Postpartum

Question 1

by days ___-___ PP, the uterus is no longer able to be palpated abdominally

Answer 1

10-14

Question 2

each percentage point drop in Hgb = ____ mL of blood loss

Answer 2

500

Question 3

each percentage point drop in Hct = _____ mL of blood loss

Answer 3

250

Question 4

H&H return to normal over a ___-___ wk period to pre-pregnant values

Answer 4

4-6

Question 5

swelling and increased vascularity of the vagina is decreased by ___ weeks PP

Answer 5

2 weeks

Question 6

_____________ is due to:
blood loss
extracellular fluid
autotransfusion of fluid from losing placenta

Answer 6

cardiovascular system instability

Question 7

By 1 week PP, the cervical os is only ___ cm dilated

Answer 7

1

Question 8

At ___ weeks PP, the uterus is no longer palpable abdominally

Answer 8

2

Question 9

The uterus is completely involuted by __-__ weeks PP

Answer 9

6-8

Question 10

vaginal epithelium is healed by __-__ week sPP

Answer 10

6-12

Question 11

Oxytocin causes the “let down” response by causing contraction of:

Answer 11

the myoepithelial cells of the breasts

Question 12

Maternal serum estrogen returns to pre-pregnancy levels (follicular phase) by days ___-___ PP

Answer 12

1-3

Question 13

prolactin is secreted by:

Answer 13

anterior pituitary

Question 14

colostrum contains antibodies, especially Ig__

Answer 14

IgA

Question 15

Breast milk is synthesized within the:

Answer 15

secretory cells of the alveoli

Question 16

Research indicates 15-30% of neonates may experience symptoms of tachypnea, hypoglycemia, temperature instability, irritability, a weak cry, and seizures within 2 weeks after birth if exposed to:

Answer 16

SSRIs during pregnancy

Question 17

weight range of the lactating breast

Answer 17

600-800 grams

Question 18

functional milk-making unit in the breast

Answer 18

alveolus

Question 19

mothers of premies should express milk within __-__ hours after birth

Answer 19

1-2

Question 20

leading cause of PP mortality

Answer 20

cordiomyopathy

Question 21

urinary retention would be worrisome if the PP mother has not voided within ___-___ hrs after birth

Answer 21

6-8

Question 22

human milk component that is most variable in composition

Answer 22

lipids

Question 23

breastfeeding for longer than 3 months decreases risk of:

Answer 23

asthma

Question 24

drugs that are contraindicated in breastfeeding:

Answer 24

amiodarone
anticonvulsants
antiretrovirals
ergotamines

Question 25

women produce about ____-____ mL of breastmilk per day

Answer 25

700-800

Question 26

PP ovulation and menstruation are inhibited by:

Answer 26

increased prolactin and the resulting estrogen suppression

Question 27

CHCs are not recommended before ___ days PP due to hypercoagulable state of PP women

Answer 27

21

Question 28

breast part that supports breast shape

Answer 28

Cooper’s ligaments

Question 29

sebaceous glands that provide protective secretion and lubrication to the nipple

Answer 29

Montgomery tubercles

Question 30

contains 4-18 lobules each containing alveoli responsible for milk ejection

Answer 30

basic glandular unit

Question 31

each breast contains 4-18 primary __________ that converge at the nipple

Answer 31

milk ducts

Question 32

Montgomery tubercles become __________ during pregnancy

Answer 32

enlarged

Question 33

stage of lactation from early pregnancy continuing until day 3 PP

Answer 33

Lactogenesis I

Question 34

stage of lactation between days 2-4 PP

Answer 34

Lactogenesis II

Question 35

stage of lactation beginning at 7-14 days PP in which mature milk is established

Answer 35

Lactogenesis III

Question 36

Lactogenesis II is iniated by:

Answer 36

delivery of placenta
decrease in progesterone
increase in prolactin

Question 37

women typically lose ___-___ lbs at birth

Answer 37

10-12

Question 38

PP blues occur in ___% of women

Answer 38

75%

Question 39

GTT for PP women

Answer 39

75 gm 2 hr GTT @ 4-12 wks PP

Question 40

consideration for medication prescription for breastfeeding woman

Answer 40

poor cross over into CNS