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학습 자료 둘러보기 →| Finding | Normal/Expected | Abnormal/Concerning | Action |
|---|---|---|---|
| Lochia | Rubra (red) with small clots for 1-3 days. | Large clots, excessive flow (saturating pad in <1 hr). | Assess for hemorrhage, massage fundus. |
| Fundus | Firm, at umbilicus at 12 hrs, descends 1 fingerbreadth/day. | Boggy (soft), above expected level, deviated. | Massage fundus, assess for bladder distention. |
| Blood Pressure | Returns to pre-pregnancy baseline. | >140/90 mmHg, especially with headache, visual changes, epigastric pain. | Immediate intervention for preeclampsia. |
| Breast | Engorgement, mild discomfort 2-5 days postpartum. | Signs of mastitis (redness, heat, fever). | Support with feeding/pumping, comfort measures. |
| Condition | Key Signs & Symptoms | Timing | Priority Nursing Action |
|---|---|---|---|
| Postpartum Preeclampsia | BP >140/90, headache, visual disturbances, epigastric pain, hyperreflexia. | Can occur up to 6 weeks postpartum, often within 48 hrs. | Administer antihypertensives (e.g., labetalol), prepare MgSO4 to prevent seizures, ensure quiet environment. |
| Postpartum Hemorrhage (PPH) | Boggy fundus, excessive lochia (saturation), tachycardia, hypotension. | Early: Within 24 hrs. Late: 24 hrs to 12 weeks. | Massage fundus, administer uterotonics (oxytocin), IV fluids, prepare for possible surgery. |
| Normal Postpartum Recovery | Firm fundus, lochia rubra→serosa→alba, afterpains, breast engorgement. | Immediate to 6 weeks. | Monitor vital signs, provide education on self-care and newborn care. |
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.