NUR 148 CH 21 TEST
WITH SOLUTION
The Postpartum Period - ANSWER First 6 Weeks After Delivery
The Postpartum Period - ANSWER Starts immediately after delivery of
placenta
Ends 6 weeks following delivery
Woman's body has returned to prepregnancy state
Traditional time of "postpartum visit" with care provider
"Fourth stage" of labor - ANSWER First 1-4 hours following delivery of
placenta,
Critical period,
First 1-2 hours usually spent in L&D,
Maternal physiology begins to return to prepregnancy state,
Time of initial bonding between newborn and mother, and other members of
the family,
Newborn transition to extrauterine life,
Initial breastfeeding experience - ANSWER What makes postpartum period a
critical period?
Initial breastfeeding experience - ANSWER occurs within the first hours,
,effective in prolonging breastfeeding
"Initial" postpartum period - ANSWER Gibby's definition for purposes of
lecture
First 1-2 hours following birth
"Recovery"
Immediate postpartum period - ANSWER First 24 hours after delivery
Early postpartum period - ANSWER From 25th hour following delivery to end
of first postpartum week
Late postpartum period - ANSWER 2nd - 6th weeks postpartum
Family-centered care,
Mother,
Baby,
Family/friends,
Focus of this lecture - care of the new mother - ANSWER Nurse's role during
the initial postpartum period
1) Prevention of uterine hemorrhage from placental site,
2) Prevention of infection - ANSWER Priorities of care during initial
postpartum period
every 15 minutes x 4 - ANSWER Vital Sign Assessment for BP, P, R after
Vaginal delivery and Abdominal or cesarean delivery
should be every?
, At least once in first hour postpartum - ANSWER Vital Sign Assessment for
Temperature
preeclampsia - ANSWER Consistently elevated BP following delivery can
indicate onset of?
1 hour of delivery - ANSWER Pulse should return to prelabor values within
how many hours of delivery?
Dehydration
Infection
Excessive blood loss - ANSWER Tachycardia may indicate
Any temperature > 100.4 must be reported to provider - ANSWER
Dehydrating effects of labor can result in elevated temperature for up to 24
hours postpartum
Parenteral, epidural or spinal narcotics,
General anesthesia - ANSWER Respiratory Rate should be within normal
limits following delivery, Carefully monitored if client has had:
Height, consistency, placement - ANSWER Fundal Assessment
Inform nurse of risk for presence of uterine hemorrhage - ANSWER Purpose
of fundal assessment,
q 15 minutes or more often as needed - ANSWER Fundal Assessment
Frequency
Fundal height - ANSWER Location of uterine fundus in relation to umbilicus
Measured in centimeters or fingerbreadths
WITH SOLUTION
The Postpartum Period - ANSWER First 6 Weeks After Delivery
The Postpartum Period - ANSWER Starts immediately after delivery of
placenta
Ends 6 weeks following delivery
Woman's body has returned to prepregnancy state
Traditional time of "postpartum visit" with care provider
"Fourth stage" of labor - ANSWER First 1-4 hours following delivery of
placenta,
Critical period,
First 1-2 hours usually spent in L&D,
Maternal physiology begins to return to prepregnancy state,
Time of initial bonding between newborn and mother, and other members of
the family,
Newborn transition to extrauterine life,
Initial breastfeeding experience - ANSWER What makes postpartum period a
critical period?
Initial breastfeeding experience - ANSWER occurs within the first hours,
,effective in prolonging breastfeeding
"Initial" postpartum period - ANSWER Gibby's definition for purposes of
lecture
First 1-2 hours following birth
"Recovery"
Immediate postpartum period - ANSWER First 24 hours after delivery
Early postpartum period - ANSWER From 25th hour following delivery to end
of first postpartum week
Late postpartum period - ANSWER 2nd - 6th weeks postpartum
Family-centered care,
Mother,
Baby,
Family/friends,
Focus of this lecture - care of the new mother - ANSWER Nurse's role during
the initial postpartum period
1) Prevention of uterine hemorrhage from placental site,
2) Prevention of infection - ANSWER Priorities of care during initial
postpartum period
every 15 minutes x 4 - ANSWER Vital Sign Assessment for BP, P, R after
Vaginal delivery and Abdominal or cesarean delivery
should be every?
, At least once in first hour postpartum - ANSWER Vital Sign Assessment for
Temperature
preeclampsia - ANSWER Consistently elevated BP following delivery can
indicate onset of?
1 hour of delivery - ANSWER Pulse should return to prelabor values within
how many hours of delivery?
Dehydration
Infection
Excessive blood loss - ANSWER Tachycardia may indicate
Any temperature > 100.4 must be reported to provider - ANSWER
Dehydrating effects of labor can result in elevated temperature for up to 24
hours postpartum
Parenteral, epidural or spinal narcotics,
General anesthesia - ANSWER Respiratory Rate should be within normal
limits following delivery, Carefully monitored if client has had:
Height, consistency, placement - ANSWER Fundal Assessment
Inform nurse of risk for presence of uterine hemorrhage - ANSWER Purpose
of fundal assessment,
q 15 minutes or more often as needed - ANSWER Fundal Assessment
Frequency
Fundal height - ANSWER Location of uterine fundus in relation to umbilicus
Measured in centimeters or fingerbreadths
