POSTPARTUM PERIOD - SYSTEMIC CHANGES & NURSING CARE
Think: Diastasis recti. Two. HORMONAL SYSTEM
ESTROGEN AND PROGESTERONE
Why constipation is common
Six. INTEGUMENTARY SYSTEM
Chloasma equals pregnancy-related facial hyperpigmentation, often called: "mask of pregnancy."
The dark vertical line on the abdomen is: Linea nigra
Nine. PROGRESSIVE CHANGES - LACTATION
LACTATION Lactation means: Production and secretion of breast milk.
PRIMARY BREAST ENGORGEMENT Usually occurs around: Third to fourth postpartum day.
Ten. RETURN OF MENSTRUAL FLOW
Eleven. POSTPARTUM ASSESSMENT - FIRST TWENTY-FOUR HOURS
XV. BLADDER ASSESSMENT The woman should generally void within: 6-8 hours after delivery
Fifteen. BOWEL ASSESSMENT
Sixteen. EPISIOTOMY or PERINEAL LACERATION
Seventeen. LOCHIA ASSESSMENT Rubra Serosa Alba AMOUNT.
Nineteen. EMOTIONAL STATUS Don't only assess the body. Ask: "How are you feeling?"
Fourteen. BLADDER ASSESSMENT The woman should generally void within: Six to eight hours after delivery.
Twenty. PREVENTING POSTPARTUM HEMORRHAGE This is a major nursing priority.
IMPORTANT: OXYTOCICS AND THEIR SIDE EFFECTS
There are two very different situations. A. Mother DOES NOT want to breastfeed Goal: Suppress lactation
B. Mother WANTS to breastfeed
PROLACTIN VS OXYTOCIN - MEMORIZE THIS
Twenty-eight. NUTRITION For breastfeeding mothers: Your module recommends: plus five hundred kcal per day compared with pre-pregnancy needs.
Thirty-two. MATERNAL SAFETY Rh-negative mother If the mother is: Rh-negative and NOT sensitized
If the mother is nonimmune or has a low rubella antibody titer, she may be given: Rubella vaccine postpartum
MOST IMPORTANT "IF YOU SEE THIS, THINK THIS" TABLE
The BIGGEST concepts to master