post partum Flashcards

1
Q

1 hr after delivery fundal height is at

A

the umbilicus

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2
Q

1 hr after delivery fundal height is at

A

the umbilicus

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3
Q

2 days and after delivery uterus shrinks

A

1cm per day

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4
Q

After day 10 the uterus is not

A

palpable

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5
Q

before assessing uterus have the patient

A

empty her bladder

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6
Q

calls for concern when assessing the fundus

A

if it is not firm

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7
Q

there could be possible urinary _____ if there is you may need to ______

A

Retention

Catheterize

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8
Q

if uterus is not going back down give

A

pictocin (aka supplemental oxytocin)

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9
Q

Lochia- Rubra

A

Dark red 1-3 days

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10
Q

Lochi- Serosa

A

Pink/brown tinged 3-10 days

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11
Q

Lochia- Alba

A

yellowish white 10-14 days

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12
Q

scant

A
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13
Q

light

A

2.5-10cm

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14
Q

moderate

A

10-15 cm stain

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15
Q

heavy

A

saturated in an hour

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16
Q

Lochia danger signs

A
  • reapperance
  • odor
  • may increase after laying down
  • c section
  • return of menstrual cycle
  • ovulation
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17
Q

vagina after delivery

A

returns to normal in 6-8 weeks

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18
Q

cervix after delivery

A

2 finger tips- until 1st week

1 week on = 1 finger tip

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19
Q

issues with perineum

A

blood, horrible odor

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20
Q

episiotomy

A

cut to open vagina so baby can fit

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21
Q

ecchymosis

A

a discoloration of the skin resulting from bleeding underneath, typically caused by bruising.

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22
Q

complete feeling is restored in

A

4-6 mos

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23
Q

2 days and after delivery uterus shrinks

A

1cm per day

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24
Q

After day 10 the uterus is not

25
before assessing uterus have the patient
empty her bladder
26
calls for concern when assessing the fundus
if it is not firm
27
there could be possible urinary _____ if there is you may need to ______
Retention | Catheterize
28
if uterus is not going back down give
pictocin (aka supplemental oxytocin)
29
Lochia- Rubra
Dark red 1-3 days
30
Lochi- Serosa
Pink/brown tinged 3-10 days
31
Lochia- Alba
yellowish white 10-14 days
32
scant
33
light
2.5-10cm
34
moderate
10-15 cm stain
35
heavy
saturated in an hour
36
Lochia danger signs
- reapperance - odor - may increase after laying down - c section - return of menstrual cycle - ovulation
37
vagina after delivery
returns to normal in 6-8 weeks
38
cervix after delivery
2 finger tips- until 1st week | 1 week on = 1 finger tip
39
issues with perineum
blood, horrible odor
40
episiotomy
cut to open vagina so baby can fit
41
ecchymosis
a discoloration of the skin resulting from bleeding underneath, typically caused by bruising.
42
complete feeling is restored in
4-6 mos
43
lactation stops
1-2 weeks after delivery
44
painful intercourse due to
low estrogen levels
45
suggest ______ soluble lubricant
water
46
HcG should be gone after what week?
third week
47
if HcG levels are high that means
the placenta may have not been fully delivered
48
Placental hormones
HcG HcS Progesterone Estrogen
49
pituitary hormones
FSH and prolactin
50
Prolactin
breast feeding/ responds to succling
51
estrogen
causes cramping
52
progesterone highs/lows
High- before delivery | Low- plummets after delivery
53
hypervolumia
high levels of blood
54
BMR during pregnancy increases
20-25%
55
diaphresis is normal because the mom has
alot of extra fluid, up to 3kg
56
a mom can become hypovolumic because
blood stays in the abdomen
57
headaches in pregnancy can be a sign of
hypertension
58
Decreased BP can cause
hemorraging
59
Coaggulants
platelets fall but are retained up to 3 days