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MCN > POST PARTUM 1 > Flashcards

POST PARTUM 1 Flashcards

1
Q

Post partum is the __________ period after childbirth

A

6 week

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2
Q

Meaning of latin word “puer”

A

child

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3
Q

meaning of latin word “parere”

A

to bring forth

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4
Q

Puerperium is in the _____trimester of pregnancy

A

4th

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5
Q

in what phase of Puerperium includes:

-time of reflection
-being passive dependent
-birth experience

A

taking in phase

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6
Q

in what phase of Puerperium includes:

-initiates action
-greater independence
-ideal for teaching

A

taking hold

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7
Q

in what phase of Puerperium includes:

-giving up old roles, previous lifestyle, ideal birth experience

-readjustment of relationship

A

Letting go

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8
Q

feeling abandoned & less important after giving birth

e.g woman as center of attention to baby as everyone’s interest

A

abandonment

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9
Q

______________ in baby in terms of the baby’s sex, size or look may be experienced by parents or partners

A

Disappointment

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10
Q

conflicting feelings of joy & emotional letdown during first few weeks after birth

A

Postpartum blues

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11
Q

other name of postpartum blues

A

baby blues

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12
Q

Postpartum blues is evidenced by:

A

by tearfulness, feelings of inadequacy, mood lability, anorexia & sleep disturbance

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13
Q

Mood elation, depression may caused by

A

Fluctuating hormones

response to dependence

low self-esteem

exhaustion

being away from home

physical discomfort

tension engendered by assuming a new role

Not having support from the partner

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14
Q

when anticipatory stage occurs?

A

during pregnancy

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15
Q

what woman look for during anticipatory stage of pregnancy?

A

role models, specially her mother

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16
Q

this is the stage that begins when the child is born

A

formal stage

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17
Q

in what stage include that the woman is still influenced by the guidance of others and

tries to act as she believes other expect hear to act

A

formal stage

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18
Q

begins when the mother begins to make her own choices about mothering

A

informal stage

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19
Q

begins when mother develop her own style of mothering and find ways of functioning that work well for her

A

informal stage

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20
Q

final stage of maternal role attainment

A

personal stage

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21
Q

when the women reaches and comfortable with the notion of herself as a mother

A

personal stage

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22
Q

Influence factors regarding success in attaining the maternal role

A

Social support

Age

Personality traits

Marital relationships

Anxiety / Depression

Previous child care skills

Temperament of infant

Socio-economic status

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23
Q

childless or parent of one to new role as parents

A

transition

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24
Q

what are the four stages of psychological adjustment of maternal role attainment

A
  1. anticipatory
  2. formal
  3. informal
  4. personal
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25
Q

Challenges of the Post partum Women;

Finding _____________ for themselves

Feelings of _________________

Fatigue

Feeling of ________________

Finding time for their ________________ children

Infant’s _____________

A

time

incompetence

responsibility

older

behavior

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26
Q

reduction in size & return of uterus to a nonpregnant state

A

involution

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27
Q

two main process involved in involution

A

Sealing of placenta site

Reduction of organ to approximate pregestational size

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28
Q

wt. of uterus immediately after birth

A

1000g

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28
Q

wt. of uterus at the end of 1st week

A

500g

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29
Q

wt. of uterus in complete involution

A

50g

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30
Q

how many weeks for complete involution happen?

A

6 weeks

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31
Q

complete involution is similar to its ___________ wt.

A

pre pregnant

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32
Q

after birth the fundus it at level of the _____________ where it remains for 24 hrs

A

umbilicus

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32
Q

what is the normal condition of the uterine atony

A

contracted

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32
Q

lochia composed of blood, mucus, and leukocytes

A

lochia serosa

32
Q

in first hour after birth the uterine atony is boggy( soft or flabby) the mother is _____________

A

in danger

32
Q

at what hour after the delivery where fundus is at the level of the umbilicus

A

1 hr

32
Q

the fundus decreases__________ per day

A

fingerbreadth

32
Q

lochia composed of largely mucus

A

lochia alba

33
Q

why the uterus need to be contracted

A

to prevent hemorrhage

34
Q

after pain is experience d/t:

________________ of the uterus after birth “intermittent cramping”

Those who gave birth to ______________ babies or ___________ births

A

Contraction, large or multiple

35
Q

lochia composed of blood, fragments of decidua, mucus

A

lochia rubra

36
Q

red lochia

A

lochia rubra

37
Q

pink lochia

A

lochia serosa

38
Q

white lochia

A

lochia alba

39
Q

lochia last for 1-3 days

A

lochia rubra

40
Q

lochia last for 3-10 days

A

lochia serosa

41
Q

lochia last for 10-14 days, up to 6 weeks

A

lochia alba

42
Q

what are the three lochia

A

Rubra, serosa, alba

43
Q

lochia stain larger than 6 inches in length within 1 hour

A

heavy amount

44
Q

50 to 80 ml

A

heavy amount

45
Q

saturated peripad within an hour

A

heavy amount

46
Q

stain < 6 inches in length within 1 hour

A

moderate amount

47
Q

20-50ml lochia

A

moderate amount

48
Q

stain less than 4 inches in length after 1 hour

A

small amount

49
Q

10-25ml lochia

A

small amount

50
Q

stain less than 1 inch in length after 1 hour

A

scant amount

51
Q

only on tissue when the woman wipes lochia

A

scant amount

52
Q

the trauma of difficult childbirth deliveries may tear the cervix producing _____________or ____________ lacerations

A

transverse or stellate

53
Q

the external os is size of a ________ opening at the end of seven days

A

pencil

54
Q

after birth what what exercise should you perform

A

kegel exercise

55
Q

the vagina is hymen is ___________ torn

A

permanently torn

56
Q

after vaginal birth the diameter is __________ than normal

A

greater

57
Q

changes in perineum

A

edematous

tender

bruising with ecchymosis

58
Q

after birth the pregnancy hormones _________

A

decreases

59
Q

what hormones decreased by 24 hrs

A

hCG and hPL

60
Q

what hormones decreased by week 1

A

progestin, estrogen, estradiol

61
Q

hormones decreased in 12 days then initiate new menstrual cycle is initiated

A

FSH

62
Q

the transient loss of tone and edema (bladder) result in ________sense to void

A

decreased

63
Q

hydronephrosis increased the possibility of urinary ___________ and ___________

A

stasis and UTI

64
Q

the is an increase of ____________ in circulatory system

A

leukocytes(WBC)

65
Q

GI tracts systemic changes

A

constipation, hemorrhoids

66
Q

Integumentary changes

A

rectus muscle tone is not regained, modified sit up, barely detectable in 6 weeks time

67
Q

retrogressive changes of the puerperium

exhaustion >__________
wt. loss>________________

A

sleep hunger, return to pre pregnant wt.

68
Q

oral temp. above 38°C
indicates_______________

A

febrile that may indicate postpartum infection

69
Q

during 1st 24 hours there is ___________ in temp. due to dehydration that occurred during labor

A

increase

70
Q

if there is a adequate fluid during first 24 hrs the temp. becomes_____________

A

normal

71
Q

if there is a rapid and thready pulse _____________

A

there is hemorrhage

72
Q

if BP decrease it may indicate ______________

A

bleeding

73
Q

> 140 mmHg systolic or 90 mmHg diastolic may indicate_______________

A

postpartum hypertension

74
Q

occurs on standing due to lack of adequate blood volume to maintain nourishment of brain cells

A

orthostatic hypotension

75
Q

hormones important for lactation

A

prolactin and oxytocin

76
Q

not BF the menstruation return ______________ after birth

A

6-10 weeks

77
Q
A
78
Q

__________ml/day (diaphoresis & diuresis)

A

3000

MCN (8 decks)

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