Module 6 Postpartum Flash Cards
Discuss the hematologic changes in the PP patient:
Clotting factors 1,2,7,8,9,12 decrease until normalization at 8 w PP
Protein S and C (inhibit coagulation) increase until normalization at 4-8w PP
On what day PP is the fundus palpable above the symphysis pubis?
7 days
On what day PP is the fundus no longer palpable abdominally?
10-14 days (2 weeks)
Describe the timing and presentation of lochia rubra.
3-5d long
primarily blood, red or brownish red in color
Describe the timing and presentation of lochia serosa.
Mean duration is 22 days
primarily wound exudate and leukocytes with some blood
pinkish brown color
Describe the timing and presentation of lochia alba.
Thru day 33-ish
primarily leukocytes
white or yellowish-white in color
Describe the timing and presentation of eschar bleeding.
Day 7-14
Transient increase in red bleeding
During what time frame should rhogam be given if needed?
Rhogam should be administered within 72 hours. Should be given even up to 14 days after birth. Standard 300 mcg dose
Which vaccines can/should be given PP?
Offer: Flu, TDAP
For non-immune: MMR and varicella
Hep B and HPV-can complete series
Describe the Hep B vaccine schedule
3 doses given over 16 weeks. 2nd dose 4w after 1st, 3rd dose 8w after 2nd
Describe the age-specific HPV vaccine schedule.
Ages 9-14: 2 doses (6-12 months apart)-if incomplete by age 15, just one dose is needed to complete
Ages 15-45: 3 doses. 2nd dose 1-2m after first, 3rd dose 6m after 2nd.
What pain medications can be offered for mild PP pain?
APAP and Ibuprofen
What pain medications can be offered for moderate PP pain?
APAP, Ibuprofen, Norco, Vicoden, Roxi
What pain medications can be offered for severe PP pain?
Toradol
What type of RX meds can be given for hemorrhoids?
Hydrocortisone