Flashcards week 1 normal postpartum

Involution

The process of the uterus returning to its pre-pregnancy state after childbirth.

Afterpains

Postpartum uterine cramping experienced more intensely in multiparas and stimulated by breastfeeding releasing oxytocin.

Bladder Distention & Postpartum Bleeding

A full bladder can increase bleeding; patients should be encouraged to empty their bladder regularly.

Diastasis Recti Abdominis

Separation of the abdominal muscles (rectus abdominis) to the sides during pregnancy.

RhoGAM Administration

Given within 72 hours postpartum for unsensitized Rh-negative women giving birth to Rh-positive babies.

Rubella (MMR) Vaccine Postpartum

Given to non-immune postpartum women; pregnancy must be delayed for at least 4 weeks due to live vaccine risks.

BUBBLE-EE Mnemonic

Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy/Lacerations, Lower Extremities, Emotional Status.

Breast Palpation Precaution

Do not palpate a bottle-feeding mother's breasts to avoid milk stimulation.

Colostrum

The initial milk ('liquid gold') produced, which is high in fat.

Formula Feeding Comfort Measures

Avoid breast stimulation, wear a supportive bra, and use cold cabbage leaves and analgesics for discomfort.

Fundal Assessment Technique

Use a two-hand gloved technique, supporting the lower uterine segment while gently massaging the fundus.

Fundal Height Measurement

Measured in fingerbreadths relative to the umbilicus (e.g., U for at the umbilicus).

Fundal Tone Assessment

The uterus should feel firm and midline; a boggy ('mushy') fundus indicates potential excessive bleeding.

First Postpartum Void

Should occur within 6 to 8 hours after birth.

Lochia Rubra

Dark red postpartum vaginal discharge occurring on days 1 through 3.

Lochia Serosa

Pinkish-brown postpartum vaginal discharge occurring on days 4 through 10.

Lochia Alba

Whitish-yellow postpartum vaginal discharge starting around day 10.

REEDA Mnemonic

Assessment tool for episiotomy, laceration, or cesarean incisions: Redness, Edema, Ecchymosis, Discharge, Approximation.

Perineal Care for Lacerations

Apply ice packs to the site for the first 24 hours, followed by sitz baths as ordered.

Episiotomy Classifications

Midline (straight down) or mediolateral (at a 45-degree angle).

Fourth-Degree Laceration

A tear that extends through the perineal body, anal sphincter, and involves the rectal wall.

Cesarean Birth Additional Care

Includes post-operative incision assessments, promotion of respiratory function, pain management, and DVT prophylaxis.