Keppler - Lecture 5 Flashcards
birth to 6 weeks
puerperium
involution of uterus postpartum is complete at
6 weeks
what is locia
postpartum discharge
lochia postpartum is normal through
5-6 weeks
mean of onset of postpartum ovulation
2-6 months
postpartum pelvic tone returns
gradually
medicaid definition of postpartum visit
21-56 days postpartum
common postpartum complaints
constipation
hemorrhoids
perineal pain
urinary/fecal incontinence
perineal healing
return of sexual fxn
perineum heals completely in ~ __ weeks postpartum
6 weeks
persistent risk of VTE continues through __ postpartum
6 weeks
postpartum PE includes (4)
breast exam
gynecological exam
perineum
breasts
postpartum perineum PE checks
normal healing
cervix
lacerations
postpartum breast exam assesses for
masses
nipples for e.o improper latch
colostrum is produced __ days postpartum
2-3
letdown occurs __ days postpartum
2-3
latch/suckling stimulates (2)
prolactin
oxytocin
3 signs of improper latch
nipple pain
cracking
bleeding
t/f: baby blues and postpartum dpn are same-same
f!
__ is self limited
__ is persistent
baby blues
postpartum dpn
to qualify as postpartum dpn, onset must be w.in __ months of delivery
12
postpartum testing
DM2 if pt had GDM
HTN
hyper/hypothyroidism
AI
Pap/Colpo
should you discuss preconceptive care at postpartum visit
yes!
t/f: preconceptive care consults are commonly done
f!
but ideally they will be done
6 preconceptive care considerations
complete H&P
identify/manage risks
prenatal vitamins/folic acid
lifestyle counseling
future family plans
contraceptive counseling
what 2 physiologic changes occur puerperium
uterus involutes
maternal physiology returns to baseline
postpartum visit includes (5)
complete exam
counseling and normalizing on postpartum dpn
breastfeeding support
indicated lab f.u
dpn screening
postpartum dpn and __ similar diagnostic criteria to
mdd
tx for postpartum dpn includes (2)
counseling
pharmacotherapy
3 main goals of pre-conceptive counseling (at postpartum visit)
maternal rf
discuss future childbearing
provide appropriate birth control
which of the following accurately describes puerperium
time between delivery and approximately 6 weeks postpartum when maternal physiology gradually returns to baseline
t/f: postpartum pt w. 2 months of depressed mood, anhedonia, difficulty sleeping, and trouble bonding w. her newborn can be reassured that her sx are just baby blues and will improve w. time
f!
