Podcast
Questions and Answers
How often should a postpartum patient be assessed during the first hour after delivery?
How often should a postpartum patient be assessed during the first hour after delivery?
It is normal for a postpartum patient to have a high-grade fever after delivery.
It is normal for a postpartum patient to have a high-grade fever after delivery.
False
What is the expected fundal height position immediately after delivery?
What is the expected fundal height position immediately after delivery?
At or below the umbilicus
The presence of _____ may indicate an infection during postpartum assessments.
The presence of _____ may indicate an infection during postpartum assessments.
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Which of the following is NOT a critical finding to watch for postpartum?
Which of the following is NOT a critical finding to watch for postpartum?
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Match the type of lochia with its corresponding characteristics:
Match the type of lochia with its corresponding characteristics:
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A boggy fundus is a normal finding and does not require further investigation.
A boggy fundus is a normal finding and does not require further investigation.
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What assessment should be performed to check for DVT during postpartum care?
What assessment should be performed to check for DVT during postpartum care?
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What is a common cause of pathologic jaundice in infants?
What is a common cause of pathologic jaundice in infants?
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Bulging fontanel can indicate increased intracranial pressure.
Bulging fontanel can indicate increased intracranial pressure.
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Name a possible sign of respiratory distress in an infant.
Name a possible sign of respiratory distress in an infant.
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No urine output by _____ hours may indicate renal failure or dehydration.
No urine output by _____ hours may indicate renal failure or dehydration.
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Match the following signs with their possible implications:
Match the following signs with their possible implications:
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What immediate action should be taken if an infant shows signs of hypotonia?
What immediate action should be taken if an infant shows signs of hypotonia?
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Tachypnea is defined as a respiratory rate of fewer than 60 breaths per minute.
Tachypnea is defined as a respiratory rate of fewer than 60 breaths per minute.
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What does bright green or bloody stool in an infant typically indicate?
What does bright green or bloody stool in an infant typically indicate?
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What is a common symptom of preeclampsia?
What is a common symptom of preeclampsia?
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Urinary Tract Infections (UTIs) are more common after operative vaginal births.
Urinary Tract Infections (UTIs) are more common after operative vaginal births.
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What should be administered for patients with anaphylaxis?
What should be administered for patients with anaphylaxis?
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A _____ can occur due to retained placental fragments after childbirth.
A _____ can occur due to retained placental fragments after childbirth.
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Match the infection to its symptoms or management:
Match the infection to its symptoms or management:
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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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A boggy fundus is a sign of uterine atony.
A boggy fundus is a sign of uterine atony.
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What is the primary management for a patient showing signs of metritis?
What is the primary management for a patient showing signs of metritis?
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Which symptom is associated with Postpartum Psychosis?
Which symptom is associated with Postpartum Psychosis?
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Normal lochia is characterized by a foul odor or heavy bleeding.
Normal lochia is characterized by a foul odor or heavy bleeding.
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What immediate action should be taken for a patient exhibiting symptoms of Postpartum Psychosis?
What immediate action should be taken for a patient exhibiting symptoms of Postpartum Psychosis?
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The symptoms of Baby Blues typically last for _____ weeks postpartum.
The symptoms of Baby Blues typically last for _____ weeks postpartum.
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Match the psychological disorders to their correct symptoms:
Match the psychological disorders to their correct symptoms:
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Which of the following management strategies is appropriate for Paternal Postnatal Depression?
Which of the following management strategies is appropriate for Paternal Postnatal Depression?
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Ovulation occurs after menstruation, which means contraception is only needed after the cycle starts.
Ovulation occurs after menstruation, which means contraception is only needed after the cycle starts.
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What is a critical finding in the assessment of a neonate's head?
What is a critical finding in the assessment of a neonate's head?
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Study Notes
Postpartum Physiological Assessments, Nursing Care, and High-Risk
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Postpartum Assessments and Frequency:
- First Hour: Assess every 15 minutes for 1 hour.
- Next Hour: Assess every 30 minutes for 1 hour.
- Next 22 Hours: Assess every 4 hours.
- After 24 Hours: Assess 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
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Temperature:
- Low-grade fever is normal. Higher suggests infection.
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Blood Pressure (BP):
- Hypotension may indicate hemorrhage.
- Hypertension may signal preeclampsia/eclampsia.
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Heart Rate (HR):
- Tachycardia can indicate hemorrhage, infection, or PE (pulmonary embolism).
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Respiratory Rate (RR):
- Elevated RR may indicate infection, PE, or hemorrhage.
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SpO2 (Oxygen Saturation):
- A drop in O2 saturation could signal PE, hemorrhage, or anaphylaxis.
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Pain: Document and treat appropriately.
Lochia
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Color, Amount, and Odor:
- Rubra: Bright red (days 1-3).
- Serosa: Pink to brown (days 3-7).
- Alba: White/yellowish (days 10+).
- Check for foul odor (could indicate infection).
Fundus
- Best Assessment Position: Patient voids, then assessed supine.
- Fundal 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).
Shift Head-to-Toe Add-Ons (BUBBLE-HE)
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Description
This quiz covers essential postpartum physiological assessments and nursing care practices. Focus areas include assessment frequency, vital signs monitoring, and identification of potential complications like hemorrhage and infection. Test your knowledge on effective nursing responses to various postpartum situations.
