Can You Take Percocet and Ibuprofen at the Same Time
POSTPARTUM PREP GUIDE-
Nita Boxer is a 42 twelvemonth-old Caucasian female, gravida 3, para 3, who four hours ago
delivered twin boys at 38 weeks gestation. Twin A weighed 6 lbs. and Twin B weighed
5 lbs. 6 oz. Nita is being admitted to the postpartum unit post-obit an uneventful fourth
stage recovery period. On initial assessment you collect the following data: temperature
99.8F, pulse 86, respiration 22, claret pressure 1x/70, fundus boggy and located ane
fingerbreadth above and to the correct of the umbilicus, lochia moderate, episiotomy repair
intact with perineal edema present.
.
one. What is a fundus?
The fundus is the top part of the uterus that is across from the cervix. The fundal
height is a measurement of the size of the uterus used to assess fetal growth and
evolution during pregnancy.
2. What is significant about a boggy fundus (uterine atony)?
The significant of a boggy fundus (uterine atony) is that in that location is a lack of muscle
tone resulting in the fundus being high in location, and lochia with clots. This may
point a postpartum hemorrhage.
3. In social club of importance, prioritize three nursing interventions for a boggy fundus (uterine
atony).
Three nursing interventions for a boggy fundus (uterine atony) include massaging the
uterus every xv minutes until firm making sure the bladder is empty, give the patient Pitocin, or
have the patient breastfeed to help contract the uterus making information technology firm up.
Nita breast fed her twins during the recovery period. She successfully breast fed her
other two children. She tells you, "When I breastfeed, I really accept a lot of cramping."
4. What are the physiologic factors associated with the uterine cramping that Nita is
experiencing?
With nipple stimulation during breastfeeding, oxytocin is released into the
bloodstream which causes contraction of smooth muscles. This makes the uterus
contract, going back to its original size and shape earlier pregnancy. This can be
painful while breastfeeding, but information technology is a natural, necessary process.
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