6.2i Immune Flashcards
1
Q
Hemorrhoid
A
- Anal Varicosity
2
Q
Oxytocin
A
- Responsible for let down reflex
- Responsible for uterine contraction
3
Q
Prolactin
A
- Secreted by pituitary of lactating patients
4
Q
Postpartum Diaphoresis
A
- Sweating after birth (especially at night) to rid body of excess fluid gained during pregnancy
5
Q
Autolysis
A
- Self destruction of hypertrophied uterine tissue
- Causes decrease of estrogen and progesterone after birth
6
Q
Atony
A
- Failure for uterine muscles to contract firmly
- Causes fundus to be soft/boggy and most frequent cause of postpartum bleeding
7
Q
Dysparenuia
A
- Discomfort during sex
8
Q
Involution/Subinvolution
A
Involution - Normal return of uterus to prepregnant state
Subinvolution - Failure of uterus to return to prepregnant state
9
Q
Episotomy
A
- Surgical incision to perineum to facilitate vaginal birth
10
Q
Afterpains
A
- Uterine cramping that occurs early postpartum
11
Q
Diastasis Recti Abdominus
A
- Separation of abdominal wall muscles due to enlarged uterus during pregnancy
12
Q
Retained Placental Fragments and Infection
A
- Reason for uterus not returning to normal after birth
13
Q
Exogenous Oxytocin
A
- Administer IV/IM
- Given after expulsion of placenta to ensure uterus remains firm and contracted
- Reduces postpartum hemorrhage
14
Q
Postpartum Period
A
- After birth until body organs return to normal state
15
Q
Uterine Involution Process
A
- Begins immediately after expulsion of placenta
- Estrogen and Progesterone cause increase in uterine growth
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
