Nur 254 (Nur254 Exam 2 Study Guide)/nur 254 - Exam 2 Study Guide (100% Accurate)

Lochia serosa {Ans: 4-10 days (pink to brown)}postpartum Pituitary & Ovarian function {Ans: Prolactin blood levels rise progressively throughout pregnancy - in mothers who decide to breast feed they will remain high First ovulation varies after delivery -can occur as early as day 27 pp -non-lactating moms have a mean time of about 10 weeks -breastfeeding moms have a mean time of about 6 months Breastfeeding is not a form of birth control}Late postpartum hemorrage {Ans: occurs after 24 hours but less than a week after birth (boggy)}Promoting recovery: Perineal care {Ans: Perineal Hygiene: pads, warm water, pat dry, front to back, use spray bottle. Topical medications: help numb: promotes comfort and healing Ice packs: Edema first 24hrs, reduces edema Sitz bath: past 24hrs}Postpartum breast changes {Ans: Colostrum: clear/yellow fluid, first 2-3 days: available at birth Milk comes in around 72-96 hrs: day 3-4 wear a supportive bra 24hrs: put right back on after shower No underwire can suppress duct}Endometritis {Ans: Inflammation of the endometrium (inner layer of the uterine wall) Temp: > 100.4 or greater Need IV antibiotics S/S: Pelvic pain, extreme uterine tenderness with barely touching Increased pulse Heavy, foul-smelling lochia Flu