OB Exam 3 - Postpartum Physiologic Adaptations

Question 1

Fourth Stage of Labor

Answer 1

1-4 hours after delivery of placenta

Question 2

Puerperium

Answer 2

After delivery of placenta and ends about 6weeks

Question 3

Rubella

Answer 3

.

Question 4

RhoGAM indications

Answer 4

.

Question 5

Kleihauer-Betke Test

Answer 5

Amount of fetal cells in maternal blood

Question 6

Post Partum VS

Answer 6

VS q15 x 4, q30 x2, and q1hr x2 then per policy q8

Question 7

Focused Assessment

Answer 7

B- Breast
U-Uterus
B-Bladder
B-Bowel
L-Lochia
E-Episiotomy
H-Homans
E-Emotional Status

Question 8

Involution

Answer 8

return of the uterus to pre-pregnant position and size

Slowed by Anesthesia, long labor (muscle fatigue), and hyper distended uterus

Question 9

Sub-involution

Answer 9

delay in uterus returning to pre-pregnant position and size

Question 10

Lochia Rubra

Answer 10

Red or brownish red

first 3 days

Question 11

Lochia Serosa

Answer 11

days 4-10, pink, pinkish brown

Question 12

Lochia Alba

Answer 12

White or pale yellow 11-21 days

Question 13

Scant Lochia

Question 14

Light Lochia

Answer 14

1-4”

Question 15

Moderate Lochia

Answer 15

4-6”

Question 16

Heavy

Answer 16

Saturated within 1hr

Question 17

Patients at Risk for hemorrhage

Answer 17

Multipara
Over distended uterus
Precipitous labor
Retained Placenta
Tocolysis 
Forceps delivery
Induction
Placenta previa

Question 18

Episiotomy Assessment

Answer 18

R-Reddness
E-Edema
E-Ecchymosis
D-Discharge
A-Approximation

Question 19

Afterpains

Answer 19

Are intermittent UCs
Less severe in Primigravida
More Severe in multigravida

Question 20

Hematoma

Answer 20

Not relieved by normal PO pain med

Perform sterile check, call MD

Question 21

Puerpaeral Phases

Answer 21

Taking-in
Taking Hold
Letting-Go

Question 22

Pitocin Post delivery

Answer 22

30units in 1000mL LR of Pit on EVERYONE after delivery to prevent hemorrhage

Question 23

CV Changes

Answer 23

HTN
Hypotension (decrease Intraabd. pressure causes dilation of blood vessels)
*Pulse may decrease to 50-60s
*Plasma shift/Plasma vol decreases by process of DIURESIS & DIAPHORESIS

Question 24

Menstruation will restart

Answer 24

Breastfeeding = 12wks to18months
Bottlefeeding= 7wk to 9wk

*Breastfeeding not means of BC

Question 25

Blood Values

Answer 25

WBC increased to 30,000 (normal)

Question 26

Bonding

Answer 26

Mom to baby

Question 27

Attachment

Answer 27

Mutual between mom & baby

Question 28

Engrossment

Answer 28

Dad’s fascination with infant

Question 29

Bakri Balloon

Answer 29

Used to stop postpartum hemorrhage