NUR 148 CH 21
- The Postpartum Period
Answer First 6 Weeks After Delivery
- The Postpartum Period
Answer Starts immediately after delivery of placenta Ends 6 weeks following delivery
Woman's body has returned to prepregnancy state Traditional time of "postpartum visit" with care provider
- "Fourth stage" of labor
Answer First 1-4 hours following delivery of placenta, Critical period,
- First 1-2 hours usually spent in L&D,
Maternal physiology begins to return to prepregnancy state, Time of initial bonding between newborn and mother, and other members of the family, Newborn transition to extrauterine life,
Initial breastfeeding experience
Answer What makes postpartum period a critical period?
- Initial breastfeeding experience
Answer occurs within the first hours, effective in pro- longing breastfeeding
- "Initial" postpartum period
Answer 1 / 3
Gibby's definition for purposes of lecture First 1-2 hours following birth "Recovery"
- Immediate postpartum period
Answer First 24 hours after delivery
- Early postpartum period
Answer From 25th hour following delivery to end of first post- partum week
- Late postpartum period
Answer 2nd - 6th weeks postpartum
- Family-centered care, Mother,
Baby, Family/friends,
Focus of this lecture - care of the new mother
Answer Nurse's role during the initial postpartum period
- 1) Prevention of uterine hemorrhage from placental site,
2) Prevention of infection
Answer Priorities of care during initial postpartum period
- every 15 minutes x 4
Answer Vital Sign Assessment for BP, P, R after Vaginal delivery and Abdominal or cesarean delivery
should be every? 2 / 3
- At least once in first hour postpartum
Answer Vital Sign Assessment for Temperature
- preeclampsia
Answer Consistently elevated BP following delivery can indicate onset of?
- 1 hour of delivery
Answer Pulse should return to prelabor values within how many hours of delivery?
- Dehydration Infection
Excessive blood loss
Answer Tachycardia may indicate
- Any temperature > 100.4 must be reported to provider
Answer Dehydrating effects of labor can result in elevated temperature for up to 24 hours postpartum
- Parenteral, epidural or spinal narcotics,
General anesthesia
Answer Respiratory Rate should be within normal limits following delivery, Carefully monitored if client has had
Answer
- Height, consistency, placement
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