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face and upper extremities edema?
abnormal
kidneys have ____-_____ mL to eliminate from prenatal fluids
2000-3000
voiding at least _____ mL
at least q ___-___ hrs
300 mL
4-6 hrs
distention- bladder palpable?
no
retention- lochia…
increases
uterine retention =
hemorrhage
Cystitis:
can progress to:
lower UTI
Pyelonephritis (upper UTI)
UTI treatments
antibiotics
analgesics
antispasmodics
fluids
bowel function returns by
2-3 days
how to encourage bowels
fluid
fiber
ambulate
antibiotics/stool softeners cause
diarrhea
opioids/narcotics cause
constipation
taking in phase
24-48 hrs
dependent, passive fingertip touch
taking-hold phase
12 hrs- weeks
dependent/independent, concerned abt performance as mother
letting go phase
few days-weeks
incorporating infant as a separate entity. independence returns
PP blues begins ____ and lasts ____
3rd pp day (or can occur in 1st 2 weeks pp)
2-3 days
affects 50-75% women
more severe in primiparas
has to do w/ drop in estrogen and progesterone
PPD
11% of moms
lack of interest
insomnia/hypersomnia
long lasting
PP psychosis
bipolar
increase risk hx of psych self or family
hospitalization
risk of injuring self/bby
maternal malattachment behavior prenatally
mood swings
appearance concerns
no prep
maternal malattachment behavior postnatally
negative comments abt infant
disappointment w/ gender
failure to name, respond, meet needs of kid
intervene for pain score of
4+
temp danger sign
> 100.4
danger: return of bright ____
red bleeding, clots
danger: foul ______
odor
blurred vision:
stroke/ preclampsia
Nursing moms: promote _____
warmth
Non-nursing moms: promote _______
cold
hemorrhoids interventions
tux pads
sitz bath
stool softeners
Rh factor
antigen on surface of RBC
Rh+ plus Rh-
antibody formation (agglutinin)
Rh+ and - transfusion reaction:
agglutination (clumping) and hemolysis of RBCs
if mother is Rh-, give RhoGAM at
28 weeks
after invasive procedures
after bleeding episodes
within 72 hrs if bby is Rh+
same routine w each pregnancy!
blood product protocol
double verify
ensure paperwork completed
returned to blood bank
vaccine u cannot get while pregnant:
rubella
(fetal death/anomalies)
but u can while breast feeding
ovulation surpression shots
depo-provera
given q3 months
bone loss w/ prolonged use
severe pain med
oxycodone
moderate pain med
ibuprofen
milk-moderate pain med
acetaminophen
fentanyl/ marcaine for epidural
blood pressue _____, fetal __________
decrease;
decrease fetal heart tone
duramorph for spinal
risk
fall risk
topical comfort:
witch hazel = astringent topical pads (tucks)
ways to promote elimination
stool softeners
laxatives
enema (NOT for pts with 4th degree laceration)
