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MCN > postpartum > Flashcards

postpartum Flashcards

1
Q

post partum period is also called as

A

puerperium

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2
Q

period immediately after birth & extending for 6 - 8 wks after delivery
mother’s body returns to its pre-pregnant state

A

post partum period

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3
Q

Phases of puerperium

A

taking in
taking hold
letting go

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4
Q

it is also called as dependent phase

A

taking in phase

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5
Q

First 3 days post partum
Focus on self, not infant, on her own needs for sleep and rest
Passive, dependent and can’t make decisions
Need to discuss labor experiences
Sense of wonderment when looking at the neonate

A

taking in phase

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6
Q

also called the dependent-independent phase

A

taking hold phase

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7
Q

from 3rd to 10th day postpartum
focus on infant
active, independent and can make decisions
initiates self care activities, focus on bowels, bladder and breastfeeding
responds to instruction about infant care and self care
may express lack of confidence in caring for the neonate

A

taking hold phase

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8
Q

also called the interdependent phase

A

letting go phase

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9
Q

10 days to 6 weeks postpartum
readjustment
mother may feel deep loss over separation of baby from her body
wanting to feel safe and secure yet wanting to make decisions
finally redefines her new role
see self as separate from infant
gives up fantasized image of her child and accepts real one

A

letting go phase

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10
Q

postpartum maternal concerns and feelings include

A

abandonment
disappointment
postpartal blues
post partum depression
post partum psychosis

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11
Q

mother may feel confused by a sensation very close to jealousy
shared responsibility for infant care can help alleviate these feelings

A

abandonment

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12
Q

difficult for mother to feel positive immediately about a child who does not meet their expectations

A

disappointment

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13
Q

postpartal blues other name

A

baby blues

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14
Q

show up 3 to 4 days after birth and may last few weeks after delivery
50% of women experience some feelings of overwhelming sadness
mood swings, sudden crying episodes, irritability, anxiety, loneliness
feeling of happiness and love for newborn may be accompanied by feelings of helplessness, sadness and anxiety

A

postpartal blues

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15
Q

moderate to severe depression in a woman after she has given birth
may occur soon after delivery or up to a year later

A

postpartum depression

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16
Q

Irritability
changes in appetite
feeling of worthlessness or guilt
feeling withdrawn or unconnected
lack of pleasure or interest in most or all activities

A

postpartum depression

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17
Q

rare compared to postpartum anxiety or depression
requires immediate attention, especially if with suicide thoughts or harms herself or baby

A

postpartum psychosis

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18
Q

Symptoms
Hallucinations (hearing, sight, touch, etc)
Delusion (false, bizarre beliefs, which are not reality-based)
Drastic mood swings
Disorganization of speech (incoherence)
Disorganization of behavior (extremely inappropriate dress)
Extreme restlessness
Anger and agitation

A

postpartum psychosis

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19
Q

occurs 1-12 days after birth
incidence: 70%

A

pospartal blues

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20
Q

occurs 1-12 months after birth
incidence: 10%

A

postpartum depression

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21
Q

occurs within 1 month after birth
incidence: 1-2%

A

postpartum psyhosis

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22
Q

rapid decrease in uterine size as it returns to the nonpregnant state
weight decreases

A

uterine involution

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23
Q

by __ days postpartum, uterus cannot be palpated abdominally

A

10 days

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24
Q

flaccid fundus indicates __ and should be massaged until firm

A

uterine atony

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25
Q

tender fundus indicates

A

infection

26
Q

during uterine involution, fundic height decreases about __ per day

A

1cm

27
Q

uterine discharge consists of blood from placental site and debris from decidua

A

lochia

28
Q

3-4 days after birth
bright/dark red
may have small clots
flow similar to heavy menstrual period

A

lochia rubra

29
Q

pinkish/brown loss
4-12 days
flow moderate to small amount

A

lochia serosa

30
Q

yellow/white discharge
12 days - 3 weeks
gradually reducing/disappearing

A

lochia alba

31
Q

complete cervical involution may take

A

3 – 4months

32
Q

permanent change cause by childbirth – the cervical os becomes

A

slit-like or elongated

33
Q

rugae in the vagina reappear by __ after giving birth

A

3 – 4 weeks

34
Q

__ is present at time of delivery

A

colostrum

35
Q

breast milk is produced by __

A

3rd or 4th day

36
Q

sucking of newborn triggers release of

A

OXYTOCIN

37
Q

it causes milk letdown and contraction of the uterus

A

oxytocin

38
Q

menses resume in non-breastfeeding mothers

A

within 8 weeks

39
Q

menses resume in breastfeeding mothers

A

3-4 months

40
Q

striae gravidarum do not disappear and assumes a __ appearance

A

silvery white

41
Q

Linea nigra will be barely detectable in __ time

A

6 weeks

42
Q

women are usually very hungry after delivery due to

A

lack of food during labor

43
Q

constipation occurs due to

A

decreased intestinal muscle tone
perineal discomfort
pain from episiotomy
hemorrhage
laceration

44
Q

diuresis begins within the__ of delivery

A

first 12 hours

45
Q

sexual activity may resume 3-4 weeks after delivery if

A

bleeding has stopped
perineum is healed
it does not cause pain

46
Q

Occurs as a result of contraction of the uterus
Are more common in multiparas, those with overdistended uterus, breastfeeding mothers & clients treated with oxytocin

A

after birth pains

47
Q

apply __ to the perineum during first 24 hours to reduce swelling

A

iced napkin

48
Q

expose to nipples to air __after feeding

A

10 – 20 minutes

49
Q

bleeding 500 ml or more following delivery

A

postpartum hemorrhage

50
Q

During the 1st 24 hours after delivery
Caused by uterine atony, lacerations or inversion of the uterus

A

early postpartum hemorrhage

51
Q

After the 1st 24 hours after delivery
Caused by retained placental fragments

A

late postpartum hemorrhage

52
Q

inability of myometrium to contract and constrict blood vessels, resulting in open sinuses at site of placental separation
cause of 80 – 90% of early hemorrhage

A

uterine atony

53
Q

large babies are called

A

macrosomia

54
Q

medications to stimulate uterine contractions

A

IM Methergine and IM or IV Oxytocin

55
Q

surgical removal of the uterus

A

hysterectomy

56
Q

uterus remains large, and soft at 4 to 6 weeks postpartum
incomplete return of uterus to its prepregnant size and shape
Lochia is still present

A

subinvolution

57
Q

infection of the urinary bladder
burning pain on urination

A

cystitis

58
Q

localized collection of blood into tissues of the reproductive sac after delivery
severe pain, pressure in perineal area with discolored skin

A

vulvar hematoma

59
Q

inflammation of breast as a result of infection
seen in breastfeeding mothers 2-3 weeks after delivery but may occur anytime during lactation

A

mastitis

60
Q

passage of thrombus, often originating in one of the uterine or pelvic veins, into the lungs, where it disrupts circulation of blood
Dyspnea, tachypnea, tachycardia, cough, rales, hemoptysis, pleuritic chest pain, feeling of impending doom

A

pulmonary embolism

61
Q

what to administer to patient with pulmonary embolism

A

Give O2, head elevated, monitor VS, streptokinase, and anticoagulants as prescribed

62
Q

formation of a clot in vessel wall due to inflammation of vessel wall
partial obstruction of vessel can occur
increased blood-clotting factors

A

thrombophlebitis

MCN (8 decks)

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