Lesson 31a: Postpartum Uterus

Question 1

What is Puerperium? How long does it last?

Answer 1

Postpartum Period
From placenta expulsion to 6-8 weeks after birth OR whenever uterus regains prenatal shape

Question 2

Involution of the uterus typically occurs within ______week(s) of delivery

Answer 2

1

Question 3

Discontinuance of _____ results in resumption of ovulation and menstruation

Answer 3

Lactation

Question 4

Myometrium should measure ___ to ____ cm in total thickness

Answer 4

7 to 10 cm

Question 5

The endometrium is thickened up to initially _____ mm but should decrease to a normal thickness of ____ to ______ mm by end of postpartum period

Answer 5

13 mm
3-8 m

Question 6

Free fluid in the endometrium should not measure greater than ___ cm to __ cm

Answer 6

1.2-1.4 cm

Question 7

The uterus in sag can measure ___ to ___ cm and ___ to ___ cm in trv

Answer 7

14-25 cm
7-14 cm

Question 8

Postpartum hemorrhage is blood loss greater than ___ mL after a vaginal delivery or ____ mL after a C-Section

Answer 8

500 mL
1000 mL

Question 9

The most common causes of postpartum hemmorrhage are placenta _____, _____, and ______

Answer 9

Accreta
Increta
Percreta

Question 10

Placenta Accreta is when the placenta adheres to the ____

Answer 10

Myometrium

Question 11

Occurs when the placenta invades the myometrium

Answer 11

Placenta Increta

Question 12

Occurs when the placenta completely penetrates and extends past the myometrium and uterine serosa

Answer 12

Placenta Percreta

Question 13

Acute hemorrhage is severe bleeding ______ following delivery. This usually results in an emergency _________

Answer 13

Immediately
Hysterectomy

Question 14

Bleeding that occurs over several days to a few weeks in the postpartum period

Answer 14

delayed hemorrhage

Question 15

Puerperal infection is characterized by a temperature over ____ F or ____

Answer 15

100.4 F
38 C

Question 16

Uterine tenderness, malaise, headache, anorexia, and is often a sign of _____

Answer 16

Infection

Question 17

Lochia is ______ _____

Answer 17

Vaginal discharge

Question 18

Most post partum infections are _______- _________ infections

Answer 18

urinary tract

Question 19

Endometritis is cause by vaginal ______ migration and increases in incidence when _____

Answer 19

Flora
vaginal delivery after c-section (VBAC)

Question 20

One of the most common causes of postpartum hemorrhage is uterine ______

Answer 20

atony

Question 21

When the uterus does not take on its pregravid shape and tone , its known as uterine _____

Answer 21

atony

Question 22

POVT stands for

Answer 22

postpartum ovarian vein thrombophlebitis

Question 23

Virchows Triad :
1)
2)
3)

Answer 23

1) hypercoaguability of blood
2) venous stasis
3) venous wall damage from uterus expansion

Question 24

The majority of POVT involve the ____ side

Answer 24

right

Question 25

pelvic pain, fever and right sided pelvic mass are signs of _____

Answer 25

POVT

Question 26

C-sections are performed by incision in the _____ plane

Answer 26

TRV

Question 27

C-section scars are ______ in echogenicity

Answer 27

hypoechoic

Question 28

The most common complications of c-sections are ______ at the site of incision

Answer 28

hematomas

Question 29

Common complications of C-sections are _____ at the site of incision

Answer 29

hematomas

Question 30

The _____ is incised between the uterus and the bladder and is known as the ___ ____. This is the most common site for hematomas

Answer 30

Peritoneum
Bladder flap