Beckman Postpartum Care

Question 1

the 6-8 week period following birth during which reproductive tract returns to nonpregnant state

Answer 1

Puerperium

Question 2

uterus is normal size by:

Answer 2

6 weeks postpartum (and returns to pelvis at 2 weeks)

Question 3

ovarian function is _____ during breastfeeding, leading to a ____estrogenic state

Answer 3

suppressed; hypo

Question 4

avg time to ovulation post partum

Answer 4

45 days in nonlactating women; 189 days in lactating women (ovulation is suppressed by breastfeeding due to prolactin)

Question 5

is leukocytosis normal?

Answer 5

Yes, it is seen during labor and persists for several days

Question 6

GFR

Answer 6

elevated in the first few weeks postpartum, so drugs with renal excretion should be given in increased doses

Question 7

vaginal bleeding between days 8-14

Answer 7

experienced in some pts, ass. with sep and passage of placental eschar, is self limited and needs no therapy

Question 8

tx of PPH (general)

Answer 8

usually responds to medical mgmt (oxytocin, ergots, PGs) and does not automaticall require curettage

Question 9

why is early ambulation encouraged asap after delivery?

Answer 9

avoid urinary retention, pervent venous thromboses and PE

Question 10

recommendations for women who don’t want to breastfeed

Answer 10

avoid nipple stimulation, caution against manual expression of milk

Question 11

species implicated in mastitis

Answer 11

Staph auerus, GAS/GBS, Haemophilus, E coli

Question 12

tx of mastitis (infection of breast tissue)

Answer 12

continuation of breastfeeding/emptying breast with a breast pump + antibiotics (breast milk is still safe for infant)

Question 13

T/F: all forms of contraception are acceptable post partum

Answer 13

false. Combined OCPs or deviceds should not be used. Progestin-only OCPs may be initiated 3-6 weeks postpartum

Question 14

T/F: Parity is the major determinant of increases in a woman’s weight over time

Answer 14

FALSE –> Aging is

Question 15

CI’s to breastfeeding

Answer 15

1. HIV
2. Active untreated TB (milk may be expressed and given to infant)
3. Chemotherapy
4. infants with galactosemia (sensitivity to lactose)
5. illegal drug use

Question 16

t/f: Breast milk contains all vitamins

Answer 16

FALSE, all Except Vit K

Question 17

Are younger or older women more susceptible to post partum depression?

Answer 17

Younger

Question 18

Strong predictor of PPD:

Answer 18

depression in pregnancy