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Reproductive > Exam 2 part 2 > Flashcards

Exam 2 part 2 Flashcards

1
Q

is the postpartum period from delivery of the placenta to about 6 weeks

A

puerperium

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2
Q

nursing is based on the family as the primary caregivers

A

family centered maternity care

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3
Q

how often should assessment be done for the first hour PP

A

q15 min

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4
Q

how often should assessment be done in the second hour PP

A

q30 min

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5
Q

how often should assessment be done in the next 22 hours PP

A

q4-8 hours

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6
Q

for the perineum assessment you check for

A

REEDA

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7
Q

REEDA

A 
Redness
Edema
Ecchymosis
Drainage, bleeding for laceration
Approximation-the incision line is looking normal
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8
Q

medication given for cramping

A

NSAIDs

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9
Q

medication used for topical perineal pain

A

Dermoplast (benzocaine topical)
Tucks
Ice packs

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10
Q

medication for moderate or incisional pain

A

Narcotic/acetominophen combo like vicoden

Alternate ibuprofen with narcotic combo or give together

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11
Q

cut through skin and muscle

A

2nd degree

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12
Q

cut through skin, muscle, anus

A

3rd degree

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13
Q

cut through skin, muscle, anus, and rectum

A

4th degree

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14
Q

BUBBLE-E

A 
Breast
Uterus 
Bowels
Bladder
Lochia
Episiotomy 
Emotional state
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15
Q

used for early irritation while breast feeding

A

lanolin

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16
Q

Signs and symptoms of mastitis

A

Sore/ localized inflammation
Fatigue
Flu-like symptoms

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17
Q

What should be taught to minimize risk of mastitis

A

complete emptying of breasts

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18
Q

when does engorgement occur

A

48-72 hours PP

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19
Q

treatment for engorgement

A

Cold frozen peas
NSAIDs
Cabbage leaves

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20
Q

how is the uterus measured

A

fingerbreaths

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21
Q

where will the uterus be immediately after delivery

A

may be below the umbilicus

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22
Q

where will the uterus be 6-12 hours PP

A

level of umbilicus

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23
Q

how much does the uterus go down PP

A

1cm per day

24
Q

when the uterus us firm, at the midline, contracted, pressure on blood vessels which minimizes bleeding

A

Normal

25
Q

if the uterus is soft and boggy it can lead to

A

excessive bleeding

26
Q

if the uterus is deviated from the midline it can be due to

A

a full bladder

27
Q

if there is continuous bleeding (without clots) and firm uterus can be due to

A

suspected vaginal or cervical laceration

28
Q

when should you not be able to feel the fundus above the symphysis

A

2 weeks PP

29
Q

approaches pre-pregnant size and position by

A

6 weeks PP

30
Q

migrate to uterus and perform autolysis/ absorption of material

A

proteolytic enzymes

31
Q

the cervix may appear nulliparous but pulled anterior and upward on examination

A

cesarean cervix

32
Q

sloughing of spongy outer layer of decidua and top layer of basal decidua

A

lochia

33
Q

lochia with many different cells, dark red first 3 days PP

A

rubra

34
Q 
lochia that is pinkish brown 
3-10 days PP 
Serous exudate 
Decidua 
RBC WBC
A

serosa

35
Q

lochia that is creamy white
Mostly WBC
Lasts 1-2 weeks post serosa

A

Alba

36
Q

when does lochia end

A

6 weeks PP

37
Q

how many times a day can you use a Sitz bath

A

3-4

38
Q

a drop in what signals the anterior pituitary to secrete prolactin

A

progesterone and estrogen

39
Q

colostral phase is endocrine function and lasts up to

A

72-96 hours

40
Q

breasts fill with mature breast milk. MAny cellular and hormonal changes

A

stage of lactogenesis II

41
Q

what can the temperature be up to for the first 24 hours

A

100.4 (38)

42
Q

decrease in BP after several days may indicate

A

hemorrhage

43
Q

increase in BP after several days may indicate

A

postpartum pre-eclampsia

44
Q

increased risk for DVT and thromoembolism for up to

A

6 weeks

45
Q

10% drop in hematocrit is a sign of PP

A

hemorrhage

46
Q

epileptics have high risk of seizures in first

A

24 hours PP

47
Q

how long should you wait to get pregnant after receiving the rubella vaccine

A

3 months

48
Q

when does menstruation resume for bottle feeding women

A

6-8 weeks PP

49
Q

fathers absorption, preoccupation, and interest in infant

A

engrossment

50
Q

normal period of lability that occurs from birth up to 2 weeks postpartum
It is an adjustment reaction with depressed moods

A

postpartum blues

51
Q

causes of postpartum blues

A

Psychological changes
Hormonal shifts
Fatigue

52
Q

Treatment of postpartum blue s

A 
Rest 
Regular meals
Reassurance that this passes
Understanding partner/family 
Help at home
53
Q

Feeling of sadness, crying, insomnia, anger and thoughts of harming self (thoughts of harming baby are rare), worthlessness, impaired concentration
At least 4 symptoms most of the days for 2 weeks

A

Postpartum depression

54
Q

treatment for postpartum depression

A

SSRI
CBT
may need hospitalization

55
Q

Most severe form
Evident in first 3 months PP
Agitated, hyperactive, insomnia, irrational, poor judgment, extreme mood instability
Delusions/hallucinations support her beliefs that she, her baby and/ or the world is evil

A

PP psychosis

Reproductive (19 decks)

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