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OB - Chapter 17

AB
Lochia rubra1-3 bloody, small clots, red or red/brown
Lochia serosa4-10 pink or brown tinged
Lochia alba11-21 + white cream, light yellow
terms used to describe amount lochiascant, light, moderate, heavy
involutionchanges that return the repro organ to pre-preg state
location of fundus determinesprogression of involution
breast s/b ___ and ___ 1-2 days after birthsoft and non-tender
lochia amounts will be heavier whengetting out of bed
heavy saturation =soaking 1 pad/hr
excessive saturation =soaking 1 pad in 15 min
if contracted uterus, then bleed is caused bylacerations in birth canal - bright red blood
REEDAredness, edema, ecchymosis, discharge approximation
cardio output ___ rapidaly after birthdecreases
stress incontincence improves __ after birth3 months
resumption of ovulation after birth7-9 weeks not breast - delayed while nursing
Postpartum assessmentbreasts uterus bowel bladder lochia episiotomy emotions
comfort measuresice, perineal care, topical meds, sitz, analgesics
methergine for hemorrhage - dont giveif bp is elevated



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