The Basics On Maternal Newborn Questions And Answers

Maternal-Newborn Assessment: The Basics c c c


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The Basics On Maternal Newborn Questions And Answers

2. lochia-
what is it and what is the transition time and characteristics of the 3 types?: th
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e postpartum vaginal discharge that typically continues for 4-6 weeks after childbirth
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• Lochia rubra: red, lasts days 1-2 then transitions to serosa
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• Lochia serosa: after 3 to 4 days the flow becomes pink/brown (serosa).
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• Lochia alba: In most women, lochia alba begins about 10 to 12 days after childbirth. It b
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ecomes yellow to white. It usually lasts for 10 to 14 days.
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when you send mom's home- they are probably at serosa---
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if she experiences rubra while being too active post-
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partum, she needs to lie down and rest until back in serosa
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3. compare temp and pulse vitals to a woman who just gave birth: Temperature: M
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ay rise to 38 °C (100°F) in the first 24 hours. After 24 hours the woman should be afebril
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e.

Pulse: Returns to nonpregnant levels (60-
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100bpm) within a few days postpartum. A rapid pulse may indicate hypovolemia as a re
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sult of hemorrhage/dehydration or may accompany a fever.
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4. compare respirations and blood pressure vitals to a woman who just gave bi
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rth: •Respirations: Should decrease to woman's normals within 6-
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8 weeks PP. An increased RR rate may indicate pain or hypovolemia and a decrease
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d RR may indicate anesthetic problem or over administration of a narcotic.
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• Blood pressure: Altered only slightly or not at all. A high blood pressure could indicat
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e preeclampsia and patients should be to asked about H/As, vision changes, and epig
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astric pain as well as reviewing previous blood pressures in the prenatal period as well
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as intrapartum/postpartum. Lower BPs are a late sign of hypovolemia secondary to he
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morrhage.
5. head to toe exam: Neuro screen-
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alert, oriented Heart/Lung sounds-
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, Maternal-Newborn Assessment: The Basics
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