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Module 6 > Post Pardum > Flashcards

Post Pardum Flashcards

1
Q

Uterine involution

A

The return of the uterus to its pre pregnancy size

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2
Q

Uterine Atony

A

Failure of uterus to contact even after fundal rub
When you push on fundus it fails to firm
Soft boggy uterus above umbilicus
Steady or saturated pad after 15 minutes

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3
Q

Uterine inversion

A

Uterus turns partially or entirely inside out
When you push down on fundus uterus will come out and it will be inside out

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4
Q

Uterine sub involution

A

Uterus isnt decreasing in size

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5
Q

Normal pulse after delivery

A

About 50 BPM due to blood loss but it is normal

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6
Q

What is the reason. Mom may be tachycardia after delivery ?

A

Infection , anxiety, hypovolemic or pain

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7
Q

What pulse may indicate infection or excessive blood loss

A

Over 100 BPM

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8
Q

If moms respirations increase what do we suspect

A

Pulmonary embolism , uterine atony, or hemorrhage

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9
Q

When is a tempature greater than 100.4 f considered a possible infection

A

If it last longer than 24 hours
But the first 24 hours it can be due to stress of labor and dehydration

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10
Q

Lochia stages

A

Rubra
Serosa
Alba

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11
Q

Rubra

A

Bloody small clots
Red moderate to light
Standing /breastfeeding
Fleshy odor
Day 1-3

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12
Q

Abnormal for Rubra

A

Large clots
Heavy saturated pads every 15 min
Could odor
Placenta fragments

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13
Q

Serosa

A

Day 4-10
Pink , brown color , light , scant
Physical activity ( increase )
Fleshy odor

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14
Q

Abnormal serosa

A

Rubra after 4 days
Heavy ( saturates pad in 15 min )
Foul odor

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15
Q

Alba

A

Day 10
Yellow white color

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16
Q

Abnormal alba

A

Bright red ( late pp hemorrhage , foul odor )

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17
Q

Expected blood loss for vag delivery

A

300-500 ml

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18
Q

Exxpected blood loss for c section

A

500-1000ml

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19
Q

When do pp void or should they void

A

Before 6 hours and more than 150 ml

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20
Q

What happens when pp pt has not urinated over 6 hours

A

Bladder scan
Get order to straight cath
Pain meds to help relax
And encourage kegals to strengthen muscles

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21
Q

When does the pelvic muscles regain their strength

A

3-6 wks

22
Q

When does abdominal wall gain its tone

A

Full 6 wks

23
Q

Diastesis recti

A

Seperation of rectus abdominal muscles

24
Q

S/s of hypovolemia

A

Tachycardia ,hypotensive ,, pale, clammy, anxious nd confused

25
Q

Hemorrhagic shock

A

Blue lips/ finger nails , decreased urine output , excessive sweating, chest pain, shallow breathing, hypotensive
Can led to shock

26
Q

Laceration - signs of unrepaired

A

Continuous trickle down from vag
Bleeding in spirts ( squirts)
Bleeding in the presence of contracted fundus ( when it is firm )

27
Q

Early causes of hemorrhage

A

Uterine atony
Laceration
Hematoma

28
Q

Oxytocin adverse reactions

A

Adverse reactions- dysthrhymias, BP changes , water intoxication ,and uterine rupture

29
Q

Methylergonovine Maleate adverse effects

A

Nausea s vomiting cramping , headache, severe hypertension, bradycardia , dysrhythmias, myocardial infarctions

Given IV

30
Q

Contraindications with methlergonovine maleate

A

Cardiac diseases , hypertension

31
Q

Interventions for methylergonovine maleate

A

Monitor VS
Pain
Headache
Chest pain
Shortness of breath
Uterine contractions
Vag bleeding

32
Q

Carboprost tromethamine adverse effects

A

Headache, nausea, vomiting, diarrhea , fever, tachycardia, hypertension, pulmonary edema

33
Q

Carboprost tromethmine contraindications

A

Asthma, cardiac, renal and hepatic diseases

34
Q

Interventions when giving Carboprost tromethamine

A

Given IM
Monitor VS , vag bleeding and uterine tone

35
Q

Misoprostol

A

Given orally mostly given rectally

36
Q

Misoprostol adverse effects

A

Headache nausea, vomiting, diarrhea, fever, tachycardia, hypertension, pulmonary edema

37
Q

Interventions with Misoprostol

A

Monies VS, vag bleeding and uterine tone

38
Q

Interventions for uterine inversion

A

Stop oxytocin immediately to give us time to manually push in the uterus
Give terbutaline to relax the smooth muscle to allow us to push uterus back in
Antibiotics to prevent infection ( passage way for bacteria )

39
Q

Endometriosis s/s

A

Pulse over 100
Fever chillls malaise anorexia
Excessive uterine tenderness
Lochia returning to Rubra from serous
Foul smelling or prudent Lochia
Urinary frequency

40
Q

Interventions of endometriosis

A

Bed rest semi fowlers
Administer iv antibiotics
Antipyretics oxytocin or methlergonovine

41
Q

How many calories should a breast feeding mom increase by

A

500 calories

42
Q

Effective feeding with breastfeeding

A

Let down reflex
Latch pain subsides
Audible swallowing
Adequate output ( 1 stool 1 urine first 24 but the 2nd 2 and 2 )
Weight gain

43
Q

Foremilk

A

Stored before feeding , high in water content

44
Q

Hindmilk

A

Produced during feeding
High in fat content

45
Q

Taking in

A

24 - 48 hours
Focused on own needs unable to make decisions
Relives birth experience adjust to psychological changes

46
Q

taking hold phase

A

Dependent / independent
Focus shift to infant and maternal role
Anxious/overwhelmed about competence as mom and accepts advice
May experience baby blues and fatigue
Can start 2-3 dys and last for wks

47
Q

letting go phase interdependent

A

Resolve their idealized expectations of birth experience
Accepts reality of infant and incorporates into lifestyle
Separated new born and self confident in care taking activities
Relationship with partner grows with reconnection

48
Q

Paternal

A

Engrossment (bonding)
Intense interest in infant
Oops forward to parenting but lacks confidence

49
Q

IPV

A

Intimate partner violence

50
Q

Magnesium sulfate

A

It is good to know if mom is taking these for preeclampsia it will slow pt down for blood clotting putting them at risk for hemorrhage

51
Q

Tocolytics

A

Also puts mom at risk for hemorrhage

52
Q

Oxytocin route and interventions

A

IV IM
Monitor v/s , I&O , and monitor lung sounds

Module 6 (21 decks)

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