ch. 20: postpartum physiological changes Flashcards
What is post-birth uterine discharge called?
lochia
What is indicated by feelings of faintness or dizziness immediately after standing up?
orthostatic hypotension
What is slowed due to decreased muscle tone in the intestines during labor and the immediate postpartum period?
Peristalsis
BP shows an ____ of 5% over the first few days after birth
increase
What is the average blood loss during a c-section?
500 to 1000 ml
Is a low grade fever common during the first 24 hrs after birth?
yes
What begins immediately after the expulsion of the placenta with ctx of the uterine smooth muscle?
involution
What can be prevented/treated if an episiotomy or laceration have been carefully repaired?
hematomas
What is the average blood loss during a vaginal birth?
300 to 500 ml
What med is administered IV or IM immediately after expulsion of placenta to ensure uterine ctx?
oxytocin
What can a distended bladder immediately after birth cause?
excessive bleeding bc of uterine atony
How long does it take for the cervix to shorted, become firm, and regain its form?
2 to 3 days after birth
What hormone stimulates milk prodcution?
prolactin
What is abdominal wall muscle separation called?
diastasis recti
What aids the body in ridding itself of excess fluid postpartum?
diuresis
What is the mask of pregnancy called?
melasma
Afterpains (relaxation and vigorous ctxs) are more common in what pregnancies ?
pregnancies where the uterus was overdistended: large infant, multifetal, polyhydramnios
What is colostrum?
early milk that is clear yellow fluid
Carpal tunnel syndrome is relieved after birth related to the decompression of what nerve?
median nerve
What is subinvolution?
failure of uterus to return to a nonpregnant state due to ineffective uterine ctx
What exercise helps strengthen perineal muscles and encourages healing?
kegel exercises
When does ovulation occur for non-lactating women?
in 27 days after birth
When does ovulation occur for lactating women?
in 70-75 days after birth
When should abd return to pre pregnancy state?
within 6 weeks after birth
What is the normal range of Hgb?
11.7- 15.5
What is the normal range of Hct?
35%- 47%
