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NURS 306: Postpartum & New Parenting (Week 3+PCA) CH 12, 13, & 16 Question and answers already passed CA$20.15   Add to cart
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NURS 306: Postpartum & New Parenting (Week 3+PCA) CH 12, 13, & 16 Question and answers already passed

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NURS 306: Postpartum & New Parenting (Week 3+PCA) CH 12, 13, & 16 Question and answers already passed Postpartum Period - correct answer *Occurs from*: -Delivery through 6 wks *Physiological changes occur* *Nurse role* -assess for complications -promote health >education Vita...

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  • November 19, 2024
  • 69
  • 2024/2025
  • Exam (elaborations)
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  • nurs 306 postpartum new parenting week 3pca
  • nurs 306 postpartum new parenting

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NURS 306: Postpartum & New Parenting
(Week 3+PCA) CH 12, 13, & 16 Question
and answers already passed
Postpartum Period - correct answer ✔*Occurs from*:
-Delivery through 6 wks


*Physiological changes occur*


*Nurse role*
-assess for complications
-promote health
>education


Vitals - correct answer ✔15 min for 1st hour
30 min for 2nd hour
4 hours every next 22 hrs
q Shift after 1st 24 hrs (or per facility)


EPDS - correct answer ✔Scale to measure *Postpartum depression*


Edinburgh Postpartum Depression Scale


10-item questionare


Maternal Mortality - correct answer ✔America ranks 48th/184

,Postpartum Hemorrhage (PPH)


*Secondary to*:


-*Amniotic embolism*
>extremely rare & high mortality
>amniotic sac ruptures and amniotic fluid enters the blood stream to create an
anaphylactic reaction


-*Pulmonary embolism*
>clot dislodges and enters the lungs


Reproductive System (*Uterus*-Physiological changes) - correct answer
✔*Involution*:uterus contacts to return to the prepregnancy size
-uterine contraction
-atrophy of the uterine muscles
-decreased size of uterine cells


placental site will start to heal decreasing the risk of hemorrhage via
contractions


Takes 6-8 weeks post delivery
-depends on delivery type


*After pains can occur*

,Reproductive System (*Uterus*-Assessments) - correct answer ✔Assess
uterus: (changing frequency)
-location
-position
-tone


Monitor
15 min for 1st hour
30 min for 2nd hour
4 hours every next 22 hrs
q Shift after 1st 24 hrs (or per facility)


*Make sure when assessing the uterus place one hand under*


Reproductive System (*Uterus*-Expected findings) - correct answer
✔*Location/Position*: fundus


-After birth: midway between the umbilicus and symphysis pubis (firm &
midline)


-W/N 12 hrs of placenta: level of the umbilicus or 1 cm above (firm & midline)


-W/N 24 hrs: 1 cm below (firm & midline)


-After: uterus descends 1 cm per day
>by day 14 the fundus has descended & is not palpable

, *Tone*:
-should be firm
>boggy (soft or nonpalpable) indicates-at risk for excessive blood loss


*After pains * 6-8 days
-more common with multiparaous women & increase w/ each birth


Reproductive System (*Uterus*-Nursing Actions) - correct answer ✔Frequent
uterus/fundus assessment


*Distended uterus/fudus*
-void bladder
>encourage void
>straight cath


*Boggy uterus*
-massage fundus
-possible oxytocin
>promotes contraction via smooth muscle to prevent hemorrhaging


*After pains*
-empty bladder (decreases after pains)
-apply warm blanket
-relaxation & warm compress
-analgesics (metformin/ibuprofen)

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