Term
| What sloughs off to make Lochia? |
|
Definition
| Spongy layer of the decidua |
|
|
Term
| How does the placenta site heal? |
|
Definition
| Exfoliation and then endometrial tissue grows |
|
|
Term
| How long does it take placental site to heal? |
|
Definition
| May take up to 6 weeks to heal |
|
|
Term
| Why do uterine cells atrophy? |
|
Definition
| Due to decreased level of circulating estrogren and progesterone |
|
|
Term
| Where will the fundus be at 6-12 hours postpartum? |
|
Definition
| At level of the umbilicus |
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|
Term
| During the first postpartum day, where will the fundus be? |
|
Definition
|
|
Term
How much will the fundus descend per day?
Where is it on the 10th day? |
|
Definition
1 cm per day
In pelvis on 10th day |
|
|
Term
| What does it mean if the uterus is extra boggy and is above umbilicus? |
|
Definition
| Excessive uterine bleeding |
|
|
Term
| What is a boggy uterus mean? |
|
Definition
|
|
Term
| The uterus descends much more slowly if there is an ___________ |
|
Definition
|
|
Term
| Does breastfeeding affect the involution (Descent) of the uterus? |
|
Definition
| Yes. the release of oxytocin from breastfeeding (posterior pituitary) hastens involution |
|
|
Term
| What color lochia occurs first 2-3 days? |
|
Definition
|
|
Term
| What color lochia is associated day 3 to day 10? |
|
Definition
|
|
Term
| What lochia occurs before/until cervix is closed? |
|
Definition
|
|
Term
| Does lochia have an odor that is offensive? |
|
Definition
| It has a musty stale odor, not offensive |
|
|
Term
| Microorganisms are always present in lochia but are they virulent? |
|
Definition
|
|
Term
| Do C section moms have more or less lochia than vaginal delivery mothers? |
|
Definition
| C section moms have less lochia |
|
|
Term
| Do multiparous moms have less or more lochia than nulliparous moms? |
|
Definition
|
|
Term
| What is average mL of lochia? |
|
Definition
|
|
Term
| Discharge is __________ in morning due to pooling while mom sleeps |
|
Definition
| Discharge is greater in morning due to pooling while mom sleeps |
|
|
Term
| Why is evaluating lochia important? |
|
Definition
| Helps determine if involution is occuring or not and if healing/hemorrhage is occuring |
|
|
Term
| How long until uterus reaches pre-pregnant size? |
|
Definition
|
|
Term
| If uterus firmed and expected to have been healed, what may be causing bleeding? |
|
Definition
| Lacerations may answer to discharge or bleeding |
|
|
Term
| Clotting is normally the reason for pooling of blood in upper portion of vagina. What size clots is okay? What is not? |
|
Definition
| Nickel size is okay especially in first few days after birth. But any plum size is not okay. |
|
|
Term
| What does it mean if discharge is stopped? What decreases? |
|
Definition
| Due to closing of cervix and chances of infection decreases |
|
|
Term
| Is the external OS forever changed after pregnancy? What shape does it change to? |
|
Definition
| Yes. Changes to a lateral slit |
|
|
Term
| Will a woman need to be refitted for the diaphragm after pregnancy? |
|
Definition
|
|
Term
| What is the cervix like after birth? |
|
Definition
| Spongy, flabby and may appear bruised |
|
|
Term
| How long does it take for vagina to get back to normal? |
|
Definition
|
|
Term
| When does rugae appear on the vagina? |
|
Definition
| When size decreases and rugae appears within 3-4 weeks |
|
|
Term
| Labia majora and labia minora are more _______ in multiparrous woman than nulliparous woman |
|
Definition
|
|
Term
| What can you do to help vagina get back to normal after birth? |
|
Definition
|
|
Term
| How long may it take the episiotomy or lacerations to heal initally? How about fully? |
|
Definition
| Initially 2-3 weeks after birth but may take up to 4-6 months |
|
|
Term
| In non-breast feeding woman, when may the menstruation return? |
|
Definition
|
|
Term
| In breastfeeding woman, how long may it take for menstruation to come back? |
|
Definition
|
|
Term
| When does ovulation occur in non breastfeeding woman? |
|
Definition
|
|
Term
| How long may ovulation occur after birth in lactating women? |
|
Definition
|
|
Term
| When ovulation returns, what may make this happen? |
|
Definition
| Increased Progesterone Level |
|
|
Term
| Is breastfeeding a reliable source of contraception? |
|
Definition
|
|
Term
| Suckling by infant releases gonadotrophin releasing hormone that may be causing the ___________ |
|
Definition
|
|
Term
After birth, the abdomen is loose and flabby, will it respond to exercise?
If yes, How long? |
|
Definition
| Yes it will respond but may take 2-3 months |
|
|
Term
| Does straie differentiate in different skin colors? |
|
Definition
| Yes, they also may gradually fade but are still visible |
|
|
Term
| What is the separation of abdomen muscles? |
|
Definition
| Diastatis Rectus Abdomnis |
|
|
Term
| What is Diastatis Rectus Abdomnis common in? |
|
Definition
|
|
Term
| Diastatis Rectus Abdomnis may result in _________ abdomen and increases what? |
|
Definition
| Pendulous abdomen and increases backache |
|
|
Term
| Does Diastatis Rectus Abdomnis respond to exercise? |
|
Definition
| YES but may depend on mother's previous or recent physical condition |
|
|
Term
| After birth, woman may experience what two things? |
|
Definition
|
|
Term
| Will bowel movements be active after birth? |
|
Definition
| NO, they will be sluggish |
|
|
Term
| Why are the bowel movements sluggish after birth? |
|
Definition
| May be due to lingering effects of progesterone, decreased GI tone, and bowels may have evacuated during labor process |
|
|
Term
| What are two remedies that can be used for Gas? |
|
Definition
| Peppermint tea and chamomile tea |
|
|
Term
| What may cause a woman to be fearful of elimination? |
|
Definition
| They may have lacerations or episitomy and afraid it may hurt. However, delaying this may cause more discomfort because they may become constipated (Narcotics could also affect this) |
|
|
Term
| What may cause urine retention after/during child birth? |
|
Definition
| The oxytocin infusion may cause urinary retention. Once discontinued, person may feel urge to void |
|
|
Term
| In postpartum period, why may the bladder output increase? |
|
Definition
|
|
Term
| Is a fever common after childbirth? |
|
Definition
| Yes. May be 100 degrees for up to 24 hours after birth (may be due to lactation) |
|
|
Term
| Blood pressure may __________ during postpartum |
|
Definition
| BP may rise and then return to normal |
|
|
Term
| What may a low BP indicate in patients? |
|
Definition
| Hypovolemia secondary to hemorrhage (this is late sign) |
|
|
Term
| BP eleveation may be related to what? |
|
Definition
| Due to oxytocin or vasopressor medications |
|
|
Term
| Why may bradycardia occur during first 6-10 days? |
|
Definition
| Due to decreased blood volume because of placenta separation |
|
|
Term
| High pulse during postpartum period may be related to what causes? |
|
Definition
| hypovolemia, stress, fear, pain, infection and much more |
|
|
Term
| What may reduce the risk for thromboembolism? |
|
Definition
|
|
Term
| What may occur during early postpartum period but is non-pathologic? |
|
Definition
Non-pathologic leukocytosis
25,000-35,000 WBCS |
|
|
Term
| What is the average blood loss for vaginal births? And what about c section birth? |
|
Definition
200-500 mL for vaginal birth
700-1000mL during C-section |
|
|
Term
| When do the plasma levels reach pre-pregnant state? |
|
Definition
|
|
Term
| What levels fall due to placental separation? |
|
Definition
|
|
Term
| Platelet levels return to normal by __________ week |
|
Definition
|
|
Term
| Does CO increase or decrease during labor process? |
|
Definition
|
|
Term
| What helps to decrease ICF? |
|
Definition
|
|
Term
| What may happen to the mother if diuresis doesnt happen? |
|
Definition
| Pulmonary edema and subsequent cardiac problems (more common in woman who have preeclampsia or history or cardiac problems) |
|
|
Term
| When does CO return to normal? |
|
Definition
|
|
Term
| What is the most common neurologic symtpom in postpartum women? |
|
Definition
|
|
Term
| Are seizures more likely to happen during pregnancy or postpartum period? |
|
Definition
| More likely in postpartum period (these are woman are prediposed seizure) |
|
|
Term
| How much weight should the mom lose when the baby, placenta, and amniotic fluid is expelled? |
|
Definition
10 pounds
An additional 5 pounds may be lost due to diuresis in postpartum period |
|
|
Term
| How long should it taken for woman to get back to pre-pregnant weight? |
|
Definition
|
|
Term
| Are tremors or chills common in pregnancy? |
|
Definition
|
|
Term
| Why may a postpartum woman wake up drenched? |
|
Definition
| Due to postpartum diaphoresis |
|
|
Term
| How long do afterpains last? |
|
Definition
|
|
Term
| Why do after pains occur? |
|
Definition
| intermittent uterine contractions |
|
|
Term
| Do oxytocin or breastfeeding increase or decrease afterpains? |
|
Definition
|
|
Term
| Afterpains are more common in multi or nulli women? |
|
Definition
|
|
Term
| What may be used to decrease afterpains? |
|
Definition
| Lyseine (an essential amino acid) |
|
|
Term
| Lyseine is an essential AA used to decrease afterpains... what are some food examples where lyesine is common? |
|
Definition
| Eggs, meats, fish, cheese, soybean, nuts |
|
|
Term
What phase: taking hold or taking in?
Woman tends to be passive, dependent, follows suggestions, hestiates to make decisions, and preoccupied with her own needs |
|
Definition
What phase: taking hold or taking in?
Ready to resume control of her body, her mothering and her life in general |
|
|
Term
| What is the new term for Maternal Role Attainment meaning woman transforms persona into her mom self |
|
Definition
| BAM-Becoming A New Mother |
|
|
Term
| How long does it take for postpartum blues to result? |
|
Definition
|
|
Term
| How should you assess the perniuem? |
|
Definition
|
|
Term
| What does it mean if the Homans sign is positive? |
|
Definition
| When nurse dorsiflexes floot and there is a pain... patient should not feel pain...pain is due to inflammation of vessel |
|
|
Term
| How many calories does the breastfeeding woman need to increase in her diet? |
|
Definition
| 200 kcalories more (500 more than her pre-pregnant diet) |
|
|
Term
| Engrossment is a term relating to what? |
|
Definition
| Father newborn attachment |
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