OB prepU
Temperature internationally defined as a postpartal infection
A temperature over 100.4° F (38° C) past the first day postpartum is suggestive of infection.
Premature separation of the placenta
begins with sharp fundal pain, usually followed by vaginal bleeding.
placenta previa care
• Place the woman on bed rest in a side-lying position. • Determine from the client the time the bleeding began and about how much blood has been lost. • Obtain baseline vital signs. • Continue to assess blood pressure every 5 to 15 minutes. • Attach external monitoring equipment to record fetal heart sounds
thrombophlebitis in leg
Assess for calf swelling, erythema, warmth, tenderness, and pedal edema are caused by an inflammatory process and obstruction of venous return
hydatidiform mole
If a complete molar pregnancy continues into the second trimester undetected, other signs and symptoms appear. The woman often presents with complaints of dark to bright red vaginal bleeding and pelvic pain. Infrequently, she will report passage of grapelike vesicles
A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm/Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next?
Palpate the fundus, and check fetal heart rate. The classic signs of abruptio placentae are pain, dark red vaginal bleeding, a rigid, board-like abdomen, hypertonic labor, and fetal distress.
hyperemesis gravidarum
The first choice for fluid replacement is generally NS with vitamins and electrolytes added. If the client does not improve after several days of bed rest, "gut rest," IV fluids, and antiemetics, then total parenteral nutrition or percutaneous endoscopic gastrostomy tube feeding is instituted to prevent malnutrition.
meconium suggests
When meconium is present in the amniotic fluid, it typically indicates fetal distress related to hypoxia. Meconium stains the fluid yellow to greenish brown, depending on the amount present.
Twins
When twins share a placenta, a serious condition called twin-to-twin transfusion syndrome (TTTS) can occur.
postpartum psychosis symptoms
exhibiting suspicious and incoherent behavior, confusion, irrational statements, and obsessive concerns about the baby's health and welfare. Delusions, specific to the infant, are present or mania and bizarre behavior. Postpartum psychosis usually appears about 3 months after birth of the newborn.
Postpartum depression symptoms
inability to concentrate, loss of confidence, and decreased interest in life to verify the presence of postpartum depression. PPD usually has a gradual onset and becomes evident within the first 6 weeks postpartum.
Antepartum Infection risk factors
include history of infection; history of chronic conditions, such as diabetes, anemia, or poor nutrition; infections of the genital tract; smoking; and obesity
Mastitis
most common cause of mastitis is S. aureus, transmitted from the neonate's mouth. Mastitis is not harmful to the neonate.
Postpartum Infection risks
nonelective cesarean birth
Postpartum blues
typically manifests in the first week postpartum.
Lacerations
typically present with a firm contracted uterus and a steady stream of unclotted bright red blood.
von Willebrand
von Willebrand disease is a congenital bleeding disorder, inherited as an autosomal dominant trait, that is characterized by a prolonged bleeding time, a deficiency of von Willebrand factor, and impairment of platelet adhesion. The nurse should assess the client for prolonged bleeding time.
Uterine atony
would be manifested by a noncontracted uterus.
Hematoma
would present as a localized bluish bulging area just under the skin surface in the perineal area, accompanied by perineal or pelvic pain and difficulty voiding.
Uterine inversion
would present with the uterine fundus at or through the cervix.
