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Learning Guide Postpartum

This document discusses topics related to postpartum care including involution of the uterus, lochia, assessing fundal height, perineal care, ambulation, iron supplementation, thrombophlebitis risk, and the three phases of postpartum emotional adjustment - taking-in, taking-hold, and letting-go. It emphasizes the importance of assessing uterine contraction, supporting the lower uterine segment during exams, differentiating lochia types, relieving perineal pain, encouraging activity and urination, and providing interventions tailored to each emotional phase.

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gerald david
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87 views2 pages

Learning Guide Postpartum

This document discusses topics related to postpartum care including involution of the uterus, lochia, assessing fundal height, perineal care, ambulation, iron supplementation, thrombophlebitis risk, and the three phases of postpartum emotional adjustment - taking-in, taking-hold, and letting-go. It emphasizes the importance of assessing uterine contraction, supporting the lower uterine segment during exams, differentiating lochia types, relieving perineal pain, encouraging activity and urination, and providing interventions tailored to each emotional phase.

Uploaded by

gerald david
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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1.

Involution
2. 500 gms
3. Afterpain
4. Lochia
5. 8 weeks
6. 15 minutes
7. Kegel’s exercise
8. Sim’s position
9. 4-6 weeks
10. 500 calories
11. Homan’s sign
12. Taking-in phase
13. Taking-hold phase
14. Letting-go Phase
15. Post-partum depression

Part II

1. Why do we need to assess if the uterus is contracted postpartum?


- To make sure the uterus is contracted to prevent the bleeding that may lead to hemorrhage
2. How do we assess the fundic height?
- Be certain the bed is flat for uterine assessment, so height of the uterus is not influenced by
an elevated position
- Palpate the fundus of the uterus by placing a hand on the base of the uterus just above the
symphysis pubic and the other at the umbilicus
- Press in and downward with the hand on the umbilicus until you bump against a firm
globular mass in the abdomen
- Assess the fundic height and measure in finger breadths
- Never palpate the uterus without supporting the lower segment as the uterus potentially
can invert if not supported this way and may lead to massive hemorrhage
3. Enumerate the 3 Lochia and differentiate each.?
- Lochia rubra Red 1-3 days - Blood, fragments of decidua and mucus (first our-may contain
small clots)
- Lochia serosa Pink or Brown 4-9 days - Blood, mucus and invading leukocytes
- Lochia alba White 10 days- Largely mucus, high leukocytes (decreased may last for amount
of lochia) 6 weeks

4. In palpating the uterus, why do we need to support the lower segment of the uterus?
- To prevent the uterus to potentially invert that can lead to massive hemorrhage
5. Why is it important to perform perineal care every after each voiding and bowel movement?
- To prevent infection of the episiotomy, bladder and uterus.
6. Enumerate measures that we can do to relieve pain or discomforts in the episiorrhaphy site.
- Application of ice bag for the first 12-24 hours to reduce edema, bruising and numb the
perineal area
- Exposing perineum to a heat lamp (25-40 watts bulb) to reduce the feeling of tenderness
and pain and allow for enough circulation of the area
- Positions the client to Sims position to relieve discomfort, Kegel’s before sitting or standing ,
foam rings when sitting
7. Why do we need to encourage the NSD mothers without underlying problems to ambulate 4-8
hours after birth?
- To prevent constipation, Circulatory problems and to prevent urinary problems
- To promote rapid recovery
- Hastens drainage of lochia
- Improves GI and urinary function
- Provide sense of well being
8. Why are we giving FeSO4 supplement to postpartum mothers?
- To ensure the breastfeeding mother have nutritious milk supply to the infant and to prevent
anemia
9. why do we need to encourage postpartum mothers to urinate after delivery?
- To prevent urinary infection
10. Why are postpartum mothers prone to have thrombophlebitis?
- Because the circulatory system of the mother will increase the circulating of fibrinogen
which decreases hemorrhage but increases the chance of thrombus formation
11. What are the three psychological changes that the mother will undergo postpartum?
Differentiate or characterized each phase and give interventions that a nurse can do in each
phases.
Emotional concerns it is divided into three phases:
- Taking- in phase: Passive relies on the nurse, family members to do things for her; focuses
on own need. Physical discomfort, exhaustion from childbirth, uncertainty as a nurse we
should let the mother talk about her birth
- Taking-hold Phase: Initiate action (beginning to do things for herself and make decision on
her own develops strong interest in taking care of her baby as a nurse we should give health
teaching on self-care, newborn care and family planning, give the mother a brief
demonstration of baby’s care and allow her to take care of her child herself and recognize
for the things she does well to give her confidence
- Letting-Go phase: in this phase the mother redefines her new role and gives up fantasized
image of her child and accepts the real one. She also gives up the old role of being childless

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