Postnatal period

Question 0

A process by which the uterus returns to its pre pregnant size, position and tone.
the vagina, uterine ligaments, and muscles of the pelvic floor all revert back to pre pregnant state.
Uterus weight from 1000 to 60 gm

Answer 0

Involution

Question 1

Begins immediately following the delivery of the placenta and membranes

6 weeks

Ends with the return of fertility

Answer 1

Puerperium / postnatal period

Question 2

What are the uterine involution process?

Answer 2

1. Contraction of the uterine muscle fibre
2. Catabolism
3. Regeneration of uterine epithelium

Question 3

This process is immediately after placental delivery, and helps control the bleeding.

Answer 3

Contraction of the uterine muscles

Question 4

Process in which levels of estrogen and progesterone cause uterine cells to atrophy.
Process in which protein material in uterine wall is broken down cause of reduction in size.
Migration of macrophages causes autolysis, products of this process is absorbed by blood stream and excreted through nitrogenous waste

Answer 4

Process of Catabolism

Question 5

Process of the outer portion of endometrial layer is expelled with placenta.
Process in which remaining decidua separate into two layers in 2-3 days. (Superficial layer sheds & basal layer remains and is the source for new endometrium.

Answer 5

Process of regeneration of uterine epithelium.

Question 6

How many weeks does regeneration of endometrium excpet at placental site take?

Answer 6

2-3 weeks

Question 7

How long does it take for placental site to regenerate?

.

Answer 7

6-7 weeks

Question 8

(Red) vaginal excretion for 3 days

Answer 8

Lochia rubra

Question 9

Pink brown excretion that contains leukocytes, mucous, vaginal epethelial cells, necrotic decidua, non pathological bacteria.

Sweetish in odour, lasts for 7 days

Answer 9

Lochia serosa

Question 10

Yellow white excretion, 10th-14th postnatal day.
Mostly serous fluid and leukocytes
Plus cervical mucous and organisms

Answer 10

Lochia Alba

Question 11

Possible causes for presence of clot or excess bleeding (2pads/hr)?

Answer 11

Possible, inadequate uterine contraction hence bleeding from vessels at placental site, laceration, hemetoma, and coagulation disorder.

Question 12

Possible causes of persistent lochia rubra?

Answer 12

Possibly, inadequate uterine contraction, retained placental fragments, infection

Question 13

Immediately after delivery, the top of the fundus is in the midline and approximately 2/3 - 3/4 of the way between symohysis pubis and the umbilicus

Answer 13

Involution of the uterus

Question 14

6-12 hours after birth, the fundus is at the level of or one fingerbreadth below the…

Answer 14

Umbilicus

Question 15

The height of the fundus then decreases about..

Answer 15

One finger-breadth (1cm) / day

Question 16

Uterus is not palpable by..

Answer 16

11-22 days normally

Question 17

Causes of slow rate of involution?

Answer 17

LSCS
Retained products
Prolonged labor
Multiple pregnancies
Full bladder
Secondary infection

Question 18

Factors to enhance involution?

Answer 18

Uncomplicated labor/birth
Breastfeeding
Early ambulation (movement)

Question 19

Signs and symptoms of sub involution?

Answer 19

Prolonged lochia rubra
Offensive lochia
Delayed involution

Question 20

A firm fundus indicates..

Answer 20

Uterine muscles are contracted and bleeding will not occur

Question 21

If fundus feels boggy, that may indicate..

Answer 21

Uterine cavity filled with clots of blood

Question 22

This examination is performed at 6 weeks after birth

Answer 22

Post natal examination

Question 23

With the women’s knee flexed, the nurse dorsi flexes the foot, pain in the foot or leg is positive sign of..

Answer 23

Homans sign

Question 24

Normal physiological, the results as body attempts to eliminate excess fluids that were present during pregnancy.

Answer 24

Night sweats

Question 25

More common in multiparas. Cause my contraction and relaxation of uterus. Increased by oxytocin, breastfeeding. Relieved with analgesics and time

Answer 25

Afterpains