NUR2513F-
Exam 2: Concept Review
Postpartum
▪ Lochia assessment:
• Rubra
• Serosa
• Alba
• Expected amounts…how much is too much?
▪ What care is involved in the management of postpartum bleeding/hemorrhage?
• Risk factors
• Nursing interventions
• Medications (know indications and contraindications)
▪ Understand the components of postpartum assessment (refer to BUBBLHE) Know how you
would assess and what abnormalities would look like in each area of assessment
▪ How do we assess fundal height in the postpartum period?
▪ Know the process of involution of the uterus:
• Where do we expect the fundus to be after delivery
• …Day 1?
• …Day 2?
▪ Be able to provide appropriate postpartum care to the woman after vaginal delivery:
• Episiotomy/laceration
• Bladder assessment- what are the concerns?
▪ What infection risks present for the mom in the postpartum period?
▪ Understand the symptoms and management of endometritis
▪ What is mastitis?
• Symptoms?
• Management?
▪ Differentiate between mastitis and blocked milk duct.
▪ Rooming in: is it recommended?
▪ Postpartum Preeclampsia:
• Symptoms
• Nursing care/management
▪ Be able to evaluate behaviors that demonstrate maternal/infant bonding; know appropriate
action if concerning behaviors are observed.
▪ Recognize indications of baby blues, postpartum depression, and postpartum psychosis:
• Symptoms?
• When does it occur?
▪ Activity modifications after delivery:
• When can mom return to work?
• When can mom resume sexual intercourse?
Exam 2: Concept Review
Postpartum
▪ Lochia assessment:
• Rubra
• Serosa
• Alba
• Expected amounts…how much is too much?
▪ What care is involved in the management of postpartum bleeding/hemorrhage?
• Risk factors
• Nursing interventions
• Medications (know indications and contraindications)
▪ Understand the components of postpartum assessment (refer to BUBBLHE) Know how you
would assess and what abnormalities would look like in each area of assessment
▪ How do we assess fundal height in the postpartum period?
▪ Know the process of involution of the uterus:
• Where do we expect the fundus to be after delivery
• …Day 1?
• …Day 2?
▪ Be able to provide appropriate postpartum care to the woman after vaginal delivery:
• Episiotomy/laceration
• Bladder assessment- what are the concerns?
▪ What infection risks present for the mom in the postpartum period?
▪ Understand the symptoms and management of endometritis
▪ What is mastitis?
• Symptoms?
• Management?
▪ Differentiate between mastitis and blocked milk duct.
▪ Rooming in: is it recommended?
▪ Postpartum Preeclampsia:
• Symptoms
• Nursing care/management
▪ Be able to evaluate behaviors that demonstrate maternal/infant bonding; know appropriate
action if concerning behaviors are observed.
▪ Recognize indications of baby blues, postpartum depression, and postpartum psychosis:
• Symptoms?
• When does it occur?
▪ Activity modifications after delivery:
• When can mom return to work?
• When can mom resume sexual intercourse?
