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OB
Postpartum Assessment
17
Nursing
Undergraduate 3
03/20/2016

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Cards

Term
Peurperium
Definition
The return of the reproductive organs to their normal nonpregnant state
Term
Subinvolution
Definition
Failure of the uterus to return to a nonpregnant state; the most common causes of subinvolution are retained placental fragments and infection
Term
Postpartum Assessment
B-U-B-B-L-E H-E
Definition
B: Breasts
U: Uterine fundus
B: Bladder function
B: Bowel function
L: Lochia
E: Episiotomy (Perineum)
H: Homan's sign (legs)
E: Emotions
Term
Assessment of Breasts
Definition
Palpate breasts to determine if they are soft or filling
Term
Abnormal Findings (Breasts)
Definition
Redness, heat, pain, cracked, and fissured nipples, inverted nipples, palpable mass, painful, bleeding, bruised, blistered, cracked nipples
Term
Assessment of Uterine Fundus
Definition
Ensure bladder is empty & lay patient supine
Fundus should be firm; if not firm massage until firm
fundus is 2 cm below the level of the umbilicus immediately after birth
Term
Assessment of Bowel Function
Definition
Assess abdomen for distention, LBM, bowel sounds, hemmorrhoids
Term
Abnormal Findings (Bowel)
Definition
Constipation, diarrhea, epigastric pain, hemorrhoids
Term
Assessment of Bladder Function
Definition
Asses last void, rule out urinary retention
Term
Abnormal Findings (Bladder)
Definition
Inability to void, frequency, urgency, dysuria
Term
Types of Lochia
Definition
Rubra (red) - lasts 3 to 5 days
Serosa (pink) - lasts 22 to 27 days
Alba (white) - continues for 10 to 14 days
Term
Postpartum Hemorrhage
Definition
LIFE THREATENING EVENT*
Defined as: loss of more than 500 mL of blood after vaginal birth, loss of more than 100 mL of blood after cesarean birth, a 10% change in HCT between admission for labor and postpartum or the need for RBC transfusion
Term
Baby Blues
Definition
Characterize by emotional liability, crying, easily and for no apparent reason, a let-down feeling, restlessness, fatigue, insomnia, headache, sadness, anger
Symptoms are usually mild and short lived
The "blues" are normal









Term
Postpartum Depression
Definition
An intense and pervasive sadness with severe and labile mood swings; it is more serious and persistent than the baby blues
Term
Risk Factors for Postpartum Hemorrhage
Definition
Early: uterine atony (hypotonia of the uterus), lacerations

Late: subinvolution of the uterus, endometritis
Term
RhoGam
Definition


Is given to Rh- women who may give or gives birth to an Rh+ infant
Suppresses antibody formation in Rh - women
Given 28 weeks gestation as prophylaxis
Term
Lochia Amount
Definition
Scanty - 1hr time frame
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