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