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OB > Postpartum > Flashcards

Postpartum Flashcards

1
Q

Fourth stage of labor contains

A

Delivery of placenta up to at least 2 hours after birth

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2
Q

Interval between birth and reproductive organs to their non pregnant state

A

6 weeks or can vary

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3
Q

Three greatest risks during postpartum period

A

Hemorrhage, shock, infection

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4
Q

How often are HR and BP assessed postpartum

A

Every 15 mins for the first 2 hours after birth

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5
Q

When should temperature be assessed

A

Every 4 hours in the first 8 hours then every 8

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6
Q

How far does the fundal height descend per day into pelvis

A

Approx 1 cm per day

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7
Q

Where should the fundus be 1 hour after delivery

A

Rise to the level of umbilicus

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8
Q

By the sixth postpartum day the fundus should lie where

A

Halfway between symphysis pubis and umbilicus

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9
Q

Where should the fundus be after 2 weeks postpartum

A

Lie within the true pelvis

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10
Q

What is lochia

A

Post birth uterine discharge that contains blood, mucus, and uterine tissue
Similar to a heavy menstrual period 2 hours after delivery

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11
Q

Lochia rubra

A

Dark red color, blood consistency, fleshy odor, can contain small clots and leukocytes during breastfeeding lasts 1-3 days after delivery

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12
Q

Lochia serosa

A

Pinkish brown color and serosanguineous consistency can contain small clots and leukocytes approx day 4-10 after delivery

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13
Q

Lochia alba

A

Yellowish white creamy color fleshy odor can consist of mucus and leukocytes approx day 10 to 8 weeks postpartum

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14
Q

When to assess lochia

A

Every 15 mins the first hour after delivery then every hour for 4 hours

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15
Q

What is considered excessive blood loss on a pad

A

One pad saturated within 15 mins or pooling of blood under butt

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16
Q

Abnormal lochia

A

Numerous large clots foul odor excessive spurting of red blood

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17
Q

What is never restored completely after birth

A

Muscle tone

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18
Q

When does the cervix get soft after birth

A

Directly after but can be bruised and have some lacerations

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19
Q

When is milk produced

A

3-5 days after birth

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20
Q

When does secretion of colostrum begin

A

Occurs during pregnancy and 2-3 days after birth

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21
Q

What can be applied for engorgement

A

Ice packs or cabbage leaves

22
Q

Signs of breast infection

A

Erythema, breast tenderness and cracked nipples

23
Q

How long should a patient wait to get pregnant after receiving the rubella vaccine

A

4 weeks- (28 days)

24
Q

If a client has no immunity to varicella when should they receive the second dose

A

4-8 weeks after

25
Q

How many time should an infant eat in 24 hours

A

8-12

26
Q

How long after birth are prenatal vitamin suppose to be taken for

A

6 weeks

27
Q

How long after birth is it considered safe to resume sexual interaction

A

2-4 weeks

28
Q

What should you not take until milk production is well established

A

Oral contraceptives

29
Q

How early can ovulation occur after birth

A

As early as 1 month

30
Q

When can menses begin for lactating clients

A

6 months or cessation of breastfeeding

31
Q

Risk factors for DVT

A

Multiparty, age >35 c-section

32
Q

Subinvolution of the uterus findings

A

Uterus is enlarged with continued lochial discharge, boggy uterus, can be pelvic infection or endometritis
Cultures need to be done
Med: methylergonovine to expel fragments of placenta or prevent infection

33
Q

Inversion of uterus findings

A

Partial or complete
Emergency situation which can result in emergent hemorrhage
Hypotension tachycardia vaginal bleeding

34
Q

Complete inversion is

A

Evidence by fundus presenting as a mass in vagina

35
Q

Prolapsed inversion

A

Large red rounded mass protruding 20-30cm outside introitus

36
Q

Incomplete inversion

A

Palpation of smooth mass through dilated cervix

37
Q

Uterine atony

A

Boggy soft uterus that fails to contract after birth
Massage the fundus

38
Q

Precipitous labor

A

3 hours or less

39
Q

Uterine fatigue

A

Labor lasting 24 hours or more

40
Q

Overdistention of the uterus

A

Macrosomia (8lbs 13 oz)
Ployhydramnios

41
Q

What is terbutaline used for

A

Relax the uterus (inversion of the uterus)

42
Q

Hemorrhagic shock signs

A

Tachycardia
Hypotension
Cold clammy skin
Long capillary refill

43
Q

Oxytocin for hemorrhage

A

Contracts uterus and stops bleeding

44
Q

Methylergonovine (methergine)

A

Not for hypertensive clients or clients with preeclampsia

45
Q

Misoprostol

A

Contracts uterine muscles safe for clients with hypertension

46
Q

Best thing to increase in diet for postpartum hemorrhage

A

Iron

47
Q

How long after if a placenta is not delivered is it considered retained

A

30 mins

48
Q

Endometritis

A

Most common infection postpartum Foul smelling lochia, fever over 100.4 tachy
Prolonged labor, c-section
Elevated WBC over 10,000
Draw culture and sensitivity first **
Clindamycin **

49
Q

Medication used for mastitis

A

Dicloxacillin and cephalexin

50
Q

Meds for uti

A

Levofloxacin

OB (13 decks)

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