Postpardum

Question 1

puerperium

Answer 1

begins after the delivery of the placenta and lasts approximately 6 weeks.

Question 2

involution

Answer 2

the uterus returning to its normal nonpregnant size and condition

Question 3

lochia

Answer 3

vaginal discharge that occurs after birth and continues for approx. four to eight weeks.

Question 4

3 stages of lochia

Answer 4

lochia rubra
lochia serosa
lochia alba

Question 5

lochia rubra

Answer 5

deep-red mixture discharge of mucus, tissue debris, and blood

Question 6

lockia serosa

Answer 6

pinkish brown discharge

contains leukocytes, decidual tissue, red blood cells, and serous fluid

Question 7

lochia alba

Answer 7

creamy white or light brown discharge

consists of leukocytes, decidual tissue, and reduced fluid content

Question 8

afterpains

Answer 8

painful uterine contractions

Question 9

when does the cervix return to prepregnant state?

Answer 9

6 weeks postpartum

Question 10

lactation

Answer 10

secretion of milk by the breasts

Question 11

colostrum

Answer 11

contains protein and carbohydrate but no milk fat.

Question 12

taking-in phase

Answer 12

the time immediately after birth when the client needs sleep, depends on others to meet her needs, and relives the events surrounding the birth process.

Question 13

taking-hold phase

Answer 13

dependent and independent maternal behavior

Question 14

letting-go phase

Answer 14

woman reestablishes relations with other people

Question 15

7 behaviors of engrossment

Answer 15

1. visual awareness of newborn
2. tactile awareness of newborn
3. perception of the newborn as perfect
4. strong attraction to the newborn
5. awareness of distinct features of the newborn
6. extreme elation
7. increased sense of self esteem

Question 16

three-stage role development process

Answer 16

stage 1: expectations
stage 2: reality
stage 3: transition to mastery