Nur 254 OB Exam 2
Study online at https://quizlet.com/_erfd6e
1. Infections: 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
2. Hemorrhage: -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
3. treatment for engorgement: breastfeed frequently, use warm soaks, apply warm
packs before breastfeeding, apply ice packs between feeding
4. if client is breastfeeding: calorie needs increase by 200-500 calories/day
- the client may require increased fluids
5. chorioamnionitis: - inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
6. Rubra: bright red 1-3 days after delivery
7. Serosa: brownish pink discharge 4-10 days
8. Alba: white discharge 11-14 days
9. Fundal Assessment: -Done to ensure it is contracted, feel location, and tone
(firm or boggy)
- have a client empty bladder
10. afterpains: Cramping pain after childbirth caused by alternating relaxation and
contraction of uterine muscles.
11. after delivery palpate the fundus: day 1 - u minus 1
day 2 - u minus 2
12. fundus deviated to the right: assist to empty bladder
13. Early postpartum hemorrhage: -occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
14. clots vs placenta fragments: clots = squeezes between fingers
fragments = stays firm
15. hypovolemia shock signs: decreased BP, Increase HR, Increase RR
16. macrosomia: large-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
17. magnesium sulfate: treatment for preterm labor
stops contractions
18. magic number: 100 bpm
19. meds to help the uterus contract: -methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
1/5
, Nur 254 OB Exam 2
Study online at https://quizlet.com/_erfd6e
***if given mom these meds and mom is still bleeding surgery may be indicated =
D&C
20. if still containing placenta fragment after D&C: hysterectomy
21. hematoma s/s: -perineal pain ( pressure), edema, rectal pressure, bleeding =
provider needs to be notified; surgical management
22. thromboplebitis tx for mom with C section: SCD placement
med tx= sub q heparin and lovenox
23. wound infection s/s: -pain foul smelling drainage
-low grade fever/high fever
- chills, abd tenderness
- erythema
- warmth at the incision
24. endometritis: -inflammation of the inner lining of the uterus
- mom c/o pelvic pain
- smelling heavy lochia
- elevated temp with chills
- increased WBC ( 20,000-30,000) 12,000-13,00 is ok =inflammation
25. REEDA assessment: Redness
Edema
Ecchymosis
Discharge
Approximation
26. mastitis: inflammation of the breast; most commonly occurs in women who are
breastfeeding
- fever, warm tender hard breast enlarged maxillary lymph nodes, chills, generalized
aching
- if temp over 100.4 F call MD
TX= antibiotics, rest, increase fluids, comfort measures such as warm compress
before feeding, apply cold compress after feeding
27. psycho social complications: - postpartum blues
- postpartum depression
- postpartum psychosis
28. Signs and symptoms of UTI: -dysuria
-fever
- flank pain (kidney)
-chills
-nausea
-vomiting and malaise
-cystitis
2/5
Study online at https://quizlet.com/_erfd6e
1. Infections: 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
2. Hemorrhage: -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
3. treatment for engorgement: breastfeed frequently, use warm soaks, apply warm
packs before breastfeeding, apply ice packs between feeding
4. if client is breastfeeding: calorie needs increase by 200-500 calories/day
- the client may require increased fluids
5. chorioamnionitis: - inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
6. Rubra: bright red 1-3 days after delivery
7. Serosa: brownish pink discharge 4-10 days
8. Alba: white discharge 11-14 days
9. Fundal Assessment: -Done to ensure it is contracted, feel location, and tone
(firm or boggy)
- have a client empty bladder
10. afterpains: Cramping pain after childbirth caused by alternating relaxation and
contraction of uterine muscles.
11. after delivery palpate the fundus: day 1 - u minus 1
day 2 - u minus 2
12. fundus deviated to the right: assist to empty bladder
13. Early postpartum hemorrhage: -occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
14. clots vs placenta fragments: clots = squeezes between fingers
fragments = stays firm
15. hypovolemia shock signs: decreased BP, Increase HR, Increase RR
16. macrosomia: large-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
17. magnesium sulfate: treatment for preterm labor
stops contractions
18. magic number: 100 bpm
19. meds to help the uterus contract: -methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
1/5
, Nur 254 OB Exam 2
Study online at https://quizlet.com/_erfd6e
***if given mom these meds and mom is still bleeding surgery may be indicated =
D&C
20. if still containing placenta fragment after D&C: hysterectomy
21. hematoma s/s: -perineal pain ( pressure), edema, rectal pressure, bleeding =
provider needs to be notified; surgical management
22. thromboplebitis tx for mom with C section: SCD placement
med tx= sub q heparin and lovenox
23. wound infection s/s: -pain foul smelling drainage
-low grade fever/high fever
- chills, abd tenderness
- erythema
- warmth at the incision
24. endometritis: -inflammation of the inner lining of the uterus
- mom c/o pelvic pain
- smelling heavy lochia
- elevated temp with chills
- increased WBC ( 20,000-30,000) 12,000-13,00 is ok =inflammation
25. REEDA assessment: Redness
Edema
Ecchymosis
Discharge
Approximation
26. mastitis: inflammation of the breast; most commonly occurs in women who are
breastfeeding
- fever, warm tender hard breast enlarged maxillary lymph nodes, chills, generalized
aching
- if temp over 100.4 F call MD
TX= antibiotics, rest, increase fluids, comfort measures such as warm compress
before feeding, apply cold compress after feeding
27. psycho social complications: - postpartum blues
- postpartum depression
- postpartum psychosis
28. Signs and symptoms of UTI: -dysuria
-fever
- flank pain (kidney)
-chills
-nausea
-vomiting and malaise
-cystitis
2/5
