Post Partum Lecture

CU NSG 3010

BUBBLEHEADS B

B: breasts and breastfeeding

BUBBLEHEADS U

U: uterus

BUBBLEHEADS B

B: bladder

BUBBLEHEADS B

B: bowel

BUBBLEHEADS L

L: lochia

BUBBLEHEADS E

E: episiotomy and perineum

BUBBLEHEADS H

H: hemoglobin and hematocrit (all labs)

BUBBLEHEADS E

E: extremities

BUBBLEHEADS E

E: extremities

BUBBLEHEADS A

A: affect

BUBBLEHEADS D

D: discomfort

BUBBLEHEADS S

S: social and spiritual

Temp in the first 24 hours is considered normal due to dehydration

100.4⁰F

Pulse may be ______.

bradycardic

Causes of tachycardia

• pain

• blood loss

• anxiety

Normal RR

12-20

BP Increased d/t

• pain

• anxiety

• increased SV d/t fluid shifts

BP decreased d/t

• dehydration

• blood loss

Dangerous BP reading 140/90

preeclampsia

Skin assessment

• color

• warmth

• dryness/clamminess

• diaphoresis

• rashes

• lesions

• intactness

Vital signs assessment

• temp

• RR

• HR

• BP

Skin assessment additional findings

• melasma

• linea nigra

• spider nebi

• spider veins

• redness (erythema) on palms

• straie graviderum

Skin varicosities

• legs

• anus

• labia

Respirations

• Hx

  • smoking/tobacco

  • asthma

  • magnesium sulfate use

  • c-section

• Assessment

  • RR

  • Breath sounds

  • Signs of distress

  • Cough

If post-op C-section

TCDB q 2hr, use incentive spirometer hourly

Cardiovascular assessment

• heart sounds (strong & regular)

• radial pulses strong and equal

• pedal pulses

• no numbness or tingling

Blood volume is increased _____% during pregnancy

40%

Fluid Shifts - Uteroplacental circulation is ____________ at birth, shifts to blood stream causing _______cardiac output

eliminated, increase

_________ ____________ function is lost, eliminating stimulus for vasodilation

Placental endocrine

Breast assessment

• breastfeeding?

• nipple assessment

  • everted/inverted/flat

  • nipples without redness

  • cracking

  • bleeding