Mod D obj 1-4 cards Flashcards
Intermittent uterine contractions after delivery are called?
Afterpains
When is Rhogam given?
Rh Neg mom, Rh Pos baby. Given within 72h of birth.
On dorsiflexion of foot, patient has pain in the calf- what is this called and what could it indicate?
Homan’s sign and it could indicate thrombophlebitis
What are Rubin’s psychological stages?
Taking in, Taking hold, letting go
What happens in the Taking In phase?
It’s all about the mom. She is excited and talkative. She relies on others and wants to talk about the experience.
What happens in the Taking Hold phase?
The focus is on the infant and competence. She is eager and desires to take charge. She can handle discomfort and emotional changes.
What happens in the Letting Go phase?
The focus is on the moving forward of the family as a unit. Reasserts relationship with father.
An intense display of interest in the child by the father is called…
Engrossment
Is sibling regression normal?
Yes.
What is the failure of a uterus to return to a non-pregnant state called?
Subinvolution
What are the characteristics of Lochia Rubra?
Bright Red, 1-3 days
What are the characteristics of Lochia Serosa
Pink-Brown 3-4 days
What are the characteristics of Lochia Alba
Colorless to whitish 10 days
What can a relaxed uterus indicate?
Atony
What can a firm uterus indicate?
possible lacerations
What does fowl smelling lochia indicate?
Infection
What does persistent Lochia Rubra in early post partum indicate?
Retention of placental fragments
Does the vaginal canal return to pre-pregnant state? if so, how long?
Yes. 6 weeks.
What do you do for a patient with an epistiotomy/lacerations?
Intermittant ice for first 24h, then sitz bath
Can ovulation occur without menses?
Yes
Are the first few cycles of menstration odd?
Yes- irregular/heavy/light/often not normal
How is ovulation different in lactating women?
Ovulation is delayed.
What is the proper way to take BP to assess for orthostatic hypotension?
Take BP lying down, have them dangle feet, then take it standing up.
What is the normal blood loss in vag delivery?
500 mL
What is the normal blood los? in C-section delivery?
1000 mL
Is a WBC count of 15,000 or greater normal in pregnant women?
Yes
What is the hcg for pregnant women?
11-14
What is the hct for pregnant women?
32-41
Normal RBC count for pregnant women?
3.75-5
What is the overstretching of the abdominal muscles called?
Diastasis Recti
What do you give for constipation?
Collace
What route is Rhogam given?
IM
Can you give Rhogam and Rubella Titer together?
NO!!!!!
How often are vitals taken in post partum period?
q15 then q30
Is a fever above 100.4 normal once a client is discharged from hospital?
No. This is bad.
After hospital discharge is a backache or severe abdominal cramping normal?
No. This is bad.
After delivery, are peripads that are soaked more than once an hour with bright red lochia good?
No. Bad.
What are contraindications to breastfeeding?
HIV, TB, Drugs of abuse
S/S of DIC?
Bleeding from non-genital sites (gums, nose, mouth, rectal bleeding)
When are vitals taken in the post partum period?
q15 then q30
What is going on with the pulse in the pp period?
Increases immediately after birth then returns to normal. It should NOT go above 100
