OB Exam 3 - Postpartum Physiologic Adaptations Flashcards

1
Q

Fourth Stage of Labor

A

1-4 hours after delivery of placenta

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2
Q

Puerperium

A

After delivery of placenta and ends about 6weeks

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3
Q

Rubella

A

.

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4
Q

RhoGAM indications

A

.

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5
Q

Kleihauer-Betke Test

A

Amount of fetal cells in maternal blood

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6
Q

Post Partum VS

A

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

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7
Q

Focused Assessment

A
B- Breast
U-Uterus
B-Bladder
B-Bowel
L-Lochia
E-Episiotomy
H-Homans
E-Emotional Status
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8
Q

Involution

A

return of the uterus to pre-pregnant position and size

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

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9
Q

Sub-involution

A

delay in uterus returning to pre-pregnant position and size

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10
Q

Lochia Rubra

A

Red or brownish red

first 3 days

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11
Q

Lochia Serosa

A

days 4-10, pink, pinkish brown

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12
Q

Lochia Alba

A

White or pale yellow 11-21 days

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13
Q

Scant Lochia

A
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14
Q

Light Lochia

A

1-4”

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15
Q

Moderate Lochia

A

4-6”

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16
Q

Heavy

A

Saturated within 1hr

17
Q

Patients at Risk for hemorrhage

A
Multipara
Over distended uterus
Precipitous labor
Retained Placenta
Tocolysis 
Forceps delivery
Induction
Placenta previa
18
Q

Episiotomy Assessment

A
R-Reddness
E-Edema
E-Ecchymosis
D-Discharge
A-Approximation
19
Q

Afterpains

A

Are intermittent UCs
Less severe in Primigravida
More Severe in multigravida

20
Q

Hematoma

A

Not relieved by normal PO pain med

Perform sterile check, call MD

21
Q

Puerpaeral Phases

A

Taking-in
Taking Hold
Letting-Go

22
Q

Pitocin Post delivery

A

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

23
Q

CV Changes

A

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

24
Q

Menstruation will restart

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

*Breastfeeding not means of BC

25
Q

Blood Values

A

WBC increased to 30,000 (normal)

26
Q

Bonding

A

Mom to baby

27
Q

Attachment

A

Mutual between mom & baby

28
Q

Engrossment

A

Dad’s fascination with infant

29
Q

Bakri Balloon

A

Used to stop postpartum hemorrhage