NURS 3590 Study Guide - Midterm Guide: Uterine Atony, Lochia, Decidua
6 May 2020
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Run water, stand in shower, if safe, run water over labia with peri bottle, bedside commode if limited ambulation, use bladder scan to assess amount of urine, catherization is last resort, causes 50% risk of uti afterwards. Gradually decreases over the first 48 hours postpartum. Monitor more closely, check urinary pattern, uterine massage. Monitor very closely; try to id cause, if boggy uterus do uterine massage, voiding, self-massage. Palpate uterus; if boggy do uterine massage, meds as ordered. Strong use of team; ensure iv access, gather meds & notification. Slower than baseline is normal: respirations. Rr which was unchanged or slightly increase during pregnancy, should be within the woman"s normal pre-pregnancy range soon after birth: blood pressure. Same as baseline, no elevation, no shock. Shows a transient increase of approximately 5% over the first few days after birth, returning to pre-pregnancy levels over weeks or months. Orthostatic hypotension can develop in first 48 hours: assess pain.
