By 6 to 8 weeks after birth:Prevent falls by encouraging the client to wear nonskid slippers or socks, assisting the client with getting out of bed, and instructing the client to call for assistance initially when getting out of bed.•Perform postpartum strengthening exercises, starting with simple exercises, and then gradually progressing to more strenuous ones.•Rubella: A client who is nonimmune to rubella or has a negative or low titer is administered a subcutaneous injection of rubella vaccine or a measles, mumps, and rubella (MMR) vaccine during the postpartum period to protect a subsequent fetus from malformations. A distended bladder as a result of urinary retention can cause infection, uterine atony, and displacement to one side. -Assess for cardiovascular and vital sign changes and monitor blood component changes. Solution, Injection: Pitocin: 10 units/mL (1 mL, 10 mL, 50 mL) [contains chlorobutanol (chlorobutol)] Generic: 10 units/mL (1 mL, 10 mL, 30 mL) -The nurse should perform a physical assessment of the client's breasts and determine the client's choice regarding breastfeeding.engorgement (fullness) of the breast tissue is a result oflymphatic circulation, milk production, and temporary vein congestion. Notify health care professional promptly if uterine relaxation becomes prolonged or if character of vaginal bleeding changes.PATIENT TEACHING: Instruct patient to take medication as directed; do not skip or double up on missed doses. There is a steady flow as uterus contracts- If bloody discharge spurts from vaginal opening and uterus is firmly contracted, there can be cervical or vaginal tears in addition to the normal lochiasoft directly after birth and can be edematous, bruised, and have small lacerations.distended, gradually returns to its pre-pregnancy size with the reappearance of rugae and a thickening of the vaginal mucosa.can be erythematous and edematous, especially in areas of an episiotomy or lacerations.-Observe the perineum for erythema, edema, and hematoma.-Wash both hands thoroughly before and after voiding.-Perineal tenderness, laceration, and episiotomy- Promote measures to help soften the client's stools.include the secretion of colostrum, which occurs during pregnancy and 2 to 3 days immediately after birth. erythema, breast tenderness, cracked nipples, and indications of mastitis (infection in a milk duct of the breast with concurrent flu‑like manifestations).•Promote early breastfeeding within the first 1 to 2 hr after birth.the cardiovascular system undergoes a decrease in blood volume during the postpartum period related to-Blood loss during childbirth (average blood loss is 300 to 500 mL (10% of blood volume) in an uncomplicated vaginal delivery and 500 to 1,000 mL (15% to 30% of blood volume) for a cesarean birth)._____ _____ does not usually occur in response to the normal blood loss of labor and birth because of the expanded blood volume of pregnancy and the readjustment in the maternal vasculature, which occurs in response to the following.in blood values, coagulation factors, and fibrinogen levels during the puerperium-Hematocrit levels drop moderately for 3 to 4 days then begin to increase and reach nonpregnant levels by 8 weeks postpartum.VS changes: pulse, stroke volume, and cardiac outputelevation for the first hour postpartum occurs and then gradually decreases to a prepregnant state baseline by 6-8 wks•Elevation of temperature to 38° C (100.4° F) resulting from dehydration after labor during the first 24 hr can occur but should return to normal after 24 hr postpartum. The ability of the uterus to contract is also lessened.-Assist the client to void within 6 to 8 hr after delivery. Administer antiemetics as prescribed. If unable to void, catheterization can be required.-Encourage the client to empty their bladder frequently to prevent possible displacement of the uterus and atony.-Measure the client's first few voidings after delivery to assess for bladder emptying. Yellowish white creamy color, fleshy odor. Antagonistic properties may induce withdrawal symptoms (vomiting, restlessness, abdominal cramps, increased BP and temperature) in patients who are physically dependent on opioid agonists. The education at Oxytocin is centered around several key themes that are researched and evidence based. period when the reproductive tract returns to normal (nonpregnant state)what's important to provide for the client during the 4th stage of labor?what is the main goal during the 4th stage of labor?- Can include urinalysis and CBC with monitoring of Hgb, Hct, and WBC and platelet counts.- uterine involution; lochia flow; cervical involution; decrease in vaginal distention; alteration in ovarian function and menstruation; and cardiovascular, urinary tract, breast, and gastrointestinal tract changes.Oxytocin, a hormone released from the pituitary gland, ....why would you want the uterus to be firm and contracted following laborafter delivery of the placenta, what happens to the hormones, estrogen, progesterone, and placental enzyme insulinase?decrease, thus resulting in decreased blood glucose, estrogen, and progesterone levels.what happens specifically with the hormones (estrogen, progesterone, and placental enzyme insulinasae)?what's different between lactating and nonlactating clients in terms of their first ovulation and the resumption of menstruation?they will differ in timing, lactating clients will return to ovulation/menstruation later than non-lactatingthe blood prolactin levels remain elevated and suppress ovulation.prolactin declines and reaches the prepregnant level by the third week postpartum.immediately following delivery include monitoring vital signs, uterine firmness and its location in relation to the umbilicus, uterine position in relation to the midline of the abdomen, and amount of vaginal bleedinga focused postpartum assmt should include assessing the client's- At the end of the third stage of labor, the uterus should be palpable at midline and 2 cm below the umbilicus.• Assess the fundal height, uterine placement, and uterine consistency at least every 8 hr after the recovery period has ended.• Administer oxytocics intramuscularly or IV after the placenta is delivered to promote uterine contractions and to prevent hemorrhage.post-birth uterine discharge that contains blood, mucus, and uterine tissueDark red color, bloody consistency, fleshy odor, can contain small clots, transient flow increases during breastfeeding and upon rising.