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What are the types of lochia?
lochia rubra, lochia serosa and lochia alba
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The amount may be increased by exrtion or breastfeeding. Unexplained increase in amount or reapperance of rubra is normal
Lochia
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These are caused by intermittent utrine contractions following delivery
Afterpains
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First 48 hours postpartum pose greatest risk of complication for clients with what disease
heart disease
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What low hormone level postpartum lead to decreased vaginal lubrication and vasocongestion for 6 to 10 weeks, which can result in painful intercourse
estrogen
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also known as an attachment
bonding
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a maternal adjustment reaction
postpartum blues
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occurs on 2nd or 3rd day as supply of blood and lymph in the breast is increased and transitional milk is produced
primary engorgement
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this milk is produced after 2 weeks and appears water and slightly bluish in color, similar to skim milk
Mature milk
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their return time is prolonged in lactating women and affected by length of time the woman breastfeeds and whether formula supplements are used
ovulation and menstration
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this displaces the uterus, increasing the risk of uternine atony and postpartum hemorrhage
full bladder
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to determine uternine firmenss, height or fundus, and position of fundus in relation to what?
midline of abdomen
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normal pulse range for postpartume is what?
50-80 bpm
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termperature above 100.4 F after first 24 hours may indication infection; it may be elevated initially after delivery related to what?
dehydration
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Inspect any abdominal incisions, cesarean delivery or tubla for REEDA. What does REEDA stand for?
- R-reddness
- E-edema
- E-ecchymosis
- D-discharge
- A-approximation of skin edges
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client should void in how many hours following delivery?
6-8 hours
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After delivery you should inspect for type, quantity, amount, odor
lochia
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pain in calf upon dorsiflexion of foot is recorded as a positive sing and may indicate thrombophlebitis
Homan's sign
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These would be in effort to provide client what: apply ice to perineum 20 min on/10 min off for first 24 hours, and encourage sitz bath, warm or cool after first 12 to 24 hours
Promote comfort
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gently massage fundus if boggy will prevent what?
hemorrhage
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