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Hypertension
Cervical and vaginal tears
Urine retention
Endometritis
Foul-smelling
Lochia serosa
Lochia alba
Lochia rubra
She had a precipitate birth
This was an extramural birth
Retained placental fragments must be expelled
Multigravidas are at increased risk for uterine atony.
Soft. non-tender; colostrum is present
Leakage of milk at let down
Swollen. warm. and tender upon palpation
A few blisters and a bruise on each areola
Return to pre-pregnant weight is usually achieved by the end of the postpartum period
Fluid loss from diuresis. diaphoresis. and bleeding accounts for about a 3-pound weight loss
The expected weight loss immediately after birth averages about 11 to 13 pounds
Lactation will inhibit weight loss since caloric intake must increase to support milk production
Postural hypotension
Temperature of 100.4°F
Bradycardia — pulse rate of 55 BPM
Pain in left calf with dorsiflexion of left foot
Place her on a bedpan to empty her bladder
Massage her fundus
Call the physician
Administer Methergine 0.2 mg IM which has been ordered prn
Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum
Assist the woman into a supine position with her arms above her head and her legs extended for the examination of her abdomen
Instruct the woman to avoid urinating just before the examination since a full bladder will facilitate fundal palpation
Wash hands and put on sterile gloves before beginning the check
Uses soap and warm water to wash the vulva and perineum
Washes from symphysis pubis back to episiotomy
Changes her perineal pad every 2 – 3 hours
Uses the peri bottle to rinse upward into her vagina
Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered
Encourage the woman to void every 2 hours
Massage the fundus every hour for the first 24 hours following birth
Teach the woman the importance of rest and nutrition to enhance healing