MATERNAL SEMIS Flashcards
Refers to the medical and nursing
care given to a woman during the
puerperium
POSTPARTUM
POSTPARTUM CARE
discharge from the uterus
during the first 3 weeks after
delivery.
Lochia
➢ Dark red discharge occurring in the
first 2 to 3 days
➢ Contains epithelial cells,
erythrocytes, and decidua
➢ Characteristic human odor
Lochia Rubra
➢ Pinkish to brownish discharge
occurring 3 to 10 days after delivery
➢ Serosangineous discharge
containing decidua, erythrocytes,
leukocytes, cervical mucus, and
microorganisms
➢ Has a strong odor
Lochia Serosa
➢ Almost colorless to creamy
yellowish discharge occurring from
10 days to 3 weeks after delivery.
➢ Contains leukocytes, decidua,
epithelial cells, fat,
➢ No odor
Lochia Alba
***moderate amount
lochia rubra
Minimal amount
- lochia serosa
Scanty amount
- lochia alba
**uterine atony
not contracting
➢ Takes place 1 to 2 days postpartum
➢ Mother is passive and dependent;
concerned with own needs
➢ Verbalizes about the delivery
experience
➢ sleep/food important
➢ Mother may need help with
everyday activities as well as child
care
“TAKING IN” PHASE
(DEPENDENT)
➢ 3 to 10 days postpartum
➢ Mother strives for independence
and begins to reassert herself
➢ Mood swings occur. May cry for no
reason.
➢ Maximal stage of learning
readiness
➢ Mother requires reassurance that
she can perform tasks of
motherhood
“TAKING HOLD” PHASE
(DEPENDENT/INDEPENDENT)
➢ 10 to 6 weeks postpartum
➢ Realistic regarding role transition
➢ Shares pattern of lifestyle that
includes the new baby but still
focuses on entire family as a mut.
➢ Accepts baby as a separate person
“LETTING GO” PHASE
(INTERDEPENDENCE)
” (3 to 7
days) - normal occurrence
of “roller coaster” emotions
“Postpartum blues
A postpartum infection of the
genital tract, usually of the
endometrium, that may remain
PUERPERAL INFECTION
Inflammation of breast tissue that
is usually caused by infection or by
stasis of milk in the ducts
MASTITIS
Is the conscious process by which a
couple decides on the number and
spacing of children and the timing
of births
FAMILY PLANNING
Voluntary prevention of pregnancy
CONTRACEPTION
TYPES OF FAMILY PLANNING
METHOD
➢ Natural Methods
➢ Artificial Methods
A technique of determining the
fertile period of a woman by
observing the physiologic signs
and symptoms of the fertile and
infertile phases of the menstrual
cycle to avoid or achieve pregnancy
NATURAL METHODS
This method uses the appearance,
characteristics, and amount of
cervical mucus to identify
ovulation
CERVICAL MUCUS METHOD
Couple uses combination of the
above mentioned techniques BBT AND MUCUS
SYMPTOTHERMAL METHOD
Is a modern, short-term family
planning method based on the natural effect of
breastfeeding on fertility.
LACTATIONAL AMENORRHEA
METHOD (LAM)
Combined estrogen and
progesterone preparation in tablet
form inhibits the release of FSH,
LH, and ovum.
ORAL CONTRACEPTIVES
➢ Contain progestin but no estrogen
➢ Do not suppress ovulation
consistently
MINIPILLS
➢ Six, soft, silastic rods filled with
synthetic
SUBDERMAL IMPLANTS
Vaginal jelly, cream, suppository, or
foam preparations interfere with
sperm viability
SPERMICIDES
➢ This is flexible device inserted into
the uterine cavity
INTRAUTERINE DEVICE
➢ This is along polyurethane sheath
➢ It can be inserted up to 8 hrs before
intercourse and is available
FEMALE CONDOM
➢ This is a rubber sheath that fits
over the erect penis and prevents
➢ Is about 86% effective (or 88%
effective)
MALE CONDOM
➢ A small rubber or plastic dome that
fits snugly over the cervix
CERVICAL CAP
➢ This is a flexible ring covered
➢ Effectiveness is 80%
DIAPHRAGM
➢ Surgical ligation of the vas
deferens terminates sperm
passage through the vas
completely after residual
VASECTOMY
➢ The fallopian tubes are surgically
ligated
TUBAL LIGATION
a nurse, divided the puerperium into
three separate phases.
Reva Rubin
puerperium into
three separate phases.
TAKING IN PHASE (DEPENDENT)
“Taking Hold” Phase (Dependent or
Independent)
“Letting Go” Phase (Interdependence)
- The temperature rises above the highest of the
previous low temperature is called
“Thermal
*
Shift.”
– is the point of reference to determine the
thermal shift due to ovulation.
COVERLINE
Relies on a simple algorithm to help women
identify when they are fertile, based upon
presence or absence of cervical secretions
THE TWO DAY METHOD