ATI Maternity Nursing Exam 2

what is involution - shrinking of the uterus via contracting starting immediately after birth how long does uterine involution take - uterus returns to normal in 6 weeks what is the first nursing intervention for beginning uterine involution - bolus of pitocin (oxytocin) second step to try to start uterine involution if the bolus of pitocin plus more pitocin did not work - breastfeeding is it okay for the bladder to be full when uterine involution is trying to take place - no- it can prevent contraction and cause uterine atony what position should the uterus be in immediately following birth - 2 fingerbreadths (2cm) below the umbilicus if the uterus is above the umbilicus by 1 cm following birth is that okay? - for a few hours yes- if longer there is suspected blood filling the uterus causing it to expand (hemorrhage) 24 hours post birth where is the uterus in relation to the umbilicus - in line with the umbilicus same as it was at 20 wks gestation how long after birth does it take the uterus to be a pelvic organ again? - 2 weekshow many weeks post birth does it take for the uterus to be normal in size - 6 weeks weight of the uterus immediately after birth - 1000 grams weight of uterus 6 weeks after brith - 70 grams the pain felt when the uterus is contracting after birth is called - after pain med that encourages uterine contraction and prevents Postpartum hemorrhage - oxytocin (Pitocin) What should the uterus feel like? - firm and should be midline what are the 5 hormones that drop quickly after the birth of the placenta - -estrogen -progesterone -beta-human chorionic gonadotropin -HpL -Relaxin if a mom is not breastfeeding when will her estrogen return to normal levels - 2 weeks postpartum HcG is not detectable after how long post birth - 1 month