Maternal Newborn Nursing: Postpartal Adaptation/Assessment

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.
Mom may experience ___________ due to excessive use of oxytocin or vasopressor drugs.
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)
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
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?
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.
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.
which position is optimal for relief of afterpains.