1. bonding processing starts at birth
o skin to skin contact
o engaging with child, smiling at child
2. definition of lochia and what it should look
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o rubra- red
o serosanguinous- pink
o alba- white
3. right after 1st couple days after the baby is born mom is going to have a normal looking period (rubra)
• palpating fundus
o support lower segment, if you dont you can invert it
3. encourage parents to room in - helps with the bonding process and prevents security issue
4. when we’re at a 6-week postpartum appointment - what are the baby blues?
o hormones are dropping back to normal - risk for PPD
o need to be familiar with sx of PPD - feel tired, trouble staying/falling asleep, forgetful, not connected to baby, trouble staying/falling asleep - at week 6
5. discharge instructions to give families after having baby
o when she needs to call HCP - bleeding remains heavy
o s/s of infection
o teach her to take care of herself - adequate time off from work until cleared @ 6 weeks
o avoid anything in the vagina - no sex until cleared at 6 weeks
6. a nurse is concerned that a new mother…..
o as postpartum nurse and we notice they are not going through normal bonding
o we recommend follow up home visit from a nurse
9. 4th degree laceration and episiotomy care
• use icepack 1st 24 hours
o sitz bath
o peri bottle
o witch hazel
o avoid anything in the vagina or rectum - no enemas, no suppositories
o use stool softeners and high fiber diet.
10. why are postpartum women prone to urinary retention (natural birth)
o 2/2 amount of swelling in perineal area
11. most common site for postpartum infection
o reproductive tract, (inside the uterus)
12. postpartum prescribed abx for endometritis and her breastfed newborn should be assessed for?
o abx passes through milk, baby can get ORAL THRUSH
o easy bruising
13. breastfeeding - painful, inflamed hot red area on the breast.
o mastitis
o how do we treat? - abx
14. is it possible to have post-partum pre-eclampsia
o yes, trea
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