Chapter 21

Question 1

Describe components of a systematic postpartum assessment.

Answer 1

Breasts, Uterus, Bowels, Bladder, Lochia, Episiotomy

Redness, Edema, Ecchymosis, Discharge, Approximation

Question 2

Prepare a plan for postpartum teaching for self-management.

Answer 2

Use Tucks, perineal lavage, sitz bath

Question 3

Uterine Involution

Answer 3

Within 12 hours: fundus can rise to 1 cm above umbilicus

Fundus descends 1-2 cm every 24 hours

Should not be palpable after 2 weeks

Returns to nonpregnant location by 6 weeks after birth

Question 4

Lochial Flow

Answer 4

Lochia rubra: dark red, immediately after birth

Lochia serosa: pale pink or brown after 3-4 days

Lochia alba: yellow to white after about 10-14 days