POST PARTUM 1 Flashcards
Post partum is the __________ period after childbirth
6 week
Meaning of latin word “puer”
child
meaning of latin word “parere”
to bring forth
Puerperium is in the _____trimester of pregnancy
4th
in what phase of Puerperium includes:
-time of reflection
-being passive dependent
-birth experience
taking in phase
in what phase of Puerperium includes:
-initiates action
-greater independence
-ideal for teaching
taking hold
in what phase of Puerperium includes:
-giving up old roles, previous lifestyle, ideal birth experience
-readjustment of relationship
Letting go
feeling abandoned & less important after giving birth
e.g woman as center of attention to baby as everyone’s interest
abandonment
______________ in baby in terms of the baby’s sex, size or look may be experienced by parents or partners
Disappointment
conflicting feelings of joy & emotional letdown during first few weeks after birth
Postpartum blues
other name of postpartum blues
baby blues
Postpartum blues is evidenced by:
by tearfulness, feelings of inadequacy, mood lability, anorexia & sleep disturbance
Mood elation, depression may caused by
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
when anticipatory stage occurs?
during pregnancy
what woman look for during anticipatory stage of pregnancy?
role models, specially her mother
this is the stage that begins when the child is born
formal stage
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
formal stage
begins when the mother begins to make her own choices about mothering
informal stage
begins when mother develop her own style of mothering and find ways of functioning that work well for her
informal stage
final stage of maternal role attainment
personal stage
when the women reaches and comfortable with the notion of herself as a mother
personal stage
Influence factors regarding success in attaining the maternal role
Social support
Age
Personality traits
Marital relationships
Anxiety / Depression
Previous child care skills
Temperament of infant
Socio-economic status
childless or parent of one to new role as parents
transition
what are the four stages of psychological adjustment of maternal role attainment
- anticipatory
- formal
- informal
- personal
Challenges of the Post partum Women;
Finding _____________ for themselves
Feelings of _________________
Fatigue
Feeling of ________________
Finding time for their ________________ children
Infant’s _____________
time
incompetence
responsibility
older
behavior
reduction in size & return of uterus to a nonpregnant state
involution
two main process involved in involution
Sealing of placenta site
Reduction of organ to approximate pregestational size
wt. of uterus immediately after birth
1000g
wt. of uterus at the end of 1st week
500g
wt. of uterus in complete involution
50g
how many weeks for complete involution happen?
6 weeks
complete involution is similar to its ___________ wt.
pre pregnant
after birth the fundus it at level of the _____________ where it remains for 24 hrs
umbilicus
what is the normal condition of the uterine atony
contracted
lochia composed of blood, mucus, and leukocytes
lochia serosa
in first hour after birth the uterine atony is boggy( soft or flabby) the mother is _____________
in danger
at what hour after the delivery where fundus is at the level of the umbilicus
1 hr
the fundus decreases__________ per day
fingerbreadth
lochia composed of largely mucus
lochia alba
why the uterus need to be contracted
to prevent hemorrhage
after pain is experience d/t:
________________ of the uterus after birth “intermittent cramping”
Those who gave birth to ______________ babies or ___________ births
Contraction, large or multiple
lochia composed of blood, fragments of decidua, mucus
lochia rubra
red lochia
lochia rubra
pink lochia
lochia serosa
white lochia
lochia alba
lochia last for 1-3 days
lochia rubra
lochia last for 3-10 days
lochia serosa
lochia last for 10-14 days, up to 6 weeks
lochia alba
what are the three lochia
Rubra, serosa, alba
lochia stain larger than 6 inches in length within 1 hour
heavy amount
50 to 80 ml
heavy amount
saturated peripad within an hour
heavy amount
stain < 6 inches in length within 1 hour
moderate amount
20-50ml lochia
moderate amount
stain less than 4 inches in length after 1 hour
small amount
10-25ml lochia
small amount
stain less than 1 inch in length after 1 hour
scant amount
only on tissue when the woman wipes lochia
scant amount
the trauma of difficult childbirth deliveries may tear the cervix producing _____________or ____________ lacerations
transverse or stellate
the external os is size of a ________ opening at the end of seven days
pencil
after birth what what exercise should you perform
kegel exercise
the vagina is hymen is ___________ torn
permanently torn
after vaginal birth the diameter is __________ than normal
greater
changes in perineum
edematous
tender
bruising with ecchymosis
after birth the pregnancy hormones _________
decreases
what hormones decreased by 24 hrs
hCG and hPL
what hormones decreased by week 1
progestin, estrogen, estradiol
hormones decreased in 12 days then initiate new menstrual cycle is initiated
FSH
the transient loss of tone and edema (bladder) result in ________sense to void
decreased
hydronephrosis increased the possibility of urinary ___________ and ___________
stasis and UTI
the is an increase of ____________ in circulatory system
leukocytes(WBC)
GI tracts systemic changes
constipation, hemorrhoids
Integumentary changes
rectus muscle tone is not regained, modified sit up, barely detectable in 6 weeks time
retrogressive changes of the puerperium
exhaustion >__________
wt. loss>________________
sleep hunger, return to pre pregnant wt.
oral temp. above 38°C
indicates_______________
febrile that may indicate postpartum infection
during 1st 24 hours there is ___________ in temp. due to dehydration that occurred during labor
increase
if there is a adequate fluid during first 24 hrs the temp. becomes_____________
normal
if there is a rapid and thready pulse _____________
there is hemorrhage
if BP decrease it may indicate ______________
bleeding
> 140 mmHg systolic or 90 mmHg diastolic may indicate_______________
postpartum hypertension
occurs on standing due to lack of adequate blood volume to maintain nourishment of brain cells
orthostatic hypotension
hormones important for lactation
prolactin and oxytocin
not BF the menstruation return ______________ after birth
6-10 weeks
__________ml/day (diaphoresis & diuresis)
3000
