NUR 413 Lecture Notes - Lecture 2: Postpartum Bleeding, Postpartum Infections, Bleeding
2 Feb 2020
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1st: dilation & effacement of cervix to 10 cm: cervix is typically closed. 2nd: full dilation of the cervix to delivery of newborn. 3rd: delivery of newborn to delivery of placenta. Vital to growth & development of fetus: o2, nutrients, waste. When it separates, open would because it"s free flowing vasculature. Hemorrhage: primary source of blood loss. Gravity: how many times she"s been pregnant before. Parity: how many live births she"s had. Gestation: 40 weeks is full term. Rh: what their blood type is, are they + or - Rubella: is she protected against rubella, if not, baby might be affected by rubella which can mean birth defects. Gbs: group beta strep, is she positive, if positive, baby might be susceptible to neonatal sepsis. 2 a: immediate stabilization, 1 on 1 nursing care to prevent blood loss once the placenta is out. 6 weeks after delivery: physiological return to pre-pregnant state, typically when follow up with provider is.
