NSG 211: PP
Assessment
1. when does the postpartum period begin?: immediately after childbirth (birth of placenta) until about 6 weeks
2. What is the postpartum assessment also called?: -puerperium and/or fourth trimester
- this is when the body is turning back to pre pregnant body
-its the period of constant changes: physiological and psychosocial
3. what are some hematological changes PP?: -blood volume decrease
-plasma fibrinogen decreases and this protects against hemorrhage, but it increases risk of thrombosis
4. what are some immune system changes PP?: -WBC increases the first few days due to stress response
-Rubella vaccine: immunocompromised baby and mom get it if they never had it. they can breastfeed, but cannot get
pregnant until 1 month after bc its teratogenic.
-Rho Immune Globulin: need during pregnant
5. what are some endocrine system changes PP?: -insulin increases
6. what are some neurological changes PP?: -Numbness/dizziness
-fatigue: exhausted from birth
-headache: epidural/spinal/labor/ HTN *check BP*
-anesthesia: safety prevent falls
7. what are some signs of preeclampsia?: blurry vision, cant look at light, epigas- tric pain, proteinuria
8. what are some urinary/renal changes PP?: -Diuresis: 3000 mL during first 24 hour period. there is 3 kg lost
during first couple days
9. what is the pt at risk for if they do not diurese?: -the pt is at risk for pulmonary edema
-strict I&O
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, NSG 211: PP
Assessment
-30 ml per hour
10.what are some integumentary changes PP?: -striae gravidarum (stretch marks): they often fade
-reassure pts they fade
11.what are some cardiovascular changes PP?: -cardiac output is elevated PP despite blood volume decrease
-returns 2-4 weeks
12.what are some GI changes PP?: -constipation: motility decreases
-pt is at risk for hemorrhoids, straining, laceration
*increase fiber diet, increase fluids, early ambulation
-stool softeners are important for 4th degree tear
13.what are some musculoskeletal changes PP?: -fatigue/aches: exertion of labor and delivery
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17
, NSG 211: PP
Assessment
-diastasis recti abdominis: separation of recti abdominis muscle from stretching of abd wall during pregnancy. this results
flabby/soft muscles. **teach to keep good posture, modified situps first 12 weeks **pt at fall risk
14.when does ovulation occur PP?: -if they do not breastfeed, could return 6-7 wks
-if they do breastfeed, could take up to 3 months
*breastfeeding is not contraception, ovulation comes before menstruation
15.when does lactation begin?: begins after birth from the fall in progesterone and estrogen
16.what is lactation?: -secretion of milk by the breast
-progesterone, estrogen prolactin, and oxytocin results from interaction of these
17.when does milk production occur?: 3-4 days after childbirth
18.what is colostrum?: -occurs pregnancy to 2-3 days PP
-liquid gold
-rich in IgA (main component), IgG, IgM, IgE, protein, less fat
19.what is the physiology of lactation?: 1. newborn sucking on breast
2. stimulates pituitary gland
3. causing the release of prolactin and oxytocin
4. causing synthesis and release of breast milk in breast and contraction of smooth muscle in the uterus and around the
alveoli cells in the breast
20.T/F: growth spurts occur and milk supply grows and changes based on baby's needs: True
21.T/F: composition of milk changes each feeding based on what babies needs are and nutrients: True
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Assessment
1. when does the postpartum period begin?: immediately after childbirth (birth of placenta) until about 6 weeks
2. What is the postpartum assessment also called?: -puerperium and/or fourth trimester
- this is when the body is turning back to pre pregnant body
-its the period of constant changes: physiological and psychosocial
3. what are some hematological changes PP?: -blood volume decrease
-plasma fibrinogen decreases and this protects against hemorrhage, but it increases risk of thrombosis
4. what are some immune system changes PP?: -WBC increases the first few days due to stress response
-Rubella vaccine: immunocompromised baby and mom get it if they never had it. they can breastfeed, but cannot get
pregnant until 1 month after bc its teratogenic.
-Rho Immune Globulin: need during pregnant
5. what are some endocrine system changes PP?: -insulin increases
6. what are some neurological changes PP?: -Numbness/dizziness
-fatigue: exhausted from birth
-headache: epidural/spinal/labor/ HTN *check BP*
-anesthesia: safety prevent falls
7. what are some signs of preeclampsia?: blurry vision, cant look at light, epigas- tric pain, proteinuria
8. what are some urinary/renal changes PP?: -Diuresis: 3000 mL during first 24 hour period. there is 3 kg lost
during first couple days
9. what is the pt at risk for if they do not diurese?: -the pt is at risk for pulmonary edema
-strict I&O
1/
17
, NSG 211: PP
Assessment
-30 ml per hour
10.what are some integumentary changes PP?: -striae gravidarum (stretch marks): they often fade
-reassure pts they fade
11.what are some cardiovascular changes PP?: -cardiac output is elevated PP despite blood volume decrease
-returns 2-4 weeks
12.what are some GI changes PP?: -constipation: motility decreases
-pt is at risk for hemorrhoids, straining, laceration
*increase fiber diet, increase fluids, early ambulation
-stool softeners are important for 4th degree tear
13.what are some musculoskeletal changes PP?: -fatigue/aches: exertion of labor and delivery
2/
17
, NSG 211: PP
Assessment
-diastasis recti abdominis: separation of recti abdominis muscle from stretching of abd wall during pregnancy. this results
flabby/soft muscles. **teach to keep good posture, modified situps first 12 weeks **pt at fall risk
14.when does ovulation occur PP?: -if they do not breastfeed, could return 6-7 wks
-if they do breastfeed, could take up to 3 months
*breastfeeding is not contraception, ovulation comes before menstruation
15.when does lactation begin?: begins after birth from the fall in progesterone and estrogen
16.what is lactation?: -secretion of milk by the breast
-progesterone, estrogen prolactin, and oxytocin results from interaction of these
17.when does milk production occur?: 3-4 days after childbirth
18.what is colostrum?: -occurs pregnancy to 2-3 days PP
-liquid gold
-rich in IgA (main component), IgG, IgM, IgE, protein, less fat
19.what is the physiology of lactation?: 1. newborn sucking on breast
2. stimulates pituitary gland
3. causing the release of prolactin and oxytocin
4. causing synthesis and release of breast milk in breast and contraction of smooth muscle in the uterus and around the
alveoli cells in the breast
20.T/F: growth spurts occur and milk supply grows and changes based on baby's needs: True
21.T/F: composition of milk changes each feeding based on what babies needs are and nutrients: True
3/
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