Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

LABOUR > postpartum > Flashcards

postpartum Flashcards

1
Q

what is the puerperium and how long does it last

A

period of repair and recovery where tissues return to non pregnant state lasting 6 weeks on average

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how long are changes in discharge expected to last

A

1st 3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

describe rubra

A

3-4 days after birth , fresh red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

describe serosa

A

4-14 days, brown red and watery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

describe alba

A

10-20 days and yellow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

after how many days post partum does the endometrial lining regenerate

A

7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where does the fundus usually sit during pregnancy and after pregnancy how long does it take to return to norm position

A

pregnancy sits at umbilicus and around 2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

after birth how long will diuresis go on for

A

a few days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is colostrum and when is it produced

A

around week 16 of pregnancy - a thick yellowish protein rich substance essential for early immunological protection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what initiates lactation

A

explusion of placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what hormones block lactation by blocking prolactin release

A

oestrogen and progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is WHO’s advice on breastfeeding ?

A

exclusively breastfeed fro first 6 months and add solids+ breast milk for up to 2 years or as long as mother chooses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what common organisms cause infective mastitis

A

staph aureus

then co ag post staph

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the most common non infective cause of mastitis and what is it ?

A

duct ectasia - blocked lactiferous duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

where in the breast are abscesses related to breast feeding most common

A

peripheral breast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where are abscesses unrelated to breast feeding likely to be seen

A

sub -areolar

17
Q

should breast feeding continue in mastitis ?

A

yes

18
Q

treatment for mastitis

A

flucloxacillin 500mg PO

19
Q

what is classed as a minor PPH

A

500ml-1L

20
Q

what is classed as a major PPH

A

> 1L or CV collapse or ongoing bleeding

21
Q

causes of PPH

A

tone - atony
trauma - vag tear
tissue -retained products of conception
thrombin- coagulopathy

22
Q

what should be adminstered regardless of cause for PPH

A

tranexamic acid 0.5-1g IV

23
Q

what non surgical management should be used in uterine atony and tissue

A

uterine bimanual exam + admin of 5 untits IV syntocinon
catheterise to reduce pressure

if doesnt reslove then
500mg ergometrine, carboprost Im every 5 mins (PG analogue) and misoprostol PR 800mcg

24
Q

what should be done in PPH when thrombin suspected

A

remove clots manually

25
Q

describe a 1st degree perineal tear

A

skin only

26
Q

describe a 2nd degree perineal tear

A

skin and levator ani - usually stitches required

27
Q

describe a 3rd degree perineal tear

A

extend to external anal sphincter muscle - may need surgery

28
Q

when do baby blues occur

A

day 3 postnatally

29
Q

puerperal psychosis occurs how many days post natallyy

A

2 weeks

30
Q

after how many days post natal does post natal depression occur

A

2 Weeks

31
Q

how many umbilical arteries are there ? and veins

A

2 arteries 1 vein

32
Q

after birth how long before the foramen ovale closes

A

minutes

33
Q

after birth how long before the ductus arteriosus closes

A

hours

34
Q

after birth how long before the ductus venosus closes

A

days

35
Q

what does APGAR stand for in APGAR score

A 
A- appearance 
P- pulse
G - grimace
A - activity 
R - respiration
36
Q

what is a normal APGAR score and below what requires immediate resus

A

7-10

below 3

37
Q

when is heel prick test performed

A

ideally 5 days after birthday however eligible up to 1st bday . CF must be done before 8 weeks

LABOUR (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions