ch. 20: postpartum physiological changes

Question 1

What is post-birth uterine discharge called?

Answer 1

lochia

Question 2

What is indicated by feelings of faintness or dizziness immediately after standing up?

Answer 2

orthostatic hypotension

Question 3

What is slowed due to decreased muscle tone in the intestines during labor and the immediate postpartum period?

Answer 3

Peristalsis

Question 4

BP shows an ____ of 5% over the first few days after birth

Answer 4

increase

Question 5

What is the average blood loss during a c-section?

Answer 5

500 to 1000 ml

Question 6

Is a low grade fever common during the first 24 hrs after birth?

Answer 6

yes

Question 7

What begins immediately after the expulsion of the placenta with ctx of the uterine smooth muscle?

Answer 7

involution

Question 8

What can be prevented/treated if an episiotomy or laceration have been carefully repaired?

Answer 8

hematomas

Question 9

What is the average blood loss during a vaginal birth?

Answer 9

300 to 500 ml

Question 10

What med is administered IV or IM immediately after expulsion of placenta to ensure uterine ctx?

Answer 10

oxytocin

Question 11

What can a distended bladder immediately after birth cause?

Answer 11

excessive bleeding bc of uterine atony

Question 12

How long does it take for the cervix to shorted, become firm, and regain its form?

Answer 12

2 to 3 days after birth

Question 13

What hormone stimulates milk prodcution?

Answer 13

prolactin

Question 14

What is abdominal wall muscle separation called?

Answer 14

diastasis recti

Question 15

What aids the body in ridding itself of excess fluid postpartum?

Answer 15

diuresis

Question 16

What is the mask of pregnancy called?

Answer 16

melasma

Question 17

Afterpains (relaxation and vigorous ctxs) are more common in what pregnancies ?

Answer 17

pregnancies where the uterus was overdistended: large infant, multifetal, polyhydramnios

Question 18

What is colostrum?

Answer 18

early milk that is clear yellow fluid

Question 19

Carpal tunnel syndrome is relieved after birth related to the decompression of what nerve?

Answer 19

median nerve

Question 20

What is subinvolution?

Answer 20

failure of uterus to return to a nonpregnant state due to ineffective uterine ctx

Question 21

What exercise helps strengthen perineal muscles and encourages healing?

Answer 21

kegel exercises

Question 22

When does ovulation occur for non-lactating women?

Answer 22

in 27 days after birth

Question 23

When does ovulation occur for lactating women?

Answer 23

in 70-75 days after birth

Question 24

When should abd return to pre pregnancy state?

Answer 24

within 6 weeks after birth

Question 25

What is the normal range of Hgb?

Answer 25

11.7- 15.5

Question 26

What is the normal range of Hct?

Answer 26

35%- 47%