Podcast
Questions and Answers
Which symptom is characteristic of Postpartum Depression (MDD)?
Which symptom is characteristic of Postpartum Depression (MDD)?
What is the recommended immediate action for a patient with Postpartum Psychosis?
What is the recommended immediate action for a patient with Postpartum Psychosis?
Which of the following is an abnormal finding in postpartum care?
Which of the following is an abnormal finding in postpartum care?
Which symptom might indicate Paternal Postnatal Depression?
Which symptom might indicate Paternal Postnatal Depression?
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What should be monitored in a neonate during transition to extrauterine life?
What should be monitored in a neonate during transition to extrauterine life?
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Which age range is appropriate for Baby Blues symptoms to appear?
Which age range is appropriate for Baby Blues symptoms to appear?
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What is a key element of teaching during the transition to parenthood?
What is a key element of teaching during the transition to parenthood?
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What should new parents be informed about regarding contraception?
What should new parents be informed about regarding contraception?
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What is the recommended assessment frequency for a patient in the first hour postpartum?
What is the recommended assessment frequency for a patient in the first hour postpartum?
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Which color of lochia indicates the immediate postpartum period?
Which color of lochia indicates the immediate postpartum period?
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What vital sign change may indicate possible hemorrhage in a postpartum patient?
What vital sign change may indicate possible hemorrhage in a postpartum patient?
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Which assessment finding is concerning for hemorrhage in a postpartum fundus assessment?
Which assessment finding is concerning for hemorrhage in a postpartum fundus assessment?
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What is a critical sign of infection in a postpartum patient?
What is a critical sign of infection in a postpartum patient?
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What is included in the BUBBLE-HE assessment during postpartum evaluations?
What is included in the BUBBLE-HE assessment during postpartum evaluations?
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What does Homan's sign assess for in postpartum care?
What does Homan's sign assess for in postpartum care?
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What defines excessive bleeding in a vaginal delivery postpartum?
What defines excessive bleeding in a vaginal delivery postpartum?
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What is the first intervention to take if a patient shows signs of hemorrhage with a boggy and deviated fundus?
What is the first intervention to take if a patient shows signs of hemorrhage with a boggy and deviated fundus?
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Which symptom is NOT associated with severe preeclampsia/eclampsia?
Which symptom is NOT associated with severe preeclampsia/eclampsia?
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In the case of secondary (late) postpartum hemorrhage, what is a common cause?
In the case of secondary (late) postpartum hemorrhage, what is a common cause?
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Which management strategy is appropriate for treating mastitis?
Which management strategy is appropriate for treating mastitis?
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What symptom is commonly associated with a urinary tract infection (UTI)?
What symptom is commonly associated with a urinary tract infection (UTI)?
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What is a significant risk factor for wound infection following a cesarean section?
What is a significant risk factor for wound infection following a cesarean section?
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Which of the following is a sign of Disseminated Intravascular Coagulation (DIC)?
Which of the following is a sign of Disseminated Intravascular Coagulation (DIC)?
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When managing anaphylaxis, what is the first line treatment?
When managing anaphylaxis, what is the first line treatment?
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What is a common treatment for pathologic jaundice that occurs within the first 24 hours?
What is a common treatment for pathologic jaundice that occurs within the first 24 hours?
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Which of the following is NOT a possible cause of pallor, dusky appearance, or cyanosis in an infant?
Which of the following is NOT a possible cause of pallor, dusky appearance, or cyanosis in an infant?
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What does bulging fontanel in an infant typically indicate?
What does bulging fontanel in an infant typically indicate?
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Which vital sign abnormality could indicate tachypnea in an infant?
Which vital sign abnormality could indicate tachypnea in an infant?
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What immediate actions should be taken upon noticing hypotonia and seizures in an infant?
What immediate actions should be taken upon noticing hypotonia and seizures in an infant?
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What does a lack of meconium within 48 hours in a neonate generally suggest?
What does a lack of meconium within 48 hours in a neonate generally suggest?
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What condition is indicated by see-saw or paradoxical breathing patterns in an infant?
What condition is indicated by see-saw or paradoxical breathing patterns in an infant?
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What signifies immediate emergency when it comes to apnea in infants?
What signifies immediate emergency when it comes to apnea in infants?
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Study Notes
Postpartum Physiological Assessments, Nursing Care, and High-Risk Postpartum Care
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Postpartum Assessments and Frequency:
- First Hour: Every 15 minutes for 1 hour
- Next Hour: Every 30 minutes for 1 hour
- Next 22 Hours: Every 4 hours
- After 24 Hours: Every shift
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Assessing for Hemorrhage and Other Complications:
- Hemorrhage: Check for signs of DIC (Disseminated Intravascular Coagulation), AFE (Amniotic Fluid Embolism), PE (Pulmonary Embolism), HELLP, or Eclampsia.
Vital Signs
- Temperature: Low-grade fever is normal, higher suggests infection.
- Blood Pressure (BP): Hypotension may indicate hemorrhage; hypertension can signify preeclampsia/eclampsia.
- Heart Rate (HR): Tachycardia may indicate hemorrhage, infection, or PE.
- Respiratory Rate (RR): Elevated RR may signify infection, PE, or hemorrhage.
- SpO2: A drop in O2 saturation may indicate PE, hemorrhage, or anaphylaxis.
- Pain: Document and treat appropriately.
Lochia
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Color, Amount, and Odor:
- Rubra: Bright red; immediately post-delivery (days 1-3)
- Serosa: Pink to brown; after 3-7 days
- Alba: White/yellowish; 10 days to 6 weeks
- Check for foul odor (possible infection).
Fundus
- Position: Patient should void first, then assess while supine.
- Height (U): Should be at or below the umbilicus after delivery.
- Tone: Should be firm (boggy fundus is concerning for hemorrhage).
- Location: Should be midline (deviation may indicate a full bladder).
- Additional Assessments: BUBBLE-HE
Critical Findings
- Infection: Purulent discharge; check for foul odor, fever, tachycardia, and pain. This can be mastitis, metritis, or wound infection.
- Excessive Bleeding: Greater than 500 mL for vaginal delivery or greater than 1000 mL for cesarean delivery. Signs include tachycardia, hypotension, cool/clammy skin, dizziness, and pallor.
- Boggy and Deviated Fundus (Hemorrhage Signs): Weigh pads or measure output for quantitative blood loss. Have the patient void; massage the fundus until firm; administer Oxytocin (IV or IM). Reassess every 30 minutes.
Preeclampsia/Eclampsia, HELLP (DIC)
- Symptoms: Hypertension (>160/100), headache, nausea, visual disturbances, RUQ pain, edema, bleeding.
- Severe Symptoms: Petechiae, purpura
Sudden Drop in O2 Saturation
- Causes: Anaphylaxis, PE, or hemorrhage; Immediate assessment, provide O2, and call for assistance.
Hemorrhage Management
- Fundus should be firm and midline for proper involution.
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Description
This quiz focuses on postpartum physiological assessments, vital signs monitoring, and nursing care practices to identify high-risk conditions. Explore the critical elements required for effective postpartum care, including management of complications and vital sign interpretation.
