NSG 3500 Exam 3
Study online at https://quizlet.com/_gobyt3
1. Postpartum peri- The interval between birth and the return of the reproductive tract to its non-preg-
od nant state; lasts approximately 6 weeks
2. Postpartum Temp: 98.6-100.4 F
Rapid Pulse: 50-90 bpm (can be 50-70)
Assessment Resp: 12-20
(First 24 hours BP: Consistent w/ baseline in first trimester
after birth) Fundus: firm, midline, umbilicus @ 24 hours
Normal Findings Lochia: 1-2 inch stain on pad like a heavy period for 2 hours then slows down
Bladder: Empty w/in 6-8 hours @ 150ml/hr, not palpable
Homans sign: Negative, swelling 1+ or less
3. Vaginal Birth VS Q15min x 2 hours
protocol Q4hrs x 2
Q8hrs to discharge
4. C-section VS pro- Q15min x 1 hour
tocol Q30 min x 3 hours
Q1hr x 3 hours
Q4-8 hrs to discharge
5. How long do VS Within 2 days post partum
take to return
to pre-pregnant
state?
6. Is dehydration YES, if fever is over 101 F after 24 hours then look for infection
common right af-
ter birth?
7. Is bradycardia YES, usually 50-70 bpm for 6-10 days d/t increased stroke volume.
normal after Tachycardia could mean PPH, infection, prolonged labor
childbirth?
, NSG 3500 Exam 3
Study online at https://quizlet.com/_gobyt3
8. Pre-eclampsia Systolic increase by 30 or 15 increase in diastolic or reading 140/80
postpartum Comes w/ edema, blurred vision, headaches
9. Nursing inter- Prone w/ pillow under her abdomen
ventions for af- Sitz bath
terpains Ambulation
Heating pad
Medicate with mild analgesic (for breastfeeding women 30 min before nursing-
ibuprofen or naproxen)
Multiparas more pain than primiparas
10. BUBBLE-HE B: Breast
U: Uterus
B: Bladder
B: Bowel
L: Lochia
E: Episiotomy
H: Homan's Sign (DVT)
E: Emotional Status
11. B-Breasts Nipple inspection
Soft breast tissue
Temp/Color
"How's breastfeeding?"
12. U-Uterus 1) Tone: is it firm or boggy?
2) Location:
i) Is the fundus midline or does it deviate to
the right or left (due to a full bladder)?
ii) Where is the fundus in relation to the
umbilicus?
, NSG 3500 Exam 3
Study online at https://quizlet.com/_gobyt3
-ff @u (fundus firm @ the umbilicus)
-ff u-2 (fundus firm 2cm below umbilicus)
-ff u+1 (fundus firm 1cm above umbilicus)
13. B-Bladder Last pee (Color, odor, amount)
PEE W/IN 6 HRS BIRTH
Non-palpable
14. B-Bowels Date/time of BM
C/S --> bowel sounds or gas
15. L-Lochia Bloody discharge- Fleshy smell
Lochia Rubia- Red (first few days)
Lochia Serosa- 4-10 days/pinkish, Serosangious
Lochia Alba- yellowish white (Day 10 to 6 weeks)
16. E-Episiotomy REEDA
Edges fuse w/in 24 hours
17. H- Homen's sign s/s of thrombophlebitis or DVT
UNILATERAL PAIN OR SWELLING=PROBLEM
Do not place pillows under knees
18. Breast Milk First 2 days: Colostrum sticky, yellow (high in protein)- breasts still soft
Days 3-4: Breasts begin filling/engorging- breasts firm/warm
Up to 14 days: Transitional milk (high in fat)
After 14 days: Mature milk (high in water)
19. Is shak- YES, normal d/t blood volume pressure changes, fluid loss, emotions
ing post-delivery
normal?
20. Fundal Assess-
ment
Study online at https://quizlet.com/_gobyt3
1. Postpartum peri- The interval between birth and the return of the reproductive tract to its non-preg-
od nant state; lasts approximately 6 weeks
2. Postpartum Temp: 98.6-100.4 F
Rapid Pulse: 50-90 bpm (can be 50-70)
Assessment Resp: 12-20
(First 24 hours BP: Consistent w/ baseline in first trimester
after birth) Fundus: firm, midline, umbilicus @ 24 hours
Normal Findings Lochia: 1-2 inch stain on pad like a heavy period for 2 hours then slows down
Bladder: Empty w/in 6-8 hours @ 150ml/hr, not palpable
Homans sign: Negative, swelling 1+ or less
3. Vaginal Birth VS Q15min x 2 hours
protocol Q4hrs x 2
Q8hrs to discharge
4. C-section VS pro- Q15min x 1 hour
tocol Q30 min x 3 hours
Q1hr x 3 hours
Q4-8 hrs to discharge
5. How long do VS Within 2 days post partum
take to return
to pre-pregnant
state?
6. Is dehydration YES, if fever is over 101 F after 24 hours then look for infection
common right af-
ter birth?
7. Is bradycardia YES, usually 50-70 bpm for 6-10 days d/t increased stroke volume.
normal after Tachycardia could mean PPH, infection, prolonged labor
childbirth?
, NSG 3500 Exam 3
Study online at https://quizlet.com/_gobyt3
8. Pre-eclampsia Systolic increase by 30 or 15 increase in diastolic or reading 140/80
postpartum Comes w/ edema, blurred vision, headaches
9. Nursing inter- Prone w/ pillow under her abdomen
ventions for af- Sitz bath
terpains Ambulation
Heating pad
Medicate with mild analgesic (for breastfeeding women 30 min before nursing-
ibuprofen or naproxen)
Multiparas more pain than primiparas
10. BUBBLE-HE B: Breast
U: Uterus
B: Bladder
B: Bowel
L: Lochia
E: Episiotomy
H: Homan's Sign (DVT)
E: Emotional Status
11. B-Breasts Nipple inspection
Soft breast tissue
Temp/Color
"How's breastfeeding?"
12. U-Uterus 1) Tone: is it firm or boggy?
2) Location:
i) Is the fundus midline or does it deviate to
the right or left (due to a full bladder)?
ii) Where is the fundus in relation to the
umbilicus?
, NSG 3500 Exam 3
Study online at https://quizlet.com/_gobyt3
-ff @u (fundus firm @ the umbilicus)
-ff u-2 (fundus firm 2cm below umbilicus)
-ff u+1 (fundus firm 1cm above umbilicus)
13. B-Bladder Last pee (Color, odor, amount)
PEE W/IN 6 HRS BIRTH
Non-palpable
14. B-Bowels Date/time of BM
C/S --> bowel sounds or gas
15. L-Lochia Bloody discharge- Fleshy smell
Lochia Rubia- Red (first few days)
Lochia Serosa- 4-10 days/pinkish, Serosangious
Lochia Alba- yellowish white (Day 10 to 6 weeks)
16. E-Episiotomy REEDA
Edges fuse w/in 24 hours
17. H- Homen's sign s/s of thrombophlebitis or DVT
UNILATERAL PAIN OR SWELLING=PROBLEM
Do not place pillows under knees
18. Breast Milk First 2 days: Colostrum sticky, yellow (high in protein)- breasts still soft
Days 3-4: Breasts begin filling/engorging- breasts firm/warm
Up to 14 days: Transitional milk (high in fat)
After 14 days: Mature milk (high in water)
19. Is shak- YES, normal d/t blood volume pressure changes, fluid loss, emotions
ing post-delivery
normal?
20. Fundal Assess-
ment
