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OB Exam 3 Guaranteed Success Postpartum Nursing Concepts - Oxytocin: This hormone facilitates the milk let-down reflex during breastfeeding. - Bubble-hee: This acronym can be utilized as a guide for conducting a head-to-toe postpartum assessment. - Lactation: The process of milk secretion by th...

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  • August 20, 2024
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  • 2024/2025
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OB Exam 3 Guaranteed Success
Postpartum Nursing Concepts



- Oxytocin: This hormone facilitates the milk let-down reflex during breastfeeding.



- Bubble-hee: This acronym can be utilized as a guide for conducting a head-to-toe postpartum
assessment.



- Lactation: The process of milk secretion by the breasts is called lactation.



- Engrossment: The emotional and developing bond that a father or significant other forms with the
newborn is referred to as engrossment.



- Kegel Exercises: These exercises are effective for restoring pelvic floor muscle tone and reducing stress
urinary incontinence following delivery.



- Sitz Bath: This shallow bath of warm water is used after the first 24 hours postpartum to promote
perineal comfort.



- Peribottle: A plastic bottle filled with warm tap water used to spray the perineal area after each
urination is called a peribottle.



- Progesterone: Known as the hormone of pregnancy, progesterone levels decrease significantly with
the delivery of the placenta.



- Uterine Atony: This term describes the relaxation of the uterine muscle, which can lead to excessive
bleeding or postpartum hemorrhage.



- Postpartum Period Duration: The postpartum (PP) period lasts 1 year.



- Lochia: This term describes the vaginal discharge that occurs after birth.

,- Involution: The process in which the uterus returns to its normal, non-pregnant size and condition is
called involution.



- Pregnancy Spacing: It is recommended to space pregnancies at least 18 months apart.



- Lochia Rubra: A deep-red discharge characterized by mucus, tissue debris, and blood, with a fleshy
odor, is known as lochia rubra.



- Lochia Serosa: The pinkish-brown discharge that contains leukocytes, tissue, red blood cells, and serous
fluid is termed lochia serosa.



- Lochia Alba: The creamy white or light brown discharge containing leukocytes, tissue, and reduced
fluid content is known as lochia alba.



- Uterine Atony Symptoms: If blood accumulates and forms clots within the uterus, the fundus may rise
and feel boggy, indicating uterine atony.



- Episiotomy: A surgical incision made by the physician to enlarge the vaginal opening is referred to as an
episiotomy.



- Laceration: A tear in the vaginal opening that occurs during delivery is called a laceration.



Hormonal Changes Postpartum



- Estrogen:

- Level drops with the delivery of the placenta.

- Decreased estrogen can lead to breast engorgement and postpartum sweating.

- For non-breastfeeding women, estrogen levels begin to rise again by 2 weeks postpartum, whereas it
remains low for breastfeeding women until feeding frequency decreases.

, - Progesterone:

- Levels drop with the delivery of the placenta and are undetectable by day 3 postpartum.

- Production is reestablished with the onset of the first menstrual period after childbirth.



- Prolactin:

- Levels increase towards term and stimulate milk production.

- In non-breastfeeding women, prolactin levels decrease within two weeks, while in breastfeeding
women, infant suckling continuously stimulates its release.



- Oxytocin:

- This hormone promotes milk let-down and stimulates uterine contractions during breastfeeding; it is
continuously released in response to infant suckling.



- Engorgement: This refers to the swelling of breast tissue due to increased blood and lymph supply as it
prepares for lactation.



- Peak of Engorgement: Breast engorgement typically reaches its peak 3-5 days postpartum.



Factors Affecting Uterine Position and Comfort



- The uterine fundus may shift from midline to the right side of the abdomen due to a distended
bladder.



- For breastfeeding mothers with engorgement, applying warm compression is recommended.



- For bottle-feeding mothers experiencing engorgement, cold compression is advised.



Definition of the Postpartum Period



- What is the postpartum period?

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