Mama exam 3
The nurse is caring for a postpartum pt that has a c section due to vaginal bleeding from
placenta previa. Pt is now having heavy lochia and lab tests indicate she is suffering
from DIC, what should you do? - ✔️✔️Transfer to ICU
Rh immune globulin - ✔️✔️administered to rh-neg mom who has an rh-pos baby
Cystitis - ✔️✔️bladder inflammation or infection
What should you do if diaphoresis is present - ✔️✔️assess for infection by taking temp,
it is normal without a temp
Post partum respiratory complications risk - ✔️✔️mag sulfate while pre eclamptic
diastasis recti - ✔️✔️separation of the rectus muscles with a visible bulge along the
midline, can feel the separation when assessing fundas
if uteurus is deviated, soft, or elevated above umbilicus - ✔️✔️tell pt to void
Prior to a fundal ass - ✔️✔️tell pt to void
Lochia color - ✔️✔️Rubra 1-3 days
Serosa 4-10 days
Alba day 10 - yellow
Lochia amount - ✔️✔️scant 1-2 inches
light 4 inches
moderate 6 inches
heavy saturated in 1/hr **********
1g=1mL
intervention for breast engorgment - ✔️✔️wear supportive bra and ice packs
cracked nips - ✔️✔️assess for signs of irritation and skin breakdown associated with
improper latch
BUBBLE LE - ✔️✔️-Key points of a postpartum assessment
Breasts
Uterus
Bladder
, Bowel
Lochia
Episiotomy
Lower extremities
Emotions
primary reason for mom to stop breastfeeding - ✔️✔️cracked nips- entry point for
infection
Maternal phases - ✔️✔️Taking-in
-period of dependant behaviors
-difficulty making decisions and initiating infant care
Taking-hold
-needs verbal reassurance
-movement of indipendant to dependant behaviors
Letting-go
-idependence
-greiving old life accepting new mom life
Same sex parents - ✔️✔️report less parental stress than heterosexual couples
Lactating woman nutrition - ✔️✔️increase caloric intake 500-1000/day
fluid intake 2 to 3L/day
Sexual intercource after birth - ✔️✔️once discharge stops and once perineuim is
healed and woman is physically/emotionally ready
Discharge teaching/ when to come back to hospital - ✔️✔️when pt has a severe
headache that does not respond to normal tx
what information is correct for the natural family planning method of birth control? -
✔️✔️woman will need to monitor her daily temp and consistancy of cervical mucus
contraindications for hormonal birth control - ✔️✔️hx of
DVT
pulmonary emboli
HTN
heart disease
Permanent contraception - ✔️✔️tubal ligation
How to decrease risk of DVT - ✔️✔️place SCDs on both legs
The nurse is caring for a postpartum pt that has a c section due to vaginal bleeding from
placenta previa. Pt is now having heavy lochia and lab tests indicate she is suffering
from DIC, what should you do? - ✔️✔️Transfer to ICU
Rh immune globulin - ✔️✔️administered to rh-neg mom who has an rh-pos baby
Cystitis - ✔️✔️bladder inflammation or infection
What should you do if diaphoresis is present - ✔️✔️assess for infection by taking temp,
it is normal without a temp
Post partum respiratory complications risk - ✔️✔️mag sulfate while pre eclamptic
diastasis recti - ✔️✔️separation of the rectus muscles with a visible bulge along the
midline, can feel the separation when assessing fundas
if uteurus is deviated, soft, or elevated above umbilicus - ✔️✔️tell pt to void
Prior to a fundal ass - ✔️✔️tell pt to void
Lochia color - ✔️✔️Rubra 1-3 days
Serosa 4-10 days
Alba day 10 - yellow
Lochia amount - ✔️✔️scant 1-2 inches
light 4 inches
moderate 6 inches
heavy saturated in 1/hr **********
1g=1mL
intervention for breast engorgment - ✔️✔️wear supportive bra and ice packs
cracked nips - ✔️✔️assess for signs of irritation and skin breakdown associated with
improper latch
BUBBLE LE - ✔️✔️-Key points of a postpartum assessment
Breasts
Uterus
Bladder
, Bowel
Lochia
Episiotomy
Lower extremities
Emotions
primary reason for mom to stop breastfeeding - ✔️✔️cracked nips- entry point for
infection
Maternal phases - ✔️✔️Taking-in
-period of dependant behaviors
-difficulty making decisions and initiating infant care
Taking-hold
-needs verbal reassurance
-movement of indipendant to dependant behaviors
Letting-go
-idependence
-greiving old life accepting new mom life
Same sex parents - ✔️✔️report less parental stress than heterosexual couples
Lactating woman nutrition - ✔️✔️increase caloric intake 500-1000/day
fluid intake 2 to 3L/day
Sexual intercource after birth - ✔️✔️once discharge stops and once perineuim is
healed and woman is physically/emotionally ready
Discharge teaching/ when to come back to hospital - ✔️✔️when pt has a severe
headache that does not respond to normal tx
what information is correct for the natural family planning method of birth control? -
✔️✔️woman will need to monitor her daily temp and consistancy of cervical mucus
contraindications for hormonal birth control - ✔️✔️hx of
DVT
pulmonary emboli
HTN
heart disease
Permanent contraception - ✔️✔️tubal ligation
How to decrease risk of DVT - ✔️✔️place SCDs on both legs
