NURS 323 Lecture Notes - Lecture 14: Postpartum Bleeding, Tinnitus, Headache
10 Jan 2021
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3rd stage of labour: between the birth of the baby and the delivery of the placenta. Placenta separation signs gush of dark blood from the vagina lengthening of the umbilical cord vaginal fullness firm, contracted fundus. 4th stage of labour nurse should regularly assess the fundus fundus should be assessed in supine position and knees flexed. 12-24 hours post delivery: fundus expected to be at the level of the umbilicus higher and not firm gently massage. Blood loss post birth 1g = 1ml. 50% experience urticaria on the top half of their body. Shoulder dystocia: places infants at greater risk of a brachial plexus injury (s/s: weakened arm movements, odd arm position) Turtle sign: an indication that shoulder dystocia may occur positions that may help include hands and knees, squatting position and lateral recumbent position. Precipitous labour: giving birth less than 3 hours after regular contractions.
