Signs of Postpartum Depression
Give this one a try later!
Some signs and symptoms of PPD include feelings of: Restlessness
Worthlessness
Guilt
Hopelessness
Moodiness
Sadness
Overwhelm
Loss of enjoyment
, Low-energy levels
Loss of libido
What are signs and symptoms of a PE?
Give this one a try later!
Hypotension, syncope, dyspnea, and chest pain.
Factors Hindering Attachment
Give this one a try later!
Factors that hinder attachment include:
Separation of infant and parents immediately after birth for long periods.
Intensive care environments with restrictive visiting policies.
Staff indifference or lack of support.
Postpartum Danger Signs
Give this one a try later!
Fever >100.4 F (38 C)
Foul-smelling lochia or an unexpected change in color or amount
Large blood clots or bleeding that saturates a peripad in an hour
Severe headaches or blurred vision
Visual changes such as blurred vision or spots, headaches
Calf pain with dorsiflexion of the foot
Swelling, redness, or discharge at the episiotomy, epidural, or abdominal
sites
, Dysuria, burning, or incomplete emptying of the bladder
Shortness of breath or difficulty breathing without exertion
Depression or extreme mood swings
Examination of Lochia: Cesarean Birth
Give this one a try later!
Women who had cesarean births will have LESS lochia discharge, but
stages and color changes remain the same. Women should never have
absent lochia.
Although the woman's abdomen will be tender after surgery, the nurse
must palpate the fundus and assess the lochia.
Report any abnormal findings, such as heavy, bright red lochia with large
tissue fragments or a foul odor.
Ask the patient if they have expelled any clots? What size? Relate it to
something they understand. A quarter or a dime?
Women may have pooling of blood in vaginal canal when at rest and then
expelled when standing. It does not indicate an increase in bleeding.
The Postpartum Period
Give this one a try later!
The Postpartum period can be defined as all changes emotional and
physical that take place in the mother during the first year after delivery.
Moms can still experience PP depression up to a year, risk for infection,
bleeding, and problems related to delivery. This is why it is important to
have time between having another baby because your body needs time to
adequately recover.
, A woman's body is forever changed after giving birth.
Respirations
Give this one a try later!
Respiratory rates in the postpartum woman should be within the normal
range of 12 to 20 breaths per minute at rest.
Any change in respiratory rate out of the normal range might indicate
pulmonary edema, atelectasis (a side effect of epidural anesthesia), or
pulmonary embolism and must be reported.
Lungs should be clear on auscultation.
There shouldn't be any deviation from 12-20. If she begins breathing very
fast she may have pulmonary edema or atelectasis due to excess fluid.
Inadequate exchange of oxygen in the lungs. Anytime we see an increase
or decrease we would be concerned. Possible amniotic embolism.
Examination of Epidural Site
Give this one a try later!
Visual assessment of the epidural wound site is important as well as
checking for any side effects of the medication injected such as itching,
nausea, vomiting, or urinary retention.
When anesthesia removes the epidural catheter you need to observe and
document that the blue tip on the end is intact.
Give this one a try later!
Some signs and symptoms of PPD include feelings of: Restlessness
Worthlessness
Guilt
Hopelessness
Moodiness
Sadness
Overwhelm
Loss of enjoyment
, Low-energy levels
Loss of libido
What are signs and symptoms of a PE?
Give this one a try later!
Hypotension, syncope, dyspnea, and chest pain.
Factors Hindering Attachment
Give this one a try later!
Factors that hinder attachment include:
Separation of infant and parents immediately after birth for long periods.
Intensive care environments with restrictive visiting policies.
Staff indifference or lack of support.
Postpartum Danger Signs
Give this one a try later!
Fever >100.4 F (38 C)
Foul-smelling lochia or an unexpected change in color or amount
Large blood clots or bleeding that saturates a peripad in an hour
Severe headaches or blurred vision
Visual changes such as blurred vision or spots, headaches
Calf pain with dorsiflexion of the foot
Swelling, redness, or discharge at the episiotomy, epidural, or abdominal
sites
, Dysuria, burning, or incomplete emptying of the bladder
Shortness of breath or difficulty breathing without exertion
Depression or extreme mood swings
Examination of Lochia: Cesarean Birth
Give this one a try later!
Women who had cesarean births will have LESS lochia discharge, but
stages and color changes remain the same. Women should never have
absent lochia.
Although the woman's abdomen will be tender after surgery, the nurse
must palpate the fundus and assess the lochia.
Report any abnormal findings, such as heavy, bright red lochia with large
tissue fragments or a foul odor.
Ask the patient if they have expelled any clots? What size? Relate it to
something they understand. A quarter or a dime?
Women may have pooling of blood in vaginal canal when at rest and then
expelled when standing. It does not indicate an increase in bleeding.
The Postpartum Period
Give this one a try later!
The Postpartum period can be defined as all changes emotional and
physical that take place in the mother during the first year after delivery.
Moms can still experience PP depression up to a year, risk for infection,
bleeding, and problems related to delivery. This is why it is important to
have time between having another baby because your body needs time to
adequately recover.
, A woman's body is forever changed after giving birth.
Respirations
Give this one a try later!
Respiratory rates in the postpartum woman should be within the normal
range of 12 to 20 breaths per minute at rest.
Any change in respiratory rate out of the normal range might indicate
pulmonary edema, atelectasis (a side effect of epidural anesthesia), or
pulmonary embolism and must be reported.
Lungs should be clear on auscultation.
There shouldn't be any deviation from 12-20. If she begins breathing very
fast she may have pulmonary edema or atelectasis due to excess fluid.
Inadequate exchange of oxygen in the lungs. Anytime we see an increase
or decrease we would be concerned. Possible amniotic embolism.
Examination of Epidural Site
Give this one a try later!
Visual assessment of the epidural wound site is important as well as
checking for any side effects of the medication injected such as itching,
nausea, vomiting, or urinary retention.
When anesthesia removes the epidural catheter you need to observe and
document that the blue tip on the end is intact.
