N218 Final Exam Review Questions and Complete Solutions

Puerperium begins at __ and ends @ ___? Birth, 6 weeks During the postpartum period, the nurse must be alert for what 2 things? Postpartum hemorrhage and hypovolemic shock Postpartum vital signs Temp- 98-100.4, P- 50-90, RR- 16-24, BP should go back to the prepregnant state How long is the mom at risk for preeclampsia in the postpartum period? Up to 2 weeks The perineal assessment should be done in which position Side lying Perineal assessment characteristics (REEDA) Redness, edema/swelling, ecchymosis/ bruising, drainage, approximation of episiotomy or lacerations Taking in phase occurs when 1-2 days postpartum What position should the nurse advise the patient to be in when experiencing after pains The prone position with a pillow under the abdomen. May increase pain for the first 5 min but then significantly decrease When is Rhogam given? within 72 hours after birth How many days does it take to suppress lactation? 5-7 Taking in phase characteristics Passive, dependent, preoccupied w/own needs, hesitates to make decisions, may need to talk about L&D Taking hold phase occurs when 2-3 days postpartum Characteristics of taking hold phase Resume control, focus on infant care, may need reassurance Postpartum blues can last how long 10-12 days, peak 3-5 days Characteristics of postpartum blues Mood swings, anger, weepiness, anorexia, insomnia, feelings of let down