6.2i Immune Flashcards

1
Q

Hemorrhoid

A
  • Anal Varicosity
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2
Q

Oxytocin

A
  • Responsible for let down reflex

- Responsible for uterine contraction

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3
Q

Prolactin

A
  • Secreted by pituitary of lactating patients
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4
Q

Postpartum Diaphoresis

A
  • Sweating after birth (especially at night) to rid body of excess fluid gained during pregnancy
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5
Q

Autolysis

A
  • Self destruction of hypertrophied uterine tissue

- Causes decrease of estrogen and progesterone after birth

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6
Q

Atony

A
  • Failure for uterine muscles to contract firmly

- Causes fundus to be soft/boggy and most frequent cause of postpartum bleeding

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7
Q

Dysparenuia

A
  • Discomfort during sex
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8
Q

Involution/Subinvolution

A

Involution - Normal return of uterus to prepregnant state

Subinvolution - Failure of uterus to return to prepregnant state

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9
Q

Episotomy

A
  • Surgical incision to perineum to facilitate vaginal birth
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10
Q

Afterpains

A
  • Uterine cramping that occurs early postpartum
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11
Q

Diastasis Recti Abdominus

A
  • Separation of abdominal wall muscles due to enlarged uterus during pregnancy
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12
Q

Retained Placental Fragments and Infection

A
  • Reason for uterus not returning to normal after birth
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13
Q

Exogenous Oxytocin

A
  • Administer IV/IM
  • Given after expulsion of placenta to ensure uterus remains firm and contracted
  • Reduces postpartum hemorrhage
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14
Q

Postpartum Period

A
  • After birth until body organs return to normal state
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15
Q

Uterine Involution Process

A
  • Begins immediately after expulsion of placenta

- Estrogen and Progesterone cause increase in uterine growth

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16
Q

Postpartum Hemostasis

A
  • Achieved through compression of blood vessels as uterine muscles contract
  • Oxytocin promotes uterine contractions which compress the vessels to promote hemostasis
  • Exogenous oxytocin can also be administered to promote this
17
Q

CASE STUDY

A
  • Fundus 2 cm above umbilicus and displaced to right. Pads are completely saturated with lochia rubra. Is this expected 3 hours after birth
  • No fundus should be at level of umbilicus after 12 hours and lochia flow should decrease
  • 3rd stage of labor fundus 2cm below umbilicus
  • 12 hours after umbilicus should be at level of umbilicus
  • 2 hours lochia should reduce to heavy menstrual period amount
18
Q

Extensive Bleeding Postpartum

A
  • Can be due to distended bladder
19
Q

Hemorrhage

A
  • Gush of blood is not hemorrhage when standing
  • Lochia flow is increased with ambulation and breastfeeding
  • Lochia pools while lying down and standing they may have a pool of blood
20
Q

Oxytocin

A
  • Stimulated when infant breast feeds

- Recommended early postpartum to stimulate contractions