NSG 504 Exam 2: Postpartum Assessment And
Nursing Care Questions And Answers Latest
Update
postpartum period
interval between birth and return of reproductive organs to their non-
pregnant state
traditionally lasts 6 weeks, although varies among women
factors of reproductive uterus
involution
exfoliation
contractions
lochia
involution
Return of the uterus to a non-pregnant state after birth
begins after expulsion of placenta
contracts to half pregnancy size immediately after birth
contractions cause uterine muscles to act like "living ligatures" and
compress blood vessels
caused by sudden withdrawal of E and P
patient is in danger of hemorrhage until process is complete
enhance involution
, Solution 2024/2025
Pepper
breast feeding
oxytocin
fundal massage
empty bladder
inhibit involution
long/difficult birth
incomplete expulsion of membranes/placenta
infection
over-distention
full bladder
anesthesia
close childbirth spacing
exfoliation
unique healing process that allows placental site to heal without scarring
necrotic tissue is sloughed off
reparative process ensures future fertilized ova will implant in an unscarred
uterus
endometrial
complete in 3 weeks
placental
complete in 6 weeks
contractions
, Solution 2024/2025
Pepper
hemostasis achieved by compression of intra-myometrial blood vessels as
uterine muscle contracts
oxytocin strengthens and coordinates and minimizes bleeding
lochia
uterus ridding itself of debris remaining after birth
forms of discharge
contains
blood from placental site
particles of necrotic decidua
mucus
types
rubra
serosa
alba
cervix
never regains pre-pregnancy appearance
slit os instead of round os
reproductive vagina
return to size by 6-10 weeks
estrogen deprivation causes dryness
perineum considerations
edematous and bruised from delivery
assess for type and amount of vaginal discharge, unusual swelling,
discoloration, healing of tissues, discomfort
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