Term
| Lactogenesis is the transition from pregnancy to |
|
Definition
|
|
Term
| Stage 1 of lactogenesis begins mid-pregnancy until |
|
Definition
|
|
Term
| Stage 1 of lactogenesis entails differentiation of cells and with prolactin which stimulates epithelial cells to |
|
Definition
|
|
Term
| The second stage of lactogenesis occurs through PP days |
|
Definition
|
|
Term
| Stage 2 is triggered by a rapid |
|
Definition
|
|
Term
| with a drop in pregesterone there is an increase in |
|
Definition
|
|
Term
| the maintenance of the established milk production is called |
|
Definition
|
|
Term
| Lactation can be delayed if |
|
Definition
|
|
Term
| retained placental fragments can delay the start of milk production because |
|
Definition
| progesterone levels will not decline |
|
|
Term
| essential for initiating and maintaining milk production |
|
Definition
|
|
Term
| Has a role during pregnancy of increasing breast mass and cell differentiation |
|
Definition
|
|
Term
| Dopamine is prolactin inhibiting-- when the nipple is stimulated and milk is removed, |
|
Definition
| hypothalamus inhibits dopamine causing more milk production |
|
|
Term
| Prolactin levels follow a circadian rhythmm thus levels are higher at_____ which causes more_____ |
|
Definition
| night and milk production |
|
|
Term
| what drops with cigarette smoking? |
|
Definition
|
|
Term
| drinking beer causes a rise in |
|
Definition
|
|
Term
| depressed mothers have lower |
|
Definition
|
|
Term
| The final differentiation of alveolar epithelial cells into mature milk cells takes place only after exposure to |
|
Definition
|
|
Term
| TSH are normally elevated during which PP days? |
|
Definition
|
|
Term
|
Definition
| mammory growth and lactation |
|
|
Term
| Prolactin- Inhibiting factor- stimulates dopamine release and therefore |
|
Definition
| inhibits prolactin secretions |
|
|
Term
| Nipple stimulation and milk removal suppress |
|
Definition
| Prolactin inhibiting factor and dopamine, causing prolactin levels to rise |
|
|
Term
| Causes a contraction of the myoepithelial cells surrounding the alveoli necessary for the removal of milk from the breast (the “milk letdown”). |
|
Definition
|
|
Term
| women who have C/S have less circulating |
|
Definition
|
|
Term
| Avoid breastmilk for premature infants of mothers with acute |
|
Definition
|
|
Term
| Breastfeeding permitted unless mother develops _______ several days before delivery or within 48 hours after birth. |
|
Definition
|
|
Term
| Reconstitutes in the first few postpartum days. |
|
Definition
|
|
Term
| the endometrium resembles a non-pregnant endometrium by |
|
Definition
|
|
Term
| placental implantation site takes_____before returning to pre-pregnancy appearance |
|
Definition
|
|
Term
| Vaginal rugae return at approximately |
|
Definition
|
|
Term
| mammary involution can takes |
|
Definition
|
|
Term
| Decreased GI motility can lead to |
|
Definition
| distention, constipation, and sometimes ileus. |
|
|
Term
| Gastric tone and motility remain decreased for |
|
Definition
|
|
Term
| Gradual return to nonpregnant values of GFR, renal plasma flow, plasma creatinine, BUN, and creatinine clearance by |
|
Definition
|
|
Term
| The “taking-in” phase of postpartum adjustment involves reviewing |
|
Definition
|
|
Term
| ________ follows where the mother gradually assumes tasks of mothering, care of baby and self, along with attention to family and her support network. |
|
Definition
|
|
Term
| ombined hormonal contraception is now classified as a category 4 (unacceptable health risk) for all postpartum women, regardless of breastfeeding status, for the first |
|
Definition
|
|
Term
| Women who are between __________ and ___________ days PP should not use COCs if the risk outweigh the benefits/ |
|
Definition
|
|
Term
| After 42 days PP, the risk for VTE is resolved and women may use ____ for birth control. |
|
Definition
|
|
Term
| _____increases the risk of VTE in PP women. |
|
Definition
|
|
Term
| consist primarily of blood is red to brownish color and last 3-5 days |
|
Definition
|
|
Term
| contains some blood but primarily wound exudate and leukocytes is pinkish brown color. Median duration is 22 days |
|
Definition
|
|
Term
| Some may experience a transient increase in bleeding 7-14 days postpartum secondary to sloughing of |
|
Definition
|
|
Term
| - Composed predominantly of leukocytes and some decidual cells and is white or yellowish white in color |
|
Definition
|
|
Term
| In women who do not breastfeed, ______ decreases within the first postpartum week |
|
Definition
|
|
Term
| Women who do not breastfeed or who wean abruptly may have a increased risk of |
|
Definition
|
|
Term
| LFTs_____during pregnancy/labor |
|
Definition
|
|
Term
| The drop in estrogen leads to return to non-pregnant _____ levels |
|
Definition
|
|
Term
| the incidence of _____________is more common in the postpartum than at any other time in a woman’s life. |
|
Definition
|
|
Term
| medications need to bind to protein.. if it is highly protein bound then it is less likely to |
|
Definition
|
|
Term
| lipid soluble durgs are more likely to pass through the cell membrabrane and get into the |
|
Definition
|
|
Term
|
Definition
|
|
Term
| low molecular weight medications readily c |
|
Definition
| cross the cell membrane; high contents in breastmilk |
|
|
Term
| when is breastfeeding contraindicated in breastfeeding? |
|
Definition
| outbreak five days prior to birth or 48hrs after birth |
|
|
Term
| can mother breastfeed with HINI? |
|
Definition
| yes...she needs to pump and feed her baby until she is better |
|
|
Term
| can mothers breastfeed with active TB? |
|
Definition
| no...needs to wait until she is recovered |
|
|
Term
| is CMV contraindicated in breastfeeding? |
|
Definition
| no, only with acute infection for premies |
|
|
Term
| when should nbns receive HBIG and Hep B vaccine? |
|
Definition
|
|
Term
| what are the medication properties that increase the chances of crossing into the breastmilk? |
|
Definition
| low molecular weight, low protein binding, and fat soluble medications |
|
|
Term
| diaphragms should be refitted when what happens? |
|
Definition
| after childbirth and each time there is a 10lb weight change (plus or minus) |
|
|
Term
| when are diaphragms contraindicated? |
|
Definition
| while the woman is still having lochia discharge |
|
|
Term
| what is the risk of diaphragm use while lochia is still present? |
|
Definition
|
|
Term
| when should diaphragms be refitted after childbirth? |
|
Definition
|
|
Term
| contraceptive sponge is not as effective once |
|
Definition
|
|
Term
| contraceptive sponge can be used |
|
Definition
| after childbirth; 6wks pp |
|
|
Term
| IUD must be placed immediately PP, otherwise there is an |
|
Definition
| increased risk of expulsion |
|
|
Term
| what is the time frame for IUD placement after childbirth? |
|
Definition
| with 10mins of placental expulsion or after 4-6wks |
|
|
Term
| lactogenesis can be delayed in women who_____.______, or______, |
|
Definition
| had a c/s, had an epidural, or have diabetes |
|
|
Term
| how long can a baby go without nursing and it still be okay? |
|
Definition
| one 5hr stretch is usu okay in babies who are breastfeeding well |
|
|
Term
| how long should women delay breastfeeding with drinking alcohol? |
|
Definition
|
|
Term
| how long should BFing be delayed when smoking marijuana? |
|
Definition
|
|
Term
| how long should BFing be delayed with methadone use? |
|
Definition
|
|
Term
| can mothers who smoke cigarettes breastfeed? |
|
Definition
| yes, benefits outweigh the risk |
|
|
Term
| why are breastfed, late pretermers more likely to be readmitted to the hospital than formula fed late pretermers? |
|
Definition
| poor suck and milk exchange challenges related to the poor suck |
|
|
