Postpartum Flashcards
by days ___-___ PP, the uterus is no longer able to be palpated abdominally
10-14
each percentage point drop in Hgb = ____ mL of blood loss
500
each percentage point drop in Hct = _____ mL of blood loss
250
H&H return to normal over a ___-___ wk period to pre-pregnant values
4-6
swelling and increased vascularity of the vagina is decreased by ___ weeks PP
2 weeks
_____________ is due to:
blood loss
extracellular fluid
autotransfusion of fluid from losing placenta
cardiovascular system instability
By 1 week PP, the cervical os is only ___ cm dilated
1
At ___ weeks PP, the uterus is no longer palpable abdominally
2
The uterus is completely involuted by __-__ weeks PP
6-8
vaginal epithelium is healed by __-__ week sPP
6-12
Oxytocin causes the “let down” response by causing contraction of:
the myoepithelial cells of the breasts
Maternal serum estrogen returns to pre-pregnancy levels (follicular phase) by days ___-___ PP
1-3
prolactin is secreted by:
anterior pituitary
colostrum contains antibodies, especially Ig__
IgA
Breast milk is synthesized within the:
secretory cells of the alveoli
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:
SSRIs during pregnancy
weight range of the lactating breast
600-800 grams
functional milk-making unit in the breast
alveolus
mothers of premies should express milk within __-__ hours after birth
1-2
leading cause of PP mortality
cordiomyopathy
urinary retention would be worrisome if the PP mother has not voided within ___-___ hrs after birth
6-8
human milk component that is most variable in composition
lipids
breastfeeding for longer than 3 months decreases risk of:
asthma
drugs that are contraindicated in breastfeeding:
amiodarone
anticonvulsants
antiretrovirals
ergotamines
women produce about ____-____ mL of breastmilk per day
700-800
PP ovulation and menstruation are inhibited by:
increased prolactin and the resulting estrogen suppression
CHCs are not recommended before ___ days PP due to hypercoagulable state of PP women
21
breast part that supports breast shape
Cooper’s ligaments
sebaceous glands that provide protective secretion and lubrication to the nipple
Montgomery tubercles
contains 4-18 lobules each containing alveoli responsible for milk ejection
basic glandular unit
each breast contains 4-18 primary __________ that converge at the nipple
milk ducts
Montgomery tubercles become __________ during pregnancy
enlarged
stage of lactation from early pregnancy continuing until day 3 PP
Lactogenesis I
stage of lactation between days 2-4 PP
Lactogenesis II
stage of lactation beginning at 7-14 days PP in which mature milk is established
Lactogenesis III
Lactogenesis II is iniated by:
delivery of placenta
decrease in progesterone
increase in prolactin
women typically lose ___-___ lbs at birth
10-12
PP blues occur in ___% of women
75%
GTT for PP women
75 gm 2 hr GTT @ 4-12 wks PP
consideration for medication prescription for breastfeeding woman
poor cross over into CNS
