NURSING 306 OB Exam 2 Study Guide OB Hartman GOLD, A+ Guide - West Coast University.

Document Content and Description Below

Immediately after delivery the fundus is right at the umbilicus, feels like fist Every PP day fundus drops 1cm Day 9-10: cannot feel fundus at all - Should be firm - If it’s boggy -> at risk for... PP hemorrhage Massage the fundus immediately & reassess in 30 min If massage is not helping, give oxytocin Should be midline If boggy & deviated it means the bladder is full-> always massage, if not resolved ask pt to void & reevaluate Assess for clots The uterus on the average descends 1 centimeter per day. The first nursing action for a boggy uterus is to massage the fundus. Oxytocin is commonly used to control postpartum bleeding related to Postpartum period: 6 week period after childbirth The Reproductive System Uterus: The uterus needs to be contracted to prevent hemorrhaging Women who are in a healthy state and had a low risk pregnancy have a lower risk for complications Women are at risk for infection and hemorrhage Involution: uterus returns to pre-pregnant size, shape and location Afterpains: moderate to severe cramp-like pains RT/ uterus contracting &/or the release of oxytocin from the infant suckling Nursing Actions: Assess the uterus for location, position and tone of the fundus (inform, explain, and instruct pt to void) ○ An over distended bladder may cause uterine atony (decreased uterine muscle tone that may lead to postpartum hemorrhage)/displacement, therefore voiding gives you an accurate assessment Rationale: An over distended bladder can result in uterine displacement and atony. Encouraging the woman to void prior to uterine assessment will allow for an accurate assessment of uterine placement and tone. [Show More]

Last updated: 1 year ago

Preview 1 out of 33 pages