Podcast
Questions and Answers
Which factor can increase the risk in postpartum care?
Which factor can increase the risk in postpartum care?
- Emotional support
- Regular exercise
- Cultural practices (correct)
- Lack of sleep
What is an essential aspect of nursing and collaborative management in postpartum care?
What is an essential aspect of nursing and collaborative management in postpartum care?
- Limiting communication with healthcare providers
- Isolating the mother from family
- Ignoring cultural beliefs
- Encouraging family involvement (correct)
In health promotion and maintenance in postpartum care, what is important to assess for?
In health promotion and maintenance in postpartum care, what is important to assess for?
- Lifestyle practices increasing risk (correct)
- Work-related stress only
- Risk factors for heart disease
- Dieting habits
When applying pharmacology in postpartum care, why is it essential to safely administer medications?
When applying pharmacology in postpartum care, why is it essential to safely administer medications?
Which of the following is part of the standards of practice protocol in postpartum care?
Which of the following is part of the standards of practice protocol in postpartum care?
How do developmental factors play a role in postpartum care?
How do developmental factors play a role in postpartum care?
Which nursing intervention is most important for a client at risk for endometritis, mastitis, and wound infections?
Which nursing intervention is most important for a client at risk for endometritis, mastitis, and wound infections?
What is the most common puerperal infection that begins around the 3rd to 4th postpartum day?
What is the most common puerperal infection that begins around the 3rd to 4th postpartum day?
Which factor does NOT increase the risk of endometritis, mastitis, and wound infections in postpartum clients?
Which factor does NOT increase the risk of endometritis, mastitis, and wound infections in postpartum clients?
What is a common expected finding in mastitis?
What is a common expected finding in mastitis?
What cultural factor should a nurse consider when caring for postpartum clients?
What cultural factor should a nurse consider when caring for postpartum clients?
Which pharmacological intervention is contraindicated for clients with hypertension in postpartum care?
Which pharmacological intervention is contraindicated for clients with hypertension in postpartum care?
What is an important patient-centered care measure for preventing mastitis in postpartum clients?
What is an important patient-centered care measure for preventing mastitis in postpartum clients?
Which assessment finding is indicative of endometritis in a postpartum client?
Which assessment finding is indicative of endometritis in a postpartum client?
What is a key nursing intervention to manage mastitis effectively?
What is a key nursing intervention to manage mastitis effectively?
Why would maintaining interaction with the infant be considered an important patient-centered care measure for postpartum clients?
Why would maintaining interaction with the infant be considered an important patient-centered care measure for postpartum clients?
What is the primary goal of postpartum care?
What is the primary goal of postpartum care?
Which hormone remains elevated in lactating clients to suppress ovulation?
Which hormone remains elevated in lactating clients to suppress ovulation?
What is the purpose of administering oxytocic drugs after placenta delivery?
What is the purpose of administering oxytocic drugs after placenta delivery?
What is the characteristic of lochia rubra?
What is the characteristic of lochia rubra?
When should the fundus be palpable at midline and 2 cm below the umbilicus after delivery?
When should the fundus be palpable at midline and 2 cm below the umbilicus after delivery?
What should be done if a patient exhibits excessive spurting of bright red blood in the postpartum period?
What should be done if a patient exhibits excessive spurting of bright red blood in the postpartum period?
What is the purpose of encouraging early breastfeeding in postpartum care?
What is the purpose of encouraging early breastfeeding in postpartum care?
Study Notes
Reproduction and Postpartum Care
- Reproduction is the process of conception, gestation, and childbirth.
- Postpartum care is a critical period that requires monitoring and intervention to prevent complications.
Postpartum Hemorrhage
- Postpartum hemorrhage is a life-threatening complication that requires immediate attention.
- Medications used to control postpartum hemorrhage: Methylergonovine, Misoprostol, Carboprost, and Tromethamine.
- Adverse effects of these medications: HTN, N/V, headache, fever, chills, diarrhea.
Endometritis, Mastitis, and Wound Infections
- Endometritis is an infection of the uterine lining or endometrium, usually occurring on the 3rd-4th postpartum day.
- Mastitis is a breast infection, usually unilateral, occurring during the first 6 weeks postpartum.
- Wound infections can occur in cesarean incisions, episiotomies, lacerations, and trauma wounds.
- Risk factors for endometritis and wound infections: UTI, mastitis, PNE, hx of previous venous thrombus, DM, immunosuppression, anemia, malnutrition, internal fetal pressure monitoring, multiple vaginal exams, prolonged labor, hx of ETOH or substance abuse disorders, hemorrhage, hematomas, cesarean birth, operative vaginal birth, prolonged rupture of membranes, retained placenta, lacerations, epidural analgesia/anesthesia, milk stasis, nipple trauma, poor breastfeeding techniques, and decreased breastfeeding frequency.
- Signs and symptoms of endometritis and wound infections: flu-like manifestations, anorexia, nausea, pelvic pain, chills, tachycardia, fever, fatigue, axillary adenopathy, loss of appetite, dark, profuse lochia, malodorous or purulent lochia, and uterine tenderness and enlargement.
Assessment and Laboratory Tests
- Assessment of postpartum clients: vital signs, fundal height, uterine placement and consistency, lochia, breasts, bowel and GI function, bladder function, and episiotomy.
- Laboratory tests: blood and intracervical or intrauterine bacterial cultures, WBC count, RBC sedimentation rate, RBC count, urinalysis, CBC (Hgb, Hct, WBC, platelet count), and Rubella and RH status.
Patient-Centered Care
- Provide aseptic technique, maintain IV access, administer antibiotics, provide comfort measures, collect vaginal and blood cultures, and educate clients on signs of worsening conditions.
- Encourage breastfeeding, proper hand hygiene, and cleanliness.
- Provide care for lactating and non-lactating clients, considering prolactin levels, ovulation, and menstruation.
Physical Changes
- Reproductive system changes: involution, lochia, cervical changes, vaginal changes, perineal changes, ovulation, and menstruation.
- Abdominal changes: uterine ligaments, diastasis recti abdominis, striae.
- Breast and lactogenesis changes: oxytocin, breast engorgement, diaphoresis, diuresis, and local dryness.
- Gastrointestinal changes.
- Urinary changes.
- Vital signs and blood values changes.
- Cardiovascular, neurologic, and immunologic changes.
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Description
Test your knowledge on postpartum nursing concepts including assessment data, developmental and cultural risk factors, standards of practice protocol, core measures, nursing and collaborative management, and nursing diagnoses. Get ready to dive deep into postpartum care!
