Unit V Exam Review PDF

Maternity Chapters 12-19 UNIT V EXAM Labor, delivery, REVIEW postpartum, newborn, and women’s health  POSTPARTUM ASSESSMENT Fundus, Lochia, VS 1st hour q 15 minutes 2nd hour q 30 minutes 3rd and 4th hour q 1 hour 5th-...

Maternity Chapters 12-19 UNIT V EXAM Labor, delivery, REVIEW postpartum, newborn, and women’s health  POSTPARTUM ASSESSMENT Fundus, Lochia, VS 1st hour q 15 minutes 2nd hour q 30 minutes 3rd and 4th hour q 1 hour 5th-24th hour q 4 hours Then q shift BUBBLE-HE, REEDA  >500 ml vaginal birth or >1000 ml c/section Bleeding (PPH, DIC) Assess fundus and lochia for PPH Sudden drop in SpO2 Anaphylaxis, PE, Hypotension Preeclampsia/Eclampsia/HELLP BP above 160/90 Infection s/s (usually later findings) CRITICAL FINDINGS  HEMORRHAGE Primary PPH First 24 hours Uterine Atony from Urinary Retention Secondary PPH After 24 hours Retained placental fragments (causes subinvolution and metritis)  INFECTION Breasts Plugged duct Mastitis Abscess Metritis Wound UTI/Pyelonephritis  Baby blues No impact on ADLs Postpartum depression Unable to care for self/baby PSYCHOLOGICA Major depression. SI/HI and L Psychosis are possible Postpartum psychosis Do not leave patient alone with baby Paternal postnatal depression  DISCHARGE TEACHING Return to pre-pregnancy physiological states PP Depression PPH Infections Preeclampsia, eclamptic seizure, HELLP syndrome Self-care Sexual activity and contraception  TRANSITION TO PARENTHOOD Teaching Support Loss Evaluate readiness to learn Bonding Grief Minimize barriers Partner expectations Support  Assessment Head to toe NEONATE Vital signs (NEWBORN) Reflexes Document Jaundice in 1st 24 hours Pallor, dusky, cyanosis Hypotonia or Seizure Fontanel bulging or sunken See-saw or paradoxical breathing Tachypnea, retractions, grunting Bradycardia, bradypnea, hypoxia Abdominal distention Abnormal vitals or hypoglycemia CRITICAL NEWBORN FINDINGS  NEWBORN COMPLICATIONS Hypothermia Infection / Sepsis Hypoglycemia Jaundice Apnea and Bradycardia Phenylketonuria (PKU) (prematurity) Respiratory Distress Syndrome Necrotizing Enterocolitis (NEC) (RDS) Meconium Aspiration Syndrome Bronchopulmonary Dysplasia (BPD) Patent Ductus Arteriosus (PDA) Retinopathy of Prematurity (ROP)  Abusive head trauma Circumcision care Cord care NEWBORN SIDS prevention TEACHING Bathing Diapering Feeding  LGBTQIA+ STI Vaginitis WOMEN’S Cancer screening HEALTH Surgery Polycystic Ovarian Syndrome (PCOS) Menopause IPV