NUR 254 OB Exam 2
- Infections
Answer temp up to 100.4 is normal during first 24 hrs postpartum because dehydration. Dehydration greater than 100.4 F after 24 hrs pp indicates infection
- Hemorrhage
Answer -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased pulse rate,
decrease bp
- treatment for engorgement
Answer breastfeed frequently, use warm soaks, apply warm packs before breastfeeding, apply ice packs between feeding
- if client is breastfeeding
Answer calorie needs increase by 200-500 calories/day
- the client may require increased fluids
- chorioamnionitis
- inflammation of the sac; most common infection
Answer
bacterial infections of the amniotic cavity; can result from premature or prolonged rupture of the membranes
- Rubra 1 / 2
Answer bright red 1-3 days after delivery
- Serosa
Answer brownish pink discharge 4-10 days
- Alba
Answer white discharge 11-14 days
- Fundal Assessment
Answer -Done to ensure it is contracted, feel location, and tone (firm or boggy)
- have a client empty bladder
- afterpains
Answer Cramping pain after childbirth caused by alternating relaxation and contraction of uterine muscles.
- after delivery palpate the fundus
Answer day 1 - u minus 1 day 2 - u minus 2
- fundus deviated to the right
Answer assist to empty bladder
- Early postpartum hemorrhage
- / 2
Answer -occurs within 24 hours of birth