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SF -107 > POSTPARTAL CARE (PUERPERIUM) > Flashcards

POSTPARTAL CARE (PUERPERIUM) Flashcards

1
Q

It is the six week period after
delivery of the baby.

A

Puerperium

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2
Q

What happens in puerperium?

A

Retrogressive
-involution of the uterusand vagina

Progressive
- production of milk for lactation
- restoration of the normal menstrual cycle
- beginning of a parenting role.

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3
Q

the return of reproductive organs to their pre pregnant state.

A

Involution

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4
Q

How will you know that Uterine involution is happening?

A

Through Analysis of lab data.
-evaluating uterine size and consistency and amount of lochia flow

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5
Q

When does a woman’s psychological
adjustment begins?

A

woman’s psychological adjustment begins

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6
Q

The patient’s lochial flow is no more than one saturated perineal pad that is?

A

50 ml every 3hours

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7
Q

What do do you call it when it is during which the old way is gone but the new way is not yet
comfortable

A

Neutral zone

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8
Q

An act of ending old ways

A

Letting go

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9
Q

new ideas and concepts are put into action

A

New Beginning

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10
Q

The postpartum period is a time of transition during which the couple gives up concepts such as?

A

“childless” or “parents of one”

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11
Q

This phase is largely a time of reflection.

A

Taking In phase

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12
Q

What is the timeframe of taking in phase?

A

1-3 days, largely PASSIVE

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13
Q

What phase would you realize when She prefers having a nurse attend to her needs and make decisions for her rather
than do these things herself.

A

Taking in Phase

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14
Q

It is in this phase where Woman usually wants to talk about her
pregnancy

A

Taking in

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15
Q

In this phase she begins to have strong interest

A

Taking Hold Phase

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16
Q

Begins to initiate action. Make her own decisions. she begins to take a stronger interest
in her infant and begins maternal role behaviors.

A

Taking hold phase

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17
Q

This phase is where she redefines her role, gives up fantasized image and her old role.

A

Letting go phase

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18
Q

What is a sign that the woman is beginning effective interaction.

A

Looking directly at her newborn’s face, with direct eye contact (en face position)

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19
Q

Many fathers can be observed staring at a newborn for long intervals in this same way, what do you call it?

A

Engrossment

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20
Q

The more time a woman has to spend with her baby, the sooner she can become better acquainted with her child, feel more confident in her ability to care for her

A

True

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21
Q

This occurs when the infant remains in the woman’s room and the mother and child are together 23 out of 24 hours a
day.

A

Rooming- in

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22
Q

MATERNAL CONCERNS AND FEELINGS IN
THE POSTPARTAL PERIOD

A

• Breast Soreness
• Regaining their fatigue
• Regulating the demands of housework
• Their partner
• Children
• Coping with emotional tension and sibling jealousy
• Fatigue

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23
Q

This phenomenon may be caused by hormonal changes, particularly the decrease in estrogen and progesterone that occurred with delivery of the placenta

A

Postpartal Blues

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24
Q

An overwhelming feeling of sadness that cannot
be accounted for this is evidenced by:

A

➢ Tearfulness
➢ Feeling of inadequacy
➢ Mood liability
➢ Anorexia
➢ Sleep disturbance
➢ Irritability

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25
Q

include those related specifically to the reproductive system as well as other systemic changes

A

Physiologic Changes

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26
Q

the denuded surface of the uterus until involution is complete, causes what?

A

Hemorrhage

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27
Q

How much does the uterus weigh?

A

1kg

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28
Q

After one week the uterus will weigh how much?

A

500g

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29
Q

At the 6th week it will weigh about?

A

50g

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30
Q

When does uterine contraction begin?

A

Placental delivery

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31
Q

contraction of the uterus
after birth causes intermittent cramping termed as?

A

After pains

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32
Q

strong uterine contractions felt more particularly by multi-
paras, those who delivered large babies or twins, and those who breastfeed

A

Afterbirth pains

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33
Q

These are Uterine discharges consisting of blood, deciduas, WBC, Mucus and some bacteria

A

Lochia

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34
Q

first 3 days postpartum, red, and moderate in amount, consists mostly of blood, fragments and devcivuda

A

Rubra

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35
Q

As the amount of blood involved in the cast-off tissue decreases (about the fourth day) and leukocytes begin to invade the area, as they do with any healing surface, the flow becomes pink or brownish

A

Serosa

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36
Q

On about the 10th day, the amount of the flow decreases and becomes colorless or white with streaks of brownish mucus

A

Lochia Alba

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37
Q

After birth, the cervix is

A

soft and malleable

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38
Q

Because of the great amount of pressure experienced during birth, the perineum is

A

edematous and tender immediately after birth.

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39
Q

Labia majora and minora typically remain what?

A

atrophic and softened after birth

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40
Q

Labia majora and minora typically remain what?

A

atrophic and softened after birth

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41
Q

GOOD METHOD TO CHECK POSTPARTUM CHANGES

A

BUBBLERS

B – Breast
U – Uterus
B – Bladder
B – Bowel
L – Lochia
E – Episiotomy
R – Emotional Response
S – Homan’s Sign

42
Q

is the main estrogen secreted by the placenta during pregnancy

A

Estriol

43
Q

Follicle-stimulating hormone (FSH) remains low for about how long?

A

12 days

44
Q

By week 1, what hormones are all at prepregnancy levels

A

progestin, estrogen, and estradiol

45
Q

During pregnancy, as much as how many of excess fluid accumulates in the body?

A

2,000 to3,000 ml

46
Q

What begin almost immediately after birth to rid the body of this fluid?

A

Diuresis and Diaphoresis

47
Q

hydronephrosis or increased size of ureters that occurred during pregnancy remains present for about

A

4 weeks after birth

48
Q

Some postpartum mothers may have difficulty voiding because of

A

decreased abdominal pressure or trauma to muscle of the bladder

49
Q

Voiding maybe initiated by?

A

• Pouring on warm and cold water alternately over the vulva

• Encouraging the patient to go to the comfort room and let her listen to the sound of running water

• If this fails, catheterization is done

50
Q

Usual blood loss with a vaginal birth

A

300-500ml

51
Q

Usual blood loss with a Cesarean birth

A

500-1000ml

52
Q

Bowel sounds are active but passage of stool through the bowel may be slow because of the still-present effect of?

A

Relaxin

53
Q

a hormone which softens and lengthens the cervix and pubic symphysis for preparation of the infant’s birth during
pregnancy

A

Relaxin

54
Q

a hormone which softens and lengthens the cervix and pubic symphysis for preparation of the infant’s birth during
pregnancy

A

Relaxin

55
Q

Delayed bowel evacuation postpartum may be due to :

A

→ Decreased muscle tone
→ Lack of food or enema during labor
→ Dehydration
→ Fear of pain from perineal tenderness due to episiorrhaphy, lacerations, or hemorrhoids.

56
Q

excessive pigment on the face
and neck.

A

Chloasma

57
Q

Linea nigra - abdomen will become barely detectable by how long?

A

6 weeks

58
Q

overstretching and
separation of the abdominal musculature, the area will appear as a slightly indented bluish streak in the abdominal
midline

A

Diastasis recti

59
Q

overstretching and
separation of the abdominal musculature, the area will appear as a slightly indented bluish streak in the abdominal
midline

A

Diastasis recti

60
Q

It is a postpartum exercise that strengthen abdominal
muscles help to strengthen abdominal muscles and return abdominal support to its prepregnant level.

A

Modified sit ups

61
Q

Kegel and abdominal breathing on postpartum day

A

1

62
Q

Kegel and abdominal breathing on postpartum day

A

1

63
Q

This is done on the second day to tighten and firm up abdominal muscles.

A

Chin-to chest

64
Q

This exercise can be done when perineum has healed

A

Knee-to-abdomen

65
Q

Th’e rapid diuresis and diaphoresis during the second to fifth days after birth usually result in a weight loss of

A

5 lb (2 to 4 kg)

66
Q

Weight loss from lochia?

A

2-3 lbs. (1 kg)

67
Q

For a total weight loss of about

A

19lb

68
Q

approximately how much weight is lost at birth

A

12 lb (5.8kg)

69
Q

It Reflect the internal adjustments occurring as
the woman’s body begins its return to its prepregnant state.

A

Vital signs changes

70
Q

Temperature is always taken in what manner during the
puerperium because of the danger of vaginal contamination and the discomfort involved in rectal intrusion.

A

orally or tympanically

71
Q

oral temp. rises above (38 C), excluding the first 24 hour period is considered

A

febrile, postpartal infection should be suspected.

72
Q

when a woman’s breasts fill
with milk on the third or fourth postpartum day during lactogenesis II, her temperature will rise for a period of hours because of the increased vascular activity involved; this process is termed?

A

Engorgement

73
Q

As diuresis diminishes, the blood volume and blood pressure fall; pulse rate?

A

Increases

74
Q

Reading above 140 mmHg systolic or 90mmHg diastolic indicate

A

postpartal Hypertension

75
Q

Oxytocics, drugs administered;
consequently can do what to BP

A

Increase

76
Q

dizziness that occurs on standing because of the lack of adequate blood volume to maintain nourishment of brain cells.

A

Orthostatic hypotension

77
Q

Indicates growth of milk glands and in breast size.

A

Estrogen level

78
Q

thin, watery, pre lactation secretion.

A

Colostrum

79
Q

feeling of tension in your the breasts on the 3rd or 4th day pp.

A

Primary engorgement

80
Q

ability of milk to come forward in the breasts.

A

A let down reflex

81
Q

With the delivery of the placenta, what happens to the production of placental estrogen and iprogesterone

A

It ends

82
Q

If not breastfeeding, return flow is expected with?

A

6-10 weeks after delivery

83
Q

If breastfeeding, menstrual return is expected in

A

3-4 months - lactational
amenorrhea

84
Q

still a possibility for the first 2 or 3 days after birth, until the myometrial vessels have sclerosed.

A

Hemorrhage

85
Q

This information also lays a foundation for teaching self-care and child care specific to the woman’s knowledge level and needs

A

Family profile

86
Q

this information helps in planning necessary procedures.

A

Labor and birth history

87
Q

this information helps in planning necessary procedures.

A

Labor and birth history

88
Q

this information helps in planning necessary procedures.

A

Labor and birth history

89
Q

a collection of blood in the subcutaneous space from bleeding from the episiotomy incision that can become so extensive it causes intense pain and disrupts the suture line

A

Hematoma

90
Q

PROVIDE PAIN RELIEF FOR AFTERPAINS

A

• Ibuprofen (Motrin) NSAID
• Acetaminophen Tylenol (analegic)

91
Q

PROVIDE PAIN RELIEF FOR AFTERPAINS

A

• Ibuprofen (Motrin) NSAID
• Acetaminophen Tylenol (analegic)

92
Q

MEDS RELIEVE MUSCULAR ACHES

A

• Acetaminophen (Tylenol)
• Backrub

93
Q

Pain in perineal region maybe relieved by:

A

• Sim’s position

• Perineal heat lamp or warm sitz bath twice a day

• Application of topical analgesics or administration of mild oral analgesics as
ordered.

94
Q

• Contracting and relaxing the muscles of the perineum 5-10 times in succession, as trying
to stop voiding

• Improves circulation and helps decrease edema.

• Help the woman regain her prepregnant muscle tone and form.

A

Kegel exercises

95
Q

Applying an ice or cold pack to the perineum during the first 24 hours reduces

A

perineal edema and the possibility of hematoma formation and also reduces pain
and promotes healing and comfort.

96
Q

Sitz baths has Water that is maintained at?

A

38-41c

97
Q

Sitz bath is used

A

3-4 times a day, 20 mins

98
Q

helps to decrease inflammation and relieve tension in the area.

A

Cortisone-based cream or warm sitz bath

99
Q

Enc. Her to drink at least

A

, three to four 8 oz
glasses of fluid a day

100
Q

occurs because of relaxation
of the abdominal wall and the intestine, now that they are no longer compressed by
the bulky uterus.

A

Constipation

101
Q

Stool softener prescribed n 1 st day

A

docusate sodium

SF -107 (3 decks)

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