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Questions and Answers
What is the postpartum period?
What is the postpartum period?
In which psychological phase is Michelle, who is excited yet afraid about caring for her baby?
In which psychological phase is Michelle, who is excited yet afraid about caring for her baby?
What phase is Michelle likely in if she is adjusting her daily routine for her baby?
What phase is Michelle likely in if she is adjusting her daily routine for her baby?
Which of the following is true about the vital signs of a woman during the postpartum period?
Which of the following is true about the vital signs of a woman during the postpartum period?
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What is true about striae gravidarum after pregnancy?
What is true about striae gravidarum after pregnancy?
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What assessment would warrant notification of the physician regarding postpartum vaginal discharge (lochia)?
What assessment would warrant notification of the physician regarding postpartum vaginal discharge (lochia)?
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During the postpartum period, the fundus of the uterus is expected to go down normally about __ cm per day.
During the postpartum period, the fundus of the uterus is expected to go down normally about __ cm per day.
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A woman who delivered normally per vagina is expected to void within __ hours after delivery.
A woman who delivered normally per vagina is expected to void within __ hours after delivery.
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What best describes lochia on the first postpartum day?
What best describes lochia on the first postpartum day?
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What is the most appropriate intervention for a client with a boggy uterus four hours postpartum?
What is the most appropriate intervention for a client with a boggy uterus four hours postpartum?
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On the second postpartum day, what should the client's lochia be expected to look like?
On the second postpartum day, what should the client's lochia be expected to look like?
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Where should the midwife expect to find the top of the client's fundus on the day after giving birth?
Where should the midwife expect to find the top of the client's fundus on the day after giving birth?
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Which activity indicates that the client understands proper perineal care?
Which activity indicates that the client understands proper perineal care?
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What should the nurse instruct a woman to do to relieve pain from her episiotomy?
What should the nurse instruct a woman to do to relieve pain from her episiotomy?
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Study Notes
Postpartum Period
- The postpartum period refers to the first six weeks after delivery.
Rubin's Theory of Maternal Role Adaptation
- The mother goes through three stages during the postpartum period:
- Taking-In
- Taking-Hold
- Letting Go
Taking-In
- This is the first stage after a baby is born. It begins as soon as a woman gives birth.
- Focuses on the mother's physical recovery and meeting her basic needs
- She may be excited but also feel anxious about caring for the baby.
Taking-Hold
- Begins around 2-3 days after delivery.
- The mother becomes more independent and wants to learn.
- The mother feels an urge to care for her baby.
- There is a realization that she is now a mother.
- May still be confused, fearful, and exhausted.
Letting-Go
- This is the final stage.
- The mother accepts her new role and adapts to her new responsibilities.
- This stage begins within a few weeks of delivery and continues until the end of postpartum period.
Vital Signs in the Postpartum Period
- Postpartum hypotension, tachycardia, tachypnea, cold clammy skin are normal.
- A 24-hour high temperature is normal.
- Intermittent increase in temperature may be related to dehydration.
- A decrease of PR to 50-70 bpm after delivery is abnormal.
Striae Gravidarum
- These stretch marks do not disappear but turn silvery-white.
Postpartum Lochia
- Lochia is postpartum vaginal discharge.
- Red lochia on the first postpartum day is normal.
- Pink to brownish lochia on a client 5 days postpartum is also normal.
- Colorless to creamy discharge on a client two weeks after delivery is normal.
- Bright red discharge 5 days after delivery is abnormal.
Fundal Height
- The fundus of the uterus is expected to go down one centimeter per day normally.
Postpartum Voiding
- After vaginal delivery, a woman should void within 6 hours.
Postpartum Interventions
- Assess fetal heart rate (FHR) and maternal blood pressure.
- Assess maternal heart rate and respiratory rate.
- Establish IV access
Lochia Assessment on First Postpartum Day
- Lochia will be dark red, moderate in amount, with some small clots.
Boggy Uterus
- A boggy uterus is one that is soft and flabby.
- If the uterus is boggy four hours after delivery, do not administer Methergin.
Lochia on Second Postpartum Day
- Expected lochia is brown and scant.
Fundal Location on the First Postpartum Day
- The fundus should be located at the level of the umbilicus.
Perineal Care
- Perineal care should be performed from front to back.
Relieving Episiotomy Pain
- Pain relief includes:
- Apply an ice pack
- Take a Sitz bath
- Perform perineal care after each voiding and bowel movement
Postpartum Cesarean Delivery
- Be sure to monitor the client for signs of bleeding.
Postpartum Infection
- Puerperal infection is a postpartum infection.
Postpartum Care
- The nurse should provide education about breastfeeding.
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Description
Explore the postpartum period and Rubin's Theory of Maternal Role Adaptation. This quiz covers the three stages: Taking-In, Taking-Hold, and Letting-Go, detailing the mother's emotional and physical journey after childbirth. Test your understanding of these critical phases and the changes a new mother experiences.
