postpartum Flashcards

1
Q

frequency of checking pads for lochia?

A

every hr

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2
Q

stages of lochia?

A
  1. lochia rubra (first 3 days)
  2. lochia serosa till 10th day
  3. lochia alba till 14th day (can last for 6 weeks)
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3
Q

which stage of lochia is WBC present in?

A

lochia serosa & alba

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4
Q

when will internal Os of cervix close?

A

fully close after delivery

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5
Q

when will external Os of cervix close?

A

< 1cm after 1st week (think of only one more left to close)

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6
Q

when will vagina return to its prepregnancy state?

A

6 weeks

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7
Q

how big is external Os after delivery?

A

about 2-3cm

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8
Q

when will plasma vol return to its prepregnancy state

A

6 weeks (plasma has 6 letters)

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9
Q

when will constipation resolve?

A

2-3 days after (p O O p - 2 Os)

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10
Q

is it normal for uterus to be elevated or laterally displaced?

A

no, indicates urinary retention

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11
Q

will levels of progesterone, estrogen, human chorionic gonadotropin be low or high after delivery?

A

low

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12
Q

will levels of oxytocin be low or high after delivery?

A

high, helps stimulate milk letdown. it also helped with uterine contractions during labour.

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13
Q

when will breastfeeding mothers have menses/ ovulation again?

A

10 weeks - 6 mths (breastfeed has 10 letters)

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14
Q

when will non-breastfeeding mothers have menses/ ovulation again?

A

6 - 10 weeks

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15
Q

when will uterus return to its prepregnancy state?

A

2 weeks
<1cm/ day

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16
Q

when will elevated WBC level return to normal?

A

1 week

17
Q

how to promote relaxation of perineal muscles?

A

blow bubble through a straw

18
Q

signs of PPH?

A
  1. pad soaked by blood in 1h
  2. numerous clots (some clots are normal for the first few days)
19
Q

is pulse/ BP low or high after delivery?

A

low due to blood loss
high BP on 2 occasions could indicate preeclampsia

20
Q

factors of postpartum assessment?

A

BUBBLEHE
breast, uterus, bowel, bladder, lochia, episiotomy, homan sign, emotion

21
Q

episiotomy assessment?

A

REEDA
redness, edema, ecchymosis, discharge, wound edge not Approximated

22
Q

care for episiotomy?

A
  1. ice pack
  2. sitz bath (warm water bath for pt to sit in)