C&C test 3 A Flashcards
Uterine discharge that lasts ___-____ days and is blood and debris
Rubra “Lochia” 3-4 days
old pinkish brown blood/debri ___-___ days Lochia
Serosa 4-10 days
Serum debris and bacteria (yellow white) ___-__ lochia
Alba 10 days to 6 weeks
A PP woman is having bleeding that is reoccurring 10 days after birth what does this suggest.
In-completed placental sight healing
Snow and Charming just had Emma although now in story brook Snow has continued to bleed for 3-4 weeks what two factors might be occurring?
Infection or subinvolution - wk bleed maybe endometriosis with fever pain or tnderness.
Peristant lochai rubra in early PP (more than 3 days) suggest what? (acutally during first 24 hrs is considered early hemorrage after 24 hrs it is late.
Retained fragment of the placenta or membranes
Belle and Rumple have just welcomed their first child. PP Belle begins to present with pelvic pain and heaviness, backache, fatigue and a persistent Malaise. Her uterus is prgoon!esenting larger and softer than normal for 2 days postpartum. She may have persistent red lochia even after a few days. Rumple demands you help her or he will turn you into a goon!
Belle has sub-involution of the uterus can be caused by hemorrhage, retained placental fragments, pelvic infection(don’t allow uturesu to clamp).
Vaginal Hemorrahage is considered
> 500mL Vaginal
C-section hemorrahge is considered
> 1000mL C section
A woman presents with pernial a stain of 6 inches
Moderate: 6 inch stain (25-50mL)
A woman presents with a perineal pad stain greater than 6 inches what are the mL ofr this large lochia guidelien
Large: 50-80ML
Meri has a 10 mL stain on her Peri pad what is this in inches relatied to teh lochai guideline
could be 2 inch scant(10mL)
or could me 4 inches small (10-25 ML)
What are the four guidlines for lochia
Scant
Small
Moderate
Large
Emma is post partum from giving birth to 10 lb baby Henry .Her inmate status meant that she was induced(oxytocin). The doctor ordered 10-40 untis in 1000ML. her nurse is doing postpartum assessments but can’t find Emma’s uterus. She is having excessive lochia. When it is finally found it is at a higher level thatn expected what is the initial action (me thinks).
1st line is Massage because of the uterine atony
What is it called when the uterus remains inadequately contracted and what does it caues__
Uterine atony -boggy doesn’t clamp can cause early postpartum hemorrahge.
Retained placental fragments can be the cause of what two things that may lead to pp hemmorage
Subinvolution of the uterus:
or Urine atonly related to Early postpartum hemoorage
This is the 2nd most common cause of early PP hemorrahge WHAT IS THE FIRST
Trauma to the birth cannal
UTERINE ATONY is first
A PP patient is presenting with a firm uterus and frank bright red blood her she had a quick delivery with a large baby what is likely the caue of the blood
A laceration on teh cervix
A PP patient is presenting with a firm uterus but is starting to complain of increasing pressure not relieved by pain pills. in her vulva or retropernial area what is the cause and what will be done
Likely Hemotoma with occult bleeding needs ultrasound
COmpression of the intramyotreal vessels casues
Afterpains/contractions
Blanca is PP and just had twins vaginally. She is breastfeeding and this is her 3rd pregnancy. One of her infants weighted 9lbs and the other 5lbs. She is receiving some pitocin because of early PP. Which of these factors puts her at risk for AFTER PAINS that should rapidly decrease within 48hours.
All Multifetal Breast feeding –stimulate uterinen contractions Not first pregnancy Large inflant (9lbs) Pitocin –stimulate uterine contractions
Having a larger bay can cause these four things
- Urine Atony which may lead to early PPP hemorrahge
- After pains
- Trauma which also may lead to early PP hemorrahge
- Diastasis recti abdominis
Multifetal pregency can cause
diastasis recti abdominis
afterpains
Match the breast milk descriptions with their title.
A. Thick ,sticky yellow contains immunoglubluins
B. Creamy thicker milk bluish color, high fat cotnent
C. thin blushish white sweet tasting, less fat content
A. Colostrum
B. HInd (milk comes into sip about 10-20min)
C. early mature milk
Cora is breastfeeding her newborn infant Regina. Her magical skills are quite up to par yet and she is experiencing, swelling,enlarged nipple sensation, redness, fever, discharge, itching ,pain tenderness and a lump on her left breast what is likely going on
Mastitis or abscess from
milk duct not being emptied