NSPN 7100 - Module 8 Postpartum and Transition to Parenthood Exam Questions with Verified Solutions Graded A+

NSPN 7100 - Module 8 Postpartum and Transition to Parenthood Exam Questions with Verified Solutions Graded A+ How can we assess the initial adaptation to parenting? - Answers - tell me about your labour and birth - was it what you expected - do you have any questions What does the maternal assessment within the first 24hrs post partum include? (14) - Answers - VS - Fundus: position and tone - Flow: amount, colour, consistency - Perineum: swelling, pain, stitches - Bladder: voiding - Bowel: lbm - Breasts - Pain: perineal? incision? - Legs: thrombosis? - Nutrition and Hydration - Support - Emotional status - Readiness for self-care - Readiness for baby care What is BUBBLES? - Answers Breast Uterus Bowel Bladder Lochia Episiotomy Supports What is the average blood loss? - Answers - 300 to 500 for vaginal birth - 500 to 1000 for caesarean What are vital signs postpartum? - Answers heart rate elevates first hour blood pressure increase first few days temperature increase first 24 hours Where should the fundus be during stage 3? 12 Hours? 24hrs? - Answers - 2cm below umbilicus and midline - rise 1cm above umbilicus - at or below umbilicus - descend 1-2cm every 24hours What if the fundus is above the umbilicus or deviated to the right? - Answers - indicates full bladder, which increases the risk of PPH as the uterus cannot contract Why is oxytocin important during postpartum? - Answers - promotes involution and causing the uterus to contract and compress blood vessels that supplied placenta How is uterine discharge during the first 2hrs? - Answers - bright red - heavy period - small clots are ok What is lochia rubra? - Answers dark red for 3-4 days Lochia serosa? - Answers pink/brown for 10-14 days Lochia alba? - Answers yellow to white 4-8 weeks Why would lochia be less for caesarean mothers? - Answers surgeon suctions or wipes uterine lining before suturing uterus closed What are the different tears during birth? - Answers What factors are associated with perineal trauma? - Answers poor nutrition, birth position, pelvic anatomy, fetal malpresentation, infant large, use of forceps or vacuum, prolonged 2nd stage, precipitate birth What are episiotomies associated with? - Answers - more healing complications and trauma - normal for it to be swollen and painful 20 hours postpartum, 4 days postpartum if experiencing swelling/pain would need assessment, abnormal to have issues 8 weeks post partum What is aftercare for perineum? - Answers - clean to prevent infection - ice for comfort and swelling What is REEDA? - Answers redness edema ecchymosis discharge approximation What is a pelvic hematoma? - Answers - hematoma is a collection of blood in the vulvar, vaginal, retroperitoneal