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What is the incidence of initial/new onset pre-eclampsia in the postpartum
period?
Less than 6% start in the postpartum period within the first 48 hours to 7 days but can
extend to 6 weeks postpartum
How many deaths occur in the first 2-7 days postpartum? How many of these are
from pre-e?
24.5% of deaths
44% pre-e
What are normal BPs and what are the normal/common deviations from normal?
Blood pressure returns to the client's prepregnancy baseline within 24 hours postpartum
Normal Blood pressure is <140/90
What is a common neurological symptom for a pre-eclamptic client that you will
monitor for?
heachache
What does REEDA stand for?
redness, edema, ecchymosis, drainage, approximation
What is REEDA used for?
, assessment of any incision after birth
What speeds perineal healing by increasing blow flow to the area?
kegels
What are the characteristics of a normal healing incision?
it should be free of heat, no swelling/hardening, redness, drainage/pus
When a wound is very hard and firm it is called
induration
What is a hematoma?
caused by the spontaneous or traumatic rupture of a blood vessel that bleeds into the
soft tissue space eventually forming a clot
What might the client complain of if they have a hematoma?
often cause rectal pressure and excrutiating pain that exceeds expectations when
vulvovaginal
What should the patient do to facilitate healing of a vulvovaginal hematoma?
kegal exercises soon after the birth to increase circulation to the area
What is the most common complication of a ceserean birth?
incisional infection
What is the most common complication of the perineal incision?
bleeding with potential sequelae of delayed bonding due to repair time and pain
What phases of lochia do you expect to find on day 1-7?
rubra and serosa
When does bleeding switch to lochia serosa?
day 3-5