NUR 323 Lecture Notes - Lecture 3: Bradycardia, Substance Abuse, Venereal Disease Research Laboratory Test
Document Summary
Postpartu(cid:373) period (cid:862)4th(cid:863) tri(cid:373)ester: puerperium: 6-week period immediately after childbirth, reversal of pregnancy adaptations to return the body to the non-pregnant state. Close observation: identify hemorrhage and complications during 1st critical hour: onset of lactation, psychosocial changes. Ongoing education and support: typical hospital stays 2 days for vagninal delivery and 3-4 days for c-section. Safety for mother and infant: prevent infant abductions. Educate mother on safety measures (staff badges, security systems: fall prevention. Assess for return of lower extremity sensations post epidural: safe sleep for infant (back to sleep) Uterine involution: process by which the uterus returns to the non-pregnant state. Regeneration of the epithelium: after pains (intermittent uterine contractions) Often severe for 2 to 3 days after childbirth. More noticeable with breastfeeding (release of oxytocin) Often stronger in multiparas: placental site. Immediately after placental expulsion: elevated, irregular, and partially obliterated by vascular constriction/thrombosis.
