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What is the first phase of maternal role attainment? - ANSWER
✔✔Dependent: taking in phase, processing, focusing on herself (24-48
hours)
What is the second phase of maternal role attainment? - ANSWER
✔✔Dependent-Independent: taking hold phase, focusing on baby
(begins day 2 or 3 to several weeks)
What is the third phase of maternal role attainment? - ANSWER
✔✔Interdependent: letting go phase, fully adjusted, focusing on family
unit
,What are the ways the partner can bond with the newborn? -
ANSWER ✔✔Skin-to-skin contact, eye contact, talking, singing,
reading to the newborn
What is assessed in the postpartum assessment? - ANSWER
✔✔Breasts, uterus, bladder, bowel, lochia,
episiotomy/lacerations/incisions, hemorrhoids/hematoma, DVT,
emotions, rhogam/rubella
What are the breasts assessed for? - ANSWER ✔✔Assessed during
breastfeeding: cracks, skin breakdown, bleeding, pain, discomfort
What hormone is responsible for milk production? - ANSWER
✔✔Prolactin (starts 3-5 days after birth)
What is colostrum? - ANSWER ✔✔A small amount of high-nutrient
milk produced before 3 days postpartum
What is engorgement? - ANSWER ✔✔Painful breasts from being full
of milk
What is the treatment for engorgement? - ANSWER ✔✔frequent
breastfeeding
,What is mastitis? - ANSWER ✔✔inflammation in breast tissue that
can lead to infection
What are the symptoms of mastitis? - ANSWER ✔✔Fever, pain,
redness, headache, flu-like symptoms
What is the recommended treatment for mastitis? - ANSWER
✔✔Antibiotics and continuing to feed/pump to avoid engorgement
What should mothers do to keep their breasts healthy? - ANSWER
✔✔Use warm compresses before feeds, ice after feeding, keep nipples
dry between feedings, using plain water (no soap) to clean, lanolin for
dryness/cracks
What are breastfeeding tips? - ANSWER ✔✔supportive bras, check
with PCP before taking OTC
How does a mom know if the baby is getting enough milk? -
ANSWER ✔✔Wet diapers (6-8 per day by 1 week old)
What should be done if the baby is being formula-fed? - ANSWER
✔✔Burping frequently, holding the infant when feeding
What is uterine involution? - ANSWER ✔✔The return of the uterus to
its non-pregnant size and condition, descent of the uterine fundus
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, When do you expect the fundus to return to pre-pregnancy level? -
ANSWER ✔✔Around 6 weeks
What indicates a normal fundal assessment? - ANSWER ✔✔Midline,
firm fundus
What can cause a deviation from midline in a fundal assessment? -
ANSWER ✔✔a full bladder
What are the signs of abnormal fundal assessment? - ANSWER
✔✔Boggy/soft fundus indicating potential bleeding/atony
What should be done if the patient has a boggy/soft fundus? -
ANSWER ✔✔MASSAGE THE FUNDUS, administer postpartum
hemorrhage medications
What are the postpartum hemorrhage medications? - ANSWER
✔✔Pitocin, methergine, hemabate, cytotec
What is the nursing consideration for methergine administration? -
ANSWER ✔✔Do not administer to a patient with hypertension
What is the nursing consideration for hemabate administration? -
ANSWER ✔✔Do not administer to a patient with asthma