Keppler - Lecture 5

Question 1

birth to 6 weeks

Answer 1

puerperium

Question 2

involution of uterus postpartum is complete at

Answer 2

6 weeks

Question 3

what is locia

Answer 3

postpartum discharge

Question 4

lochia postpartum is normal through

Answer 4

5-6 weeks

Question 5

mean of onset of postpartum ovulation

Answer 5

2-6 months

Question 6

postpartum pelvic tone returns

Answer 6

gradually

Question 7

medicaid definition of postpartum visit

Answer 7

21-56 days postpartum

Question 8

common postpartum complaints

Answer 8

constipation

hemorrhoids

perineal pain

urinary/fecal incontinence

perineal healing

return of sexual fxn

Question 9

perineum heals completely in ~ __ weeks postpartum

Answer 9

6 weeks

Question 10

persistent risk of VTE continues through __ postpartum

Answer 10

6 weeks

Question 11

postpartum PE includes (4)

Answer 11

breast exam

gynecological exam

perineum

breasts

Question 12

postpartum perineum PE checks

Answer 12

normal healing

cervix

lacerations

Question 13

postpartum breast exam assesses for

Answer 13

masses

nipples for e.o improper latch

Question 14

colostrum is produced __ days postpartum

Answer 14

2-3

Question 15

letdown occurs __ days postpartum

Answer 15

2-3

Question 16

latch/suckling stimulates (2)

Answer 16

prolactin

oxytocin

Question 17

3 signs of improper latch

Answer 17

nipple pain

cracking

bleeding

Question 18

t/f: baby blues and postpartum dpn are same-same

Answer 18

f!

Question 19

__ is self limited

__ is persistent

Answer 19

baby blues

postpartum dpn

Question 20

to qualify as postpartum dpn, onset must be w.in __ months of delivery

Answer 20

12

Question 21

postpartum testing

Answer 21

DM2 if pt had GDM

HTN

hyper/hypothyroidism

AI

Pap/Colpo

Question 22

should you discuss preconceptive care at postpartum visit

Answer 22

yes!

Question 23

t/f: preconceptive care consults are commonly done

Answer 23

f!

but ideally they will be done

Question 24

6 preconceptive care considerations

Answer 24

complete H&P

identify/manage risks

prenatal vitamins/folic acid

lifestyle counseling

future family plans

contraceptive counseling

Question 25

what 2 physiologic changes occur puerperium

Answer 25

uterus involutes

maternal physiology returns to baseline

Question 26

postpartum visit includes (5)

Answer 26

complete exam

counseling and normalizing on postpartum dpn

breastfeeding support

indicated lab f.u

dpn screening

Question 27

postpartum dpn and __ similar diagnostic criteria to

Answer 27

mdd

Question 28

tx for postpartum dpn includes (2)

Answer 28

counseling

pharmacotherapy

Question 29

3 main goals of pre-conceptive counseling (at postpartum visit)

Answer 29

maternal rf

discuss future childbearing

provide appropriate birth control

Question 30

which of the following accurately describes puerperium

Answer 30

time between delivery and approximately 6 weeks postpartum when maternal physiology gradually returns to baseline

Question 31

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

Answer 31

f!