Postpartum Assessment Quiz

<p>To identify heavy bleeding (A)</p> Signup and view all the answers

<p>Cold packs not applied directly (B)</p> Signup and view all the answers

<p>A combination of analgesics including opioids and nonsteroidal anti-inflammatories (B)</p> Signup and view all the answers

<p>Change pads frequently and perform hand hygiene after care (B)</p> Signup and view all the answers

<p>Lochia serosa (A)</p> Signup and view all the answers

<p>It begins to descend at a rate of 1 cm per day. (C)</p> Signup and view all the answers

<p>The volume and character of lochia. (D)</p> Signup and view all the answers

<p>Promote frequent feedings to help manage engorgement. (A)</p> Signup and view all the answers

<p>Cracked nipples. (D)</p> Signup and view all the answers

<p>Perform daily sitz baths to enhance healing. (B)</p> Signup and view all the answers

<p>Assessing it is important for detecting DVT symptoms. (C)</p> Signup and view all the answers

<p>It typically transitions from bright red to pinkish-brown. (A)</p> Signup and view all the answers

<p>Teach her to breastfeed using a modified cradling position. (A)</p> Signup and view all the answers

<p>To assess uterine involution and prevent hemorrhage (D)</p> Signup and view all the answers

<p>It can be palpated at 1 cm above the umbilicus (B)</p> Signup and view all the answers

<p>Cupping the uterus while palpating the fundus (A)</p> Signup and view all the answers

<p>Oxytocin (A)</p> Signup and view all the answers

<p>Supine with knees slightly flexed (D)</p> Signup and view all the answers

<p>It can indicate uterine tone and status (C)</p> Signup and view all the answers

<p>The fundus is boggy and does not firm up (A)</p> Signup and view all the answers

<p>Oxytocin (B)</p> Signup and view all the answers

<p>Infection (C)</p> Signup and view all the answers

<p>Fundus above the umbilicus (C)</p> Signup and view all the answers

<p>Delay ambulation (B)</p> Signup and view all the answers

<p>3,000 mL (D)</p> Signup and view all the answers

<p>Inability to void for over 8 hours (B)</p> Signup and view all the answers

<p>Hormonal changes during labor (C)</p> Signup and view all the answers

<p>Within 2 to 3 days (B)</p> Signup and view all the answers

<p>Feeling of fullness in the abdomen (B)</p> Signup and view all the answers

<p>Cervical or vaginal tear (B)</p> Signup and view all the answers

<p>From dark red to a trickle of bright red (A)</p> Signup and view all the answers

<p>Endometritis (A)</p> Signup and view all the answers

<p>Weighing pads (A)</p> Signup and view all the answers

<p>By cleaning out the uterus after surgery (D)</p> Signup and view all the answers

<p>Change pads frequently (A)</p> Signup and view all the answers

<p>Applying heat therapies and sitz baths (D)</p> Signup and view all the answers

<p>They should be avoided due to infection risk (D)</p> Signup and view all the answers

<p>At the level of the umbilicus (D)</p> Signup and view all the answers

<p>1-2 cm (B)</p> Signup and view all the answers

<p>Fundal height and consistency (A)</p> Signup and view all the answers

<p>To stimulate production of natural oxytocin and prevent uterine hemorrhage (C)</p> Signup and view all the answers

<p>Presence of a full bladder (B)</p> Signup and view all the answers

<p>Lightly massage the fundus (D)</p> Signup and view all the answers

<p>The uterine smooth muscles contract to return to a prepregnant state (C)</p> Signup and view all the answers

<p>14 days (D)</p> Signup and view all the answers

<p>Breast is warm, tight, tender, and full (C)</p> Signup and view all the answers

<p>Methylergonovine (B)</p> Signup and view all the answers

<p>To express milk to relieve pressure (C)</p> Signup and view all the answers

<p>Hypotension (B)</p> Signup and view all the answers

<p>Breast tenderness and flu-like symptoms (A)</p> Signup and view all the answers

<p>Football hold (C)</p> Signup and view all the answers

<p>1 fingerbreadth (1 cm) per day (A)</p> Signup and view all the answers

<p>Observing the newborn feeding successfully without assistance (C)</p> Signup and view all the answers

<p>Dark red and bloody (A)</p> Signup and view all the answers

<p>4 to 10 days (B)</p> Signup and view all the answers

<p>Enemas and suppositories (C)</p> Signup and view all the answers

<p>Every 15 minutes (B)</p> Signup and view all the answers

<p>2.5 to 10 cm (C)</p> Signup and view all the answers

<p>Increased fluid intake (D)</p> Signup and view all the answers

<p>Perineal tenderness (C)</p> Signup and view all the answers

<p>Approximately 10 days to 6 weeks postpartum (C)</p> Signup and view all the answers

Checking the amount of lochia (postpartum bleeding) on pads to identify heavy bleeding.

Heavy bleeding or rapid blood flow from vagina, possibly an emergency.

Unpleasant or foul smell from lochia, a sign of infection.

Continued bright red lochia beyond day 3 postpartum, potentially from retained placental fragments.

Washing the perineum (area around the vagina and anus) to promote hygiene and healing.

Soaking the perineum in warm water to relieve pain and promote healing after childbirth.

Using painkillers (acetaminophen, ibuprofen, or opioids) help ease pain from episiotomy, incision, or hemorrhoids.

Less bleeding after a Cesarean section due to uterus cleaning.

Checking the uterus's position, firmness, and size after childbirth to prevent postpartum hemorrhage.

The uterus should be firm and located at the level of the belly button

The uterus moves to the level of the umbilicus (belly button).

The assessment of the height of the uterus, measured in finger widths, above or below the umbilicus.

Fundus moves 1-2 cm lower each day after mid-postpartum period.

Uterus should be halfway between the pubic bone and belly button.

Assessment of the firmness of the uterus after delivery. It should be firm.

Medications administered to strengthen uterine contractions, preventing postpartum hemorrhage.

Examining the breasts for engorgement, tenderness, nipple problems, and signs of infection (mastitis).

The first milk produced by the breasts, rich in antibodies and nutrients for the newborn.

Full, tight, and often painful breasts due to milk production and fluid buildup.

The process of the uterus returning to its normal size after delivery.

The measurement of the uterus's top edge above the pubic bone, used to monitor involution.

Postpartum vaginal discharge composed of blood, mucus, and tissue.

Assessing the perineal area for any cuts, tears, or hemorrhoids related to delivery.

A test for possible blood clots in the legs, checking for pain with dorsiflexion of the foot.

Determining the height of the fundus above or below the umbilicus using fingerbreadths.

Assessing whether the fundus is firm or boggy (soft) after delivery. A firm fundus helps control bleeding.

A uterus that is not centered in the pelvis, often caused by a full bladder.

Medications like oxytocin and misoprostol can cause hypotension (low blood pressure).

The process of the uterus returning to its normal size after delivery.

The fundus should descend 1-2 cm each day after delivery.

Urinary retention in postpartum can be caused by factors such as perineal/urethral edema, which can lead to pain and difficulty voiding, especially in the first 24-48 hours after birth.

A normal urine output within the first 2-3 days after birth is around 3000 mL per day.

A distended bladder can be identified by signs such as: fundus above the umbilicus or baseline level, displaced uterus, bladder bulging above the symphysis pubis, excessive lochia, and tenderness over the bladder area.

Frequent voiding of less than 150 mL is a sign of urinary retention with overflow, a condition where the bladder is full but cannot completely empty.

A client should ideally void within 6 to 8 hours after birth.

Catheterization can be required if a postpartum client is unable to void, to ensure complete emptying of the bladder and allow uterine involution.

Assessing bowel function postpartum includes checking for reports of hunger, assessing bowel sounds, and monitoring the return of normal bowel function. Spontaneous bowel movement might not occur for 2-3 days after birth.

A delay in bowel movements after birth can be attributed to decreased intestinal muscle tone during labor and puerperium, prelabor diarrhea, dehydration, or medication adverse effects.

The first stage of lochia, lasting 1-3 days after birth. It is dark red, bloody, and may contain small clots.

The second stage of lochia, lasting from day 4 to day 10 after birth. It is pinkish-brown and more watery than lochia rubra.

The final stage of lochia, lasting from day 10 to 6 weeks postpartum. It is yellowish-white and creamy.

The amount of lochia is assessed by the saturation of a perineal pad. Scant is less than 2.5 cm, light is 2.5-10 cm, moderate is more than 10 cm, and heavy is one pad saturated within 2 hours.

Encourage early ambulation, fluid intake, high-fiber foods, and stool softeners to prevent constipation after delivery.

Enemas and suppositories are contraindicated for women with third- or fourth-degree perineal lacerations.

Flatus is common after a Cesarean. Encourage ambulation and rocking to promote flatus's passage. Avoid gas-forming foods and consider anti-flatulence medication.

Postpartum vaginal discharge that deviates from the normal stages, possibly indicating complications. It could be excessively heavy, have a foul odor, or persist beyond expected timeframes.

Postpartum care focusing on healing and comfort related to an episiotomy incision or other perineal tears.

Pain management strategies for postpartum discomfort, including medications like acetaminophen, ibuprofen, or opioids, as well as cold and heat therapies.

Excessive bleeding after childbirth, characterized by saturating a pad within 15 minutes or less. Requires immediate medical attention.

Practices to minimize the risk of infection after childbirth, including frequent pad changes, proper hand hygiene, and avoiding tampons.