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MCN > Postpartal Family (Physiological Changes) > Flashcards

Postpartal Family (Physiological Changes) Flashcards

1
Q

Which physiologic changes are related specifically to the reproductive system as well as other systemic changes?

A

Retrogressive Changes

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2
Q

Involution of the uterus

The area where the _________ was implanted is sealed off to prevent __________

A

placenta; bleeding

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3
Q

Involution of the uterus

The organ is reduced to its approximate progestational _____

A

size

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4
Q

How is the area where the placenta was implanted sealed off?

A

rapid contraction of the uterus immediately after delivery of the placenta

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5
Q

What permanently seals the area within the uterine sinuses?

A

thrombi

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6
Q

Involution of the uterus

Woman is in danger of ____________ until involution is complete which is in ___ weeks

A

hemorrhage; 6 weeks

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7
Q

What promotes uterine involution?

A

Breastfeeding; oxytocin stimulates uterine contractions

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8
Q

Factors that delay uterine involution:

Over distention of uterus from __________ and multiple fetuses

A

hydramnios

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9
Q

Factors that delay uterine involution:

Use of ________ during labor

A

analgesia

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10
Q

Factors that delay uterine involution:

___________ due to prolonged and difficult labor

A

Exhaustion

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11
Q

Factors that delay uterine involution

M_________

A

Multiparity

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12
Q

Uterine weight

right after delivery:

1 week after:

2 weeks after:

6 weeks after:

A

1000 g; 500 g; 300 g; 50 g

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13
Q

By the __ or __ day, the uterus can no longer be detected by abdominal palpation

A

9th or 10th day

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14
Q

What are strong uterine contractions that cause uncomfortable cramps after childbirth?

A

Afterpains

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15
Q

When are afterpains present?

A

2-3 days after childbirth

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16
Q

What position should the woman assume to relieve afterpains?

A

Prone Position

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17
Q

In primiparas, the uterus remains tonically contracted unless ______ or _______ remain in uterus

A

clots or tissue

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18
Q

Afterpains tend to be noticed by _________ than by ________ and by women who have given birth to large babies or multiple births

A

multiparas; primiparas

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19
Q

Afterpains are more severe when __________ in both primiparas and multiparas

A

breastfeeding

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20
Q

What is uterine discharge after delivery consisting of blood, fragments of decidua, white blood cells, mucus, and some bacteria?

A

Lochia

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21
Q

When does Lochia Rubra occur?

A

from delivery up to 3rd day

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22
Q

What color is Lochia Rubra?

A

bright red and may contain small clots

23
Q

When does Lochia Serosa occur?

A

4th to 10th day

24
Q

What color is Lochia Serosa?

A

Pinkish to brownish in color

25
Q

When does Lochia Alba occur?

A

10th to 14th day (may last 6 weeks pp)

26
Q

What color is Lochia Alba?

A

white or cream to yellowish

27
Q

What is soft, edematous, and relaxed?

A

Cervix

28
Q

By the end of __ days, external os has narrowed to size of a __________ __________, appears slit-like, feels firm and non-gravid

A

7 days; pencil opening

29
Q

What is smooth and swollen right after childbirth?

A

Vagina

30
Q

When are lacerations and episiotomy usually healed?

A

After 2 weeks

31
Q

When does rugae reappear?

A

After 3-4 weeks

32
Q

When does the vagina return to prepregnant condition?

A

6-8 weeks

33
Q

What exercise helps to improve circulation?

A

Kegel exercises

34
Q

What is swollen, has ecchymosis, and painful immediately after delivery?

A

Perineum?

35
Q

When is perineal muscle tone regained?

A

after 6 weeks

36
Q

What does REEDA stand for when evaluating episiotomy and perineal laceration?

A

Redness
Edema
Ecchymosis
Drainage
Approximation

37
Q

Levels of ________ _________ ___________ (hCG) and _______ __________ __________ (hPL) are almost negligible by __ hours

A

human chorionic gonadotropin; human placental lactogen; 24 hours

38
Q

By week _, ______ and ________ are all at prepregnancy levels

A

1; progestin and estrogen

39
Q

E1:
E2:
E3:
E4:

A

Estrone; Estradiol; Estriol; Estetrol

40
Q

__________-_________ hormone remains low for about __ days

A

Follicle-stimulating; 12 days

41
Q

When does menses resume if the woman is not breastfeeding?

A

by 6th to 10th week

42
Q

When does menses return if a woman is breastfeeding consistently?

A

in 6 months

43
Q

What produces more prolactin which stimulates more milk production?

A

Infant suckling

44
Q

What is the let down reflex?

A

mammary glands sends milk to nipples

45
Q

What is hydronephrosis and when does it occur?

A

Enlargement of ureters; after delivery to 4 weeks

46
Q

What is a normal level of urine output vs the urine output of a postpartal woman?

A

1500 ml vs 3000 ml per day

47
Q

How much fluid accumulates in the body during pregnancy?

A

2000-3000 ml

48
Q

The woman may have a decreased ability to sense when she has to _____

A

void

49
Q

How much does blood volume increase in pregnancy?

A

30% to 50%

50
Q

How much blood loss occurs in NSVD (normal spontaneous vaginal delivery)?

A

300 - 500 cc

51
Q

How much blood loss occurs in C/S?

A

500 - 1000 cc

52
Q

What is the average blood volume during pre-pregnant state vs pregnant state?

A

4000 cc vs 5250 cc

53
Q

______ ___________ appear reddened on abdomen and fade by __-__ months

A

Striae gravidarum; 3-6 months

MCN (13 decks)

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