OB Exam 3 All Answers Correct
Postpartum Nursing Concepts - Involution: The rapid decrease in the size and return of the uterus to its nonpregnant state is referred
to as involution. - Lochia: The process of exfoliation at the placental site presents as lochia. - Fundal Assessment: Within 6-12 ...
OB Exam 3 All Answers Correct
Postpartum Nursing Concepts
- Involution: The rapid decrease in the size and return of the uterus to its nonpregnant state is referred
to as involution.
- Lochia: The process of exfoliation at the placental site presents as lochia.
- Fundal Assessment: Within 6-12 hours post-delivery, the fundus should return to the level of the
umbilicus. Assessment of the fundus is recommended every:
- every 15 minutes for the first hour
- every 30 minutes for the next hour
- hourly for the following two hours
- then every 8 hours.
- Fundus Displacement: If the fundus is elevated or deviated, it may indicate a full bladder.
- Risk of Bleeding: A displaced uterus elevates the risk of bleeding.
- Subinvolution: Subinvolution is characterized by a slower descent of the uterine size and is often
associated with factors like general anesthesia, multiple births, or retained placental tissue.
- Lochia Discharge: Vaginal discharge of uterine debris is termed lochia.
- Lochia Rubra: The vaginal discharge from days 1 to 3 postpartum is referred to as lochia rubra.
- Lochia Serosa: The discharge from days 4 to 10 postpartum is known as lochia serosa.
- Lochia Alba: The vaginal discharge occurring from day 10 up to several weeks postpartum is called
lochia alba.
, - Return of Bright Red Bleeding: A return to bright red bleeding after periods of serosa or alba should be
considered abnormal and reported to a physician.
- External Os Shape: The shape of the external os changes permanently after the first childbirth.
- Perineal Comfort Measures: Comfort measures for perineal care for the postpartum patient include:
- Sitz baths
- Topicals (e.g., witch hazel, Tucks, Dermaplast)
- Analgesics
- Perineal care
- Ice packs
- Laceration Types:
- 1st Degree: Affects vaginal mucosa or perineal skin.
- 2nd Degree: Involves the muscles of the perineum.
- 3rd Degree: Affects the anal sphincter.
- 4th Degree: Extends into the rectum.
- REEDA Assessment: The assessment acronym REEDA stands for Redness, Edema, Ecchymosis,
Discharge, and Approximation.
- Ice Application: Ice should be applied for the first 12-24 hours after birth to help reduce pain and
swelling.
- Ice Administration: A good guideline for ice application is to use it for 20 minutes on, 20 minutes off,
while separating the ice pack from the skin with gauze.
- Position for Assessing Episiotomy: To assess an episiotomy, the patient should lie on her left side with
the upper buttock lifted, allowing examination for approximation, swelling, bruising, hematoma, and
hemorrhoids.
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