NR 4015 Study Guide - Quiz Guide: Postpartum Bleeding, Pubic Symphysis, Postpartum Period
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Maternal and newborn exam 1: focuses on normal findings: postpartum assessment and nursing care, the postpartum period begins with the delivery of placenta. It is a 6-week period following childbirth: greatest risk in the immediate post-partum period is hemorrhage, others during this time are shock and infection, physiological changes of the postpartum period. Reproductive: uterus involution: after delivery of the placenta, the uterus returns to a non-pregnant state. Progresses rapidly (completed by 6 to 8 wks) this occurs through uterine contractions, atrophy of the uterine muscle and a decrease in the six of uterine cells: the uterus must contract to decrease the risk of postpartum hemorrhage. The contracted uterine muscle compresses the open vessels at the placental site and decreases the amount of blood loss: must assess height, placement and consistency (tone, the first 12 hours fundus sits above umbilicus. Then the fundus descends to 1 to 2cm q 24 hours.
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