Maternal Newborn Nursing: Postpartal Adaptation/Assessment

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Maternal Newborn nursing, postpartal adaptation and nursing assessment for the mom after birth - 6-7 weeks.

Breastm uterus, bladder, bowel, lochia, episiotomy, hemorrhoids, emotion

Bubblehe : acroynm for assessment

100.4 f (38 C)

temperature should not rise above this number f (c) - due to exertion and dehydration in labor.

hypertension

Mom may experience ___________ due to excessive use of oxytocin or vasopressor drugs.

hypotension

Mom may experience __________ r/t hypovolemia secondary to hemorrahage. (orthostatic hypotension)

50-90 bpm

Normal, expected pulse for a mom postpartum.

bradycardia (50-70 bpm)

Common blood pressure problem first 6-10 days postpartum ( beats per min)

tachycardia

not common, r/t blood loos or difficult labor.

16-24 / min

normal respirations for postpartal mom

nonpathogenic leukocytosis

WBC elevation w/o infection, then returns to normal

colostum

Breat assessment: usually present 2-3 days after birth; yellow to orange in color...high in carbs, protein, and antibodies and low in fat. Laxitive affect to help baby remove early stools.

umbilicus level

level of fundus 6-12 hours after birth.

one finger breath (1 cm)

the amount the fundus decreases per day (cm)

Lightly massage fundus in a circular motion (while not fogetting to support the uterus)

What should a nurse do is it determined that the fundus is boggy?

bladder distension

Suspect ________ _________ if the fundus is higher than normal, and not midline (right).

pink, 3-10 days

lochia serosa

dark red, 1-2 days

lochia rubra

white to yellow, 1-2 wks

lochia alba

6-10 wks

When does menstration return after birth in a nonlactating mother?

Prolactin

Increase levels of ___________suppresses ovulation when breast feeding.

Redness, edema, Ecchymosis (brusis), drainage, approximation

use REEDA to evaluate perineal area. (Ecchymosis)

Postpartum diaphoresis

Extreme sweating @ night to get ride of the extra fluids and waste through skin. postpartum first word.

Oxytocin

Afterpains happen 2-3 days after birth and are common due to ___________ release.

10 - 14 days

When should the transient period of depression (postpartum blues) resolving itself?

Taking In (1-2 days)

Mother is passive, somewhat dependant as sorts reality from fantasy in birth experience. Food and sleep are major needs. ( days)

Taking Hold (2-3 days)

Mother eady to resume control over her life, focused on baby and may need reassurance. ( days)

Maternal role attainment

the process by which a woman learns mothering behaviors and becomes comfortable with her identity as a mother.

anticipatory stage

occurs during pregnancy, the woman looks to role models, especially her own mother, for examples for how to mother.

formal stage

begins when the child is born. The woman is still influenced by the guidance of others and tries to act as she believes others expect her to act.

informal stage

begins when the mother begins to make her own choices about mothering. The woman begins to develop her own style of mothering and finds ways to make things work for her.

personal stage

the final stage, when the woman is comfortable with the notion of herself as a mother.

Aquaintance phase

during the first few days after birth the new mother applies herself to the task of getting to know her baby; behavioral cues (crying)...fingertip exploration, en face position, responds verbally to sounds of infant.

Mutual regulation phase

a balance between needs of mother and needs of infant

Reciprocity phase

mutally graditfying interaction among mother, infant, and father.

Prone

which position is optimal for relief of afterpains.

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