Misc

Question 1

How long can you expect lochia

Answer 1

6 weeks

Question 2

causes of subinvolution

Answer 2

retained placental fragments
distended bladder
long labor
anesthesia
uterine infection

Question 3

Where is fundus 1-2 hrs after birth?

6-12 hrs?

Answer 3

between symphysis pupis and umbiliucus

At umbilicus

Question 4

bonding

Answer 4

unidirectional

1st hour

Question 5

attachment

Answer 5

recipricol

Question 6

dietary recommendations when breastfeeding

Answer 6

Calories: +500 cal/day for the first and second 6 months of lactation
Protein: +20 g/day, adding an extra 2 c of skim milk
Calcium: +400 mg daily—consumption of four or more servings of milk
Iodine: 290 μg daily—dairy products, seafood and iodized salt
Fluid: +2 to 3 qt of fluids daily (milk, juice, or water); no sodas

Question 7

maternal H and H low in first 24 hrs after childbirth

Answer 7

normal

will rise over 2 weeks

Question 8

maternal temp up to 100.4 in first 24 hrs

Answer 8

normal

Question 9

hematocrit after birth

Answer 9

may go up

big decrease - hemorrhage!!

Question 10

anemia lab value

Answer 10

Hgb <10.5

risk for post-partum infection

Question 11

Mild shock

Answer 11

<20% blood loss
diaphoresis
increased cap refilling
cool extremities
maternal anxiety

Question 12

Moderate shock

Answer 12

20-40% blood loss
tachycardia
postural hypotension
oliguria

Question 13

Severe shock

Answer 13

> 40%
hypotension
agitation/confusion
hemodynamic instability