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TEST 2 > POST-Partum > Flashcards

POST-Partum Flashcards

1
Q
  • Natural proces that involves uterus return to its PRE-PREGNANCY state
  • Regeneration of uterine epithelium
A

Involution

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2
Q

Uterine weight begins to

A

decrease in weight.
1000grams - 60grams in 6 weeks.

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3
Q

Fundal height should be in

A

pelvic cavity after 6 weeks.

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4
Q

Cervix goes back to prepregnant state in

A

6 weeks.

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5
Q

which one closes sooner?
Internal os or external os?

A

internal Cervix os
prevent infection.

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6
Q

VAgina adaptations post partum

A
  • prepregnant by 6-8 wekks
  • localized dryness
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7
Q

perineum post partum

A
  • painful, edeatous, and bruised
  • sitz bath helps
  • pelvic floor dysfunction
  • PFMT: pelvic floor muscle training
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8
Q

What type of cardiovascular activity REQUIRES ATTENTION

A

TACHYCARDIA >100 BPM
(ABNORMAL)

Bradycardia is normal

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9
Q

WBC remain

A

high for 1-6 days

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10
Q

Normal functions begin

A

1-3 weeks

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11
Q

Endocrine Post partum:

if mom is NOT BREASTFEEDING what happens

A

Within 2 weeks:
* Estrogen INCREASES
* Prolactin DECREASES

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12
Q

Endocrine Post partum:

if mom IS BREASTFEEDING what happens

A

Estrogen and Prolactin both REMAIN LOW.

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13
Q

most placental hormones are gone within a

A

week.

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14
Q

A mom is constipated POST PARTUM

A
  • this is normal.
  • increase fluid intake
  • INCREASE diets.
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15
Q

When inspecting abdomen the nurse should do what first

A

AUSCULTATE BOWEL SOUNDS first!!! then palpate fundus.

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16
Q

Urinary system Post partum

A
  • large amounts of fluids.
  • diuresis in 12 hrs
  • 3000 mL/day (normal)!!! (due to trauma)

Normal pee for person is 30/mL/hr

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17
Q

Sexual health POST PARTUM

A

4-6 weeks.

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18
Q

Contraceptions after POST PARTUM to be used

A

Progestin ONLY!!
bc it has no effect on breastmilk.

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19
Q

Combined contraceptions can be started until

A

6 weeks.

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20
Q

What stimulates Milk production

A
  • Prolactin
  • Oxytocin
  • skin to skin
  • supply and demand
  • breast crawl.
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21
Q

Is enfoged breast an infection?

A

NO!!
just large collection of milk and not feeding baby soon enough.

22
Q

How to supress lactation (milk production) for HIV, DRUGS, still birth, etc resons.

A
  • cessation
  • tight support bra 24 hrs/day
  • ice packs on breast
  • avoid breast stimulation
  • avoid warmth on breasts
23
Q

is breastfeeding a TOTAL RELIABLE METHOD of contraception?

A

No…

Unless:
1. Exclusively breastfeeds
2. no PMS since birth
3. infant < 6 monts

24
Q

Bubble- EE for postpartum ASSESSMENT

A

B: BREASTS
U: UTERUS
B: BOWELS
B: BLADDER
L: LOCHIA
E: EPISIOTOMY/ lacerations/C-Section
E: extremities
Emotional status

25
Q

Discharge assessment

A

describe and docment if it is NOT colostrum (creamy yellow) or Foremilk (bluish white)

26
Q

fundal should go down how many cm per day?

A

1 cm per day.

27
Q

Uterus should NOT be

A

boggy or displaced.

28
Q

what can cause URINARY RETENTION

A

1 cause epidural
(medications)

29
Q

WHat are most common causes for CONSTIPATION

A

HIGH iron (due to prenatal vitamin)

30
Q

vaginal discharge that occurs AFTER birth

A

LOCHIA

31
Q

LOCHIA CONTINUES for how long AFTER BIRTH

A

4-8 weeks.

32
Q

Lochia for the first 3-4 day after birth.

A

Lochia rubra

33
Q

Lochia that is PINK-BROWN and is expelled 3-10 days POSTPARTUM

A

LOCHIA SEROSA

34
Q

LOCHIA on final stage
Can last 10-14 days or 3-6 weeks.

A

lochia ALBA

35
Q

THINGS TO REPORT with Lochia

A
  • foul smelling = infection
  • Large clots= poor uterine involution, retained placental fragments.
36
Q

Assess Lochia pads used.
WHat is considered large or heavy lochia

A

Saturating 1 or more pads per hr.
1in - 4in stain on pad (10mL-25mL

37
Q

Episiotomy in perineum area should be assesed every

A

8 hrs.

(lithotomy or side-side position)

38
Q

REEDA

A

score chart for healing of Episiotomy in perineum

39
Q

REEDA is considered heel with what score

A

0= healed
1-5= moderate healed
6-10 mild healed
11-15 not healed.

40
Q

REEDA is for

A
  • REdness
  • Edema
  • Ecchymosis (bruising)
  • Discharge
  • Approximation
41
Q
  • Large area, swollen, bluish skin
  • Severe pain
  • Redness, swelling
  • Purulent drainage
  • NO noticeable BLEEDING
A

Hematomas

(blood outside the vessel)

42
Q
  • A boggy or relaxed uterus
  • Failure of uterus to contract
  • excessive clots
  • bloddy red flow
A

UTERINE ATONY

43
Q

WHAT causes uterine atony

A
  • full bladder
  • overdistension of uterus
  • retention of placental fragments
  • Inducing labor with Oxytocin
44
Q

What is the number one cause of postpartum hemorrhage

A

uterine atony

45
Q
  • TRICKLING or STEADY STREAM of red blood
  • excessive bleeding w/ FIRM fundus.
A

LACERATIONS

46
Q

S/S for VTE

A
  • tightness
  • redness
  • aching
  • edema
  • warmth
  • BILLATERALLY
  • low grade fever..
47
Q

To prevent VTE/ DVT POSTPARTUM what would the nurse have the pt do

A

ambulation
compressing socks
report abnormal findings

48
Q

Nutrition should

A

increase for mom.
no sodas

49
Q

IF mom is RH Neg and baby is RH POS what should be the NEXT step?

A

administer mom. RhoGAM within 72 hrs of delivery.

50
Q

Women receive 2 doses of RhoGam .. when is this

A

28 weeks gestation
and
72 hrs after birth.

  • need consent
  • Blood product so get consent and b careful with Jehovas witnesses.
51
Q

do PP mood changes (baby blues) interfere with ability to care for SELF AND INFANT?

A

NO.

TEST 2 (6 decks)

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