100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURSING 306 OB Exam 2 Study Guide $14.99   Add to cart

Exam (elaborations)

NURSING 306 OB Exam 2 Study Guide

 1 view  0 purchase
  • Course
  • Institution

OB Exam 2 Study Guide 12/03/2016 Fundal Assessment • Actions/Interventions o Determine tone ▪ Firm=contracted ▪ Soft=boggy  Indicates uterus is not contracting and places the woman at an increased risk for excessive blood loss  Massage fundus w/palm of hand in a circular motion u...

[Show more]

Preview 2 out of 10  pages

  • October 26, 2022
  • 10
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
avatar-seller
OB Exam 2 Study Guide 12/03/2016
Fundal Assessment

Actions/Interventions
o
Determine tone

Firm=contracted

Soft=boggy
 Indicates uterus is not contracting and places the woman at
an increased risk for excessive blood loss
 Massage fundus w/palm of hand in a circular motion until firm
to stimulate contraction

Reevaluate w/in 30 mins
 Give oxytocin to stimulate smooth muscle of uterus to
contract

Physiological changes in PP

Assessment & Care
o
Reproductive

Assess uterus for location, position,
and tone of fundus
 Potential complications that
may lead to postpartum
hemorrhage are greatest within
the first hour following delivery

Measure the distance between the
fundus and umbilicus
 Each finger breadth=1cm

Determine position of uterus
 Shifted to side may indicate distended bladder
If deviated, soft, or elevated above the umbilicus, have pt void
o
Endometrium

, ▪
Assess lochia to monitor blood loss
 Scant (<1in), light (<4in), moderate (<6in), heavy (pad
saturated)
 Measure clots—10g=10mL of blood loss
 (Table 12-2 pg. 313)
o
Vaginal/perineum

Assess perineum using
REEDA
 Redness,
edema, ecchymosis,
discharge,
approximation of edges of episiotomy or laceration

Position in side lying position for better visualization

Apply ice or cold sitz baths for first 24 hours; warm sitz baths after
24 hours twice a day for 20 mins

Give peri-bottle w/warm water to rinse area after elimination

Tighten gluteal muscle as she sits down and to relax muscles
after she is seated
o
Cardiovascular

Assess pulse & BP—every 15 mins for the first hour

Assess for orthostatic hypotension

Assess for venous thrombosis
 Homan’s sign
 Calf tenderness, edema, and sensation of warmth
 Encourage early ambulation

Assess for postpartum chills and give warm blanket
o
Breast

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller FLOYYD. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81989 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart