individual nurses' rights regarding reproductive health care procedures?
What is AWHONN's stance on individual nurses' rights regarding reproductive health care procedures?
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How does AWHONN aim to improve perinatal care outcomes?
How does AWHONN aim to improve perinatal care outcomes?
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What is Healthy People 2023?
What is Healthy People 2023?
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What are some of the goals of Healthy People 2023?
What are some of the goals of Healthy People 2023?
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What is Uterine Involution?
What is Uterine Involution?
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What is Lochia Discharge?
What is Lochia Discharge?
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What are some of the Breast Changes that happen postpartum?
What are some of the Breast Changes that happen postpartum?
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What are some of the Hormonal Shifts that occur postpartum?
What are some of the Hormonal Shifts that occur postpartum?
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What are the Cardiovascular Adjustments that happen postpartum?
What are the Cardiovascular Adjustments that happen postpartum?
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What are some of the Perineal and Abdominal Healing aspects of postpartum?
What are some of the Perineal and Abdominal Healing aspects of postpartum?
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When do Ovulation and Menstruation return after childbirth?
When do Ovulation and Menstruation return after childbirth?
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What are the Baby Blues?
What are the Baby Blues?
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What is Bonding with the Baby?
What is Bonding with the Baby?
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What is the Sense of Role Transition, specifically Rubin's Restorative Phase?
What is the Sense of Role Transition, specifically Rubin's Restorative Phase?
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What is the Taking-In Phase of Rubin's Restorative Phase?
What is the Taking-In Phase of Rubin's Restorative Phase?
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What is the Taking-Hold Phase of Rubin's Restorative Phase?
What is the Taking-Hold Phase of Rubin's Restorative Phase?
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What is the Letting-Go Phase of Rubin's Restorative Phase?
What is the Letting-Go Phase of Rubin's Restorative Phase?
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Study Notes
Vocabulary
- Birth rate: Number of live births per 1,000 people. U.S. rates have declined since 1960.
- Very premature: Neonates born before 32 weeks of gestation.
- Moderately premature: Neonates born between 32 and 33 weeks of gestation.
- Late premature: Neonates born between 34 and 36 weeks of gestation.
- Infant mortality: Death before age 1.
- Binuclear family: Children of divorced parents in separate homes.
- Nuclear family: 2 parents and a child living together.
- Extended family: Aunts, uncles, or grandparents living with the family.
- Blended family: Step-families (2 adults and their children).
- Puerperium: The first 42 days after childbirth.
- Standards of Practice: Set of standards to ensure consistent and quality nursing care.
- Scope of Practice: Defines the range of services provided by nurses, based on state regulations.
- Evidence-based practice: Nursing care based on research and proven methods.
Legal and Ethical Issues in Childbearing Families
- Informed Consent: Agreement to a procedure after a full disclosure of risks, benefits, alternatives and consequences.
- Ethical principles: Guidelines for social values and norms in patient care.
- Autonomy: Patient's right to self-determination.
- Fidelity: Keeping promises and commitments.
- Justice: Fair and equitable distribution of care.
- Beneficence: Positive actions to help others.
- Nonmaleficence: Avoidance of causing harm.
- Veracity: Honesty and truthfulness in interactions with patients.
- Paternalism: Healthcare professionals making decisions for/on behalf of patients.
- Ethical dilemmas in perinatal/neonatal care arise from the well-being of both the mother and her child being considered.
Impact of Culture on Childbearing Families
- Pregnancy and childbirth beliefs: Vary by culture, with some viewing it as natural and others requiring medical oversight.
- Pain perception and management: Varies by culture; some cultures prioritize pain tolerance, while others focus on comfort.
Evidence-Based Practice in Nursing
- EBP: Integration of best current evidence, clinical expertise, and patient/family preferences to provide optimal care.
- Research: Systematic investigation to generate or test theories or explanations.
Current Trends in Maternal and Infant Health Outcomes
- Family-centered maternity care: Focuses on the physiological and psychosocial needs of the family.
- Childbirth location trends shifting from hospitals to birthing centers and homes.
- Patient-centered care during labor, delivery, and post-partum (Involving the patient in decision making).
- Labor pain interventions: Vary in use and approach based on a patient's comfort preference.
- Infant mortality rate: Primarily driven by birth defects, prematurity, and low birth weight.
- Maternal mortality rate: Rate has fluctuated, with birth defects and issues related to pregnancy having a notable effect.
- Increased survival rates for preterm infants.
- Postpartum stay time trends.
AWHONN's Perinatal Quality Measures
- Education: Ongoing training on best practices for nurses.
- Standardized protocols: Applying evidence-based guidelines throughout the hospital.
- Data collection and monitoring: Utilizing quality improvement tools to track compliance and outcomes.
Healthy People 2030 Goals Related to Maternal and Infant Care
- Reducing rates of maternal and infant mortality.
- Reducing the rate of preterm births.
- Increasing the proportion of women who have a healthy weight prior to pregnancy.
- Increasing postpartum depression screenings.
- Increasing breastfeeding rates.
Physiologic Changes During the Postpartum Period
- Uterine involution: Returning the uterus to its pre-pregnancy size (6 weeks).
- Placental site healing stages (lochia): Red, pinkish to whitish discharge.
Postpartum Period
- Blood loss after delivery in vaginal and cesarean delivery.
- Pain management: varies by patient, and includes comfort measures.
- Hormonal shifts: Changes in estrogen, progesterone, prolactin, and oxytocin levels.
- Cardiovascular adaptations: Return of blood volume and cardiac output to pre-pregnancy levels.
- Perineal and abdominal healing: Assessing healing, inflammation and pain.
- Lochia (Discharge): Normal and excessive bleeding.
Emotional Changes Postpartum
- Baby blues: Mild mood swings, irritability, and tearfulness (up to 2 weeks).
- Bonding with infant: Emotional connection facilitated by skin-to-skin contact/breastfeeding.
- Role transition: Adjusting to responsibilities of motherhood (Varying levels of acceptance, or not accepting the role).
Postpartum Depression
- Severity and persistence of symptoms, distinguishing from baby blues.
- Professional support needed.
- Sleep disturbances and fatigue (due to baby needing care)
- Relationship dynamics: Changes in spousal/partner and/or social support.
Postpartum Assessment
- BUBBLE-LE (Vital signs, breasts, uterus, bladder, bowel, lochia, episiotomy/lacerations, perineum/hemorrhoids, lower extremities).
Nursing Actions in Postpartum Care
- Reviewing maternal and infant conditions.
- Administering medications/treatments when needed.
- Monitoring for complications (infection or other issues)
Shorter Gestational Period Risk
- Increased risk of complications due to undeveloped organs.
Neonatal Birth Weight Rates
- Defining normal birth weight, low birth weight (LBW), and very low birth weight (VLBW).
- Recent trends in LBW and VBLW rates.
Maternal Death and Mortality Rates
- Defining maternal mortality.
- Causes of maternal death/mortality.
- Rates of maternal mortality in the U.S.
- Comparing maternal mortality risk for specific demographic groups.
Implications of Teen Pregnancy
- Teen pregnancies often present educational, economic, and individual challenges.
- Health concerns and/or increased mortality rate associated with teen mothers and their children.
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