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POSTPARTUM Flashcards

1
Q

WHAT IS THE OTHER TERM FOR POSTPARTUM

A

PUERPERIUM

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2
Q

POSTPARTUM IS ALSO KNOWN AS WHAT TRIMESTER OF PREGNANCY

A

FOURTH TRIMESTER OF PREGNANCY

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3
Q

IT REFERS TO THE 6-WEEK PERIOD FOLLOWING CHILDBIRTH

A

POSTPARTUM

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4
Q

THIS IS THE PROCESS WHERE REPRODUCTIVE ORGANS RETURN TO NONPREGNANT STATE

A

INVOLUTION

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5
Q

HOW MANY CENTIMETERS DOES THE UTERUS DESCEND EVERY 24 HOURS

A

1-2cm

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6
Q

WHAT ARE THE 3 PROCESSES THAT HAPPENS DURING POSTPARTUM INVOLVING THE UTERUS

A
  1. ISCHEMIA
  2. AUTOLYSIS
    3.PHAGOCYTOSIS
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7
Q

THIS PROCESS OCCURS AS RESULT OF COLLAPSED BLOOD VESSELS IN THE UTERUS

A

ISCHMIA

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8
Q

THIS PROCESS IS THE BREAKDOWN OF INTRACELLULAR PROTEIN BY PROTEOLYTIC AND HYDROLYTIC ENZYMES

A

AUTOLYSIS

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9
Q

THIS PROCESS IS WHERE THE ELASTIC OR FIBROUS TISSUE IN THE UTERUS IS DISPOSED

A

PHAGOCYTOSIS

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10
Q

WHAT IS THE DISCHARGE THAT RESULTS FROM PHAGOCYTOSIS, THIS DISCHARGE ALSO COMES WITH CLOTS

A

LOCHIA RUBRA

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11
Q

HOW MANY WEEKS DOES IT TAKE FOR THE PHAGOCYTOSIS PROCESS TO COMPLETE

A

3 WEEKS

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12
Q

IN WHAT DAYS DOES THE SNAPPING OFF OF THE SPONGY LAYER OF DECIDUA HAPPEN

A

AT 2-3 DAYS AFTER BIRTH

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13
Q

THIS HAPPENS WHEN THE UTERUS FAILS TO RETURN TO ITS PREPREGNANT STATE

A

SUB INVOLUTION

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14
Q

WHAT CAUSES SUBINVOLUTION

A

RETAINED PLACENTAL FRAGMENT AND INFECTION

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15
Q

THIS IS THE ABSENCE OF THE TONE OF THE UTERUS

A

UTERINE ATONY

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16
Q

TRUE OR FALSE:
WHEN THE UTERINE MUSCLES DON’T CONTRACT ENOUGH TO CLAMP PLACENTAL BLOOD VESSELS SHUT AFTER CHILDBIRTH, IT CAUSES YOUR UTERINE ATONY

A

TRUE

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17
Q

WHAT IS THE NURSING INTERVENTION FOR UTERINE ATONY

A
  1. FUNDAL MASSAGE
  2. ICE PACK
  3. PROMOTE BREASTFEEDING
  4. OXYTOCIN MEDICATION
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18
Q

WHAT IS THE ANTIHEMORRHAGIC DRUG GIVEN TO POSTPARTUM MOTHERS

A

TRANEXAMIC ACID

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19
Q

WHERE IS THE UTERUS AT THE END OF 3RD STAGE OF LABOR AND WHAT IS ITS WEIGHT

A

LOCATION: BELOW UMBILICUS
WT: 1000g

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20
Q

AFTER 2-3 HOURS TO NEXT 24 HOURS, WHERE IS THE UTERUS LOCATED

A

RAISES TO LEVEL OF UMBILICUS

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21
Q

WHY DOES THE UTERUS RISE FROM THE LEVEL BELOW THE UMBILICUS TO THE LEVEL OF THE UMBILICUS

A

DUE TO THE PRESENCE OF CLOTS

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22
Q

ON THE 6TH PP DAY, WHERE IS THE UMBILICUS LOCATED AND HOW MUCH DOES IT WEIGH

A

LOCATION: LIES IN TRUE PELVIS
WT: 500g

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23
Q

TRUE OR FALSE:
ON THE 9TH PP DAY, THE UMBILICUS IS STILL PALPABLE ABDOMINALLY

A

FALSE

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24
Q

AT 14TH WEEK, HOW MUCH DOES THE UTERUS WEIGH

A

350g

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25
Q

AT 42ND PP DAY, HOW MUCH DOES THE UTERUS WEIGH

A

50-60 g

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26
Q

AFTER BIRTH, DOES THE CONTRACTION INCREASE OR DECREASE

A

INCREASE

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27
Q

WHAT IS HORMONE IS RELEASED DUE TO BREASTFEEDING THAT ENHANCES CONTRACTION

A

OXYTOCIN

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28
Q

WHAT CAUSES CRAMPING AFTER BIRTH

A

ALTERNATE INTERMITTENT CONTRACTION AND RELAXATION OF THE UTERUS

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29
Q

WHAT IS THE CRAMPING FELT AFTERBIRTH

A

AFTERPAINS

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30
Q

WHAT ARE THE AGGRAVATING FACTORS OF AFTERPAINS

A

BLOOD CLOT
PLACENTAL FRAGMENT RETENTION

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31
Q

WHAT ARE THE NURSING INTERVENTIONS FOR AFTERPAINS

A

GIVE ANALGESICS AS PRESCRIBED BY THE DOCTOR

REASSURE TO THE MOTHER THAT IT IS SELF-LIMITING AND DECREASES AFTER 48 HOURS

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32
Q

WHAT IS THE LENGTH OF THE PLACENTAL SITE

33
Q

WHEN DOES ENDOMETRIAL REGENERATION COMPLETED AFTERBIRTH

A

2ND AND 3RD PP WK

34
Q

WHAT LAYER OF THE PLACENTAL SITE IS THE SITE OF REGENERATION

A

INNER LAYER

35
Q

WHEN IS THE PLACENTAL SITE REGENERATION COMPLETED AFTERBIRTH

36
Q

THIS LAYER OF THE PLACENTAL SITE IS ATTACHED TO THE MUSCULAR WALL

A

INNER WALL

37
Q

THIS LAYER OF THE PLACENTAL SITE IS WERE THE NEW ENDOMETRIUM WILL FORM

A

INNER LAYER

38
Q

THIS LAYER OF THE PLACENTAL SITE IS WHERE THE SNAPPING OFF OF THE SPONGY LAYER OF THE DECIDUA HAPPENS

A

OUTER LAYER

39
Q

THE PAIN FELT DURING SEXUAL ACTIVITY AFTERBIRTH

A

DYSPAREUNIA

40
Q

HOW MANY MONTHS DO WOMEN EXPERIENCE DYSPAREUNIA?

A

4-6 MONTHS

41
Q

DYSPAREUNIA IS DUE TO THE DECREASE OF ______________ SECONDARY TO DELAYED ______________ PRODUCTION BECAUSE OF ___________

A

VAGINAL SECRETION
ESTROGEN
LACTATION

42
Q

WHAT ARE THE 3 TYPES OF LOCHIA

A

LOCHIA RUBRA
LOCHIA SEROSA
LOCHIA ALBA

43
Q

THIS TYPE OF LOCHIA IS SECRETED AT THE FIRST 3 DAYS AFTER BIRTH

A

LOCHIA RUBRA

44
Q

THIS TYPE OF LOCHIA COMPOSES OF TROPHOBLASTIC DEBRIS, MUCUS, AND IS MOSTLY BLOOD

A

LOCHIA RUBRA

45
Q

THIS TYPE OF LOCHIA IS SECRETED AT DAYS 4-7 AFTER BIRTH

A

LOCHIA SEROSA

46
Q

WHAT IS THE COLOR OF LOCHIA SEROSA

A

PINK OR BROWNISH

47
Q

THIS LOCHIA COMPOSES OF OLD BLOOD, ERYTHROCYTE, LEUKOCYTES, TISSUE DEBRIS, AND MUCUS

A

LOCHIA SEROSA

48
Q

THIS TYPE OF LOCHIA DISCHARGE HAPPENS 7 DAYS TO 2 WEEKS AFTERBIRTH

A

LOCHIA ALBA

49
Q

WHAT IS THE COLOR OF LOCHIA ALBA

A

COLORLESS
YELLOWISH
WHITE

50
Q

THIS LOCHIA COMPOSES OF LEUKOCYTES, DECIDUAS, EPITHELIAL CELLS, AND MUCUS

A

LOCHIA ALBA

51
Q

COMPLETE THIS: AMOUNT OF LOCHIA
SCANT-
LIGHT-
MODERATE-
LARGE-
EXCESSIVE-

A

SCANT- LESS THAN 1 INCH STAIN
LIGHT- 1-4 INCHES STAIN
MODERATE- 4-6 INCHES STAIN
LARGE- SATURATED PAD IN 1 HOUR
EXCESSIVE- SATURATED PAD IN 15 MINS

52
Q

WHAT IS THE CONDITION OF THE CERVIX IMMEDIATELY AFTER BIRTH

A

SOFT AND MALLEABLE

53
Q

TRUE OR FALSE:
2 FINGERS CAN STILL BE INTRODUCED TO THE CERVIX AFTER 2 MONTHS

A

FALSE: ONLY FOR THE FIRST 4-6 DAYS

54
Q

WHAT PART OF THE CERVIX NARROWS BY DAY 7

A

EXTERNAL OS

55
Q

EXTERNAL OS NARROWS AT WHAT DAY

56
Q

WHAT DOES OPENING OF CERVIX AT PAROUS

A

SLIGHTLY OPEN AND SLIT-LIKE AFTER VAGINAL BIRTH

57
Q

WHAT DOES THE OPENING OF THE CERVIX LOOKS LIKE FOR NULLIPAROUS

58
Q

IS THE VAGINA EDEMATOUS IMMEDIATELY AFTERBIRTH

59
Q

IN WHAT WEEK OF PP DOES THE VAGINAL MUCOSA HEALS AND RUGAE RETAINED

60
Q

AFTER HOW MANY WEEKS DOES THE VAGINA RESTORE ITS SIZE

61
Q

WHAT ARE THE TAGS LEFT BY THE HYMEN AFTER IT IS TORN DUE TO CHILDBIRTH

A

CARUNCULAE MYRTIFORMES

62
Q

TRUE OR FALSE:
YOU CAN START SEXUAL INTERCOURSE EVEN BEFORE THE PERINEUM IS HEALED

A

FALSE: POSTPONE SEXUAL INTERCOURSE

63
Q

WHAT EXERCISE IS ENCOURAGED FOR PP

A

KEGEL EXERCISE

64
Q

WHAT LUBRICANT IS USED FOR SEXUAL INTERCOURSE DURING PP

A

WATER-SOLUBLE LUBRICANT

65
Q

TRUE OR FALSE
DURING POSTPARTUM, SEXUAL AROUSAL MAYBE SLOWER

66
Q

WHAT ARE THE TWO SEXUAL INTERCOURSE POSITIONS DURING PP

A

SIDE-BY-SIDE
WOMAN ON TOP/SUPERIOR

67
Q

AT WHAT TIME OF THE DAY DOES SEXUAL INTERCOURSE CAN BE CONTINUED

A

MORNING AND AFTERNOON

68
Q

WHAT IS THE CHARACTERISTIC OF THE PERINEUM AFTER BIRTH

A

EDEMATOUS AN BRUISED

69
Q

WHAT CONDITION IS COMMON AFTER BIRTH FOR THE PERINEUM

A

HEMORRHOIDS

70
Q

WHAT CLASSIFICATION OF PERINEUM LACERATION IS THIS:
1ST LAYER OF SKIN

A

FIRST-DEGREE

71
Q

WHAT CLASSIFICATION OF PERINEUM LACERATION IS THIS:
TO UNDERLYING MUSCLE

A

SECOND-DEGREEE

72
Q

WHAT CLASSIFICATION OF PERINEUM LACERATION IS THIS:
EXTENDS TO THE ANUS

A

THIRD-DEGREE

73
Q

WHAT CLASSIFICATION OF PERINEUM LACERATION IS THIS:
EXTENDS UP TO RECTUM

A

FOURTH-DEGREE

74
Q

WHAT IS THE CHARACTERISTIC OF BREASTS AFTERBIRTH

A

SOFT AND NON TENDER

75
Q

THE BREASTS ARE DESCRIBED AS “_______” AS VARIOUS LOBES BEGIN TO PRODUCE MILK

76
Q

A YELLOWISH MILK, THAT CONTAINS ANTIBODIES AND PROTEIN -RICH PRELACTATION MILK

77
Q

IN WHAT DAYS IS THE COLOSTRUM SECRETED

A

FIRST 2-3 DAYS

78
Q

THIS IS WHEN THE BREAST IS DISTENDED, FIRM, AND WARM TO TOUCH DUE TO TEMPORARY VASOCONGESTION ESPECIALLY AMONG NON-LACTATING MOTHERS

A

ENGORGEMENT

79
Q

DURING ENGORGEMENT, WHY IS THE BREAST WARM TO TOUCH

A

DUE TO VASOCONGESTION

MCN FINALS (1 decks)

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