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MCN LEC MIDTERMS > POSTPARTUM CARE > Flashcards

POSTPARTUM CARE Flashcards

1
Q

Refers to the medical and nursing care given to a patient from the time of delivery until her body returns to near its non-pregnant state.

A

POSTPARTAL CARE

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2
Q

The 6-week period after the delivery

A

PUERPERIUM

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3
Q

Beginning with termination of labor and ending with the return of the reproductive organs to the non-pregnant state.

A

PUERPERIUM

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4
Q

Oftentimes referred as the fourth trimester

A

PUERPERIUM

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5
Q

The process when Fundic height descends 1cm per day.
After birth, at umbilicus.
Day 10, behind symphysis pubis, non-palpable.

A

INVOLUTION

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6
Q

Refers to the progressive changes in the uterus after the delivery.

A

INVOLUTION

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7
Q

The descent of the uterus into the pelvic cavity

A

INVOLUTION

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8
Q

Fundic height descends

A

1cm / per day

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9
Q

After birth umbilicus is at

A

umbilicus

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10
Q

at Day 10 umbilicus is

A

behind symphysis pubis, non-palpable

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11
Q
  1. Early ambulation
  2. Emptying of the bladder
  3. Foods high in protein, vitamins and minerals
  4. Knee chest or prone position
A

TO PROMOTE UTERINE INVOLUTIONS

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12
Q
  1. Promote normal involution and return to the non-pregnant state.
  2. Prevent or minimize postpartum complications
  3. Facilitate newborn care & self-care by the new mother
A

GOAL OF POSTPARTAL CARE

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13
Q
  1. Nature of labor & delivery and the birth outcome.
  2. Preparation for labor & delivery and for parenting.
  3. Postpartal Complications
A

FACTORS AFFECTING POSTPARTAL EXPERIENCE

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14
Q

A. Pre-eclampsia/eclampsia
B. Bleeding – S/S: bright red blood, w/ chills
C. Precipitous/prolonged labor

A
  1. Pos-tpartal Complications
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15
Q
  1. Performing nipple stimulation
  2. Initiating breastfeeding (Cramping is normal and is caused by your baby’s sucking, which stimulates release of oxytocin)
  3. Administering oxytocin IM/IV. c.
A

BLEEDING CAN BE PREVENTED BY

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16
Q

REPRODUCTIVE SYSTEM
ENDOCRINE CHANGES
CARDIOVASCULAR
RESPIRATORY SYSTEM
RENAL & URINARY SYSTEM CHANGES
GASTROINTESTINAL SYSTEM CHANGES
MUSCULOSKELETAL SYSTEM CHANGES
INTEGUMENTARY SYSTEM CHANGES

A

POSTPARTAL BIOPHYSICAL CHANGES

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17
Q
  1. Firm
  2. In the midline below the umbilicus
A

UTERUS MUST BE (REPRODUCTIVE SYSTEM)

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18
Q
  1. Rubra (1-3 DAYS))
  2. Serosa(3-10 DAYS ),
  3. Alba (10-14 DAYS)
A

CLASSIFICATIONS OF LOCHIA (REPRODUCTIVE SYSTEM)

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19
Q
  1. If w/ very foul odor, sign of infection
A

LOCHIA (REPRODUCTIVE SYSTEM)

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20
Q

Gradually closes at week 6

A

CERVIX (REPRODUCTIVE SYSTEM)

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21
Q
  1. Edematous 1-2 days
  2. Healing of episiotomy takes 4-6months
A

CERVIX (REPRODUCTIVE SYSTEM)

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22
Q

4-6months

A

Healing of episiotomy takes

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23
Q
  1. Rapid drop in estrogen & progesterone levels with an increase in secretion of prolactin after delivery
A

BREASTS (REPRODUCTIVE SYSTEM)

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24
Q

transferred from the woman to the newborn through breastfeeding.

A

Immunoglobulin A

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25
Apply a firm bra & ice packs to her breasts (if in pain)
BREASTS (REPRODUCTIVE SYSTEM)
26
The average amount of milk produced First week
6 to 10 oz
27
The average amount of milk produced 1 to 4 weeks
20 oz
28
The average amount of milk produced After 4 weeks
30 oz
29
how long should you breastfeed?
Breastfeed per demand
30
3. Requirements for rest and sleep increase significantly
ENDOCRINE CHANGES
31
1. E & P levels drops rapidly after delivery
ENDOCRINE CHANGES
32
2. Ovulation and return of menstruation
ENDOCRINE CHANGES
33
1. BV decreases to non-pregnant level by
2 weeks after delivery (CARDIOVASCULAR)
34
2. HEMATOCRIT rises by day
3 to 7 (CARDIOVASCULAR)
35
3. BP remains stable
CARDIOVASCULAR
36
4. PR returns to non- pregnant state by
3 months postpartum (CARDIOVASCULAR)
37
1. Pulmonary functions returns to non-pregnant status by
6 months after delivery (RESPIRATORY SYSTEM)
38
1. Over-distention of the bladder is common
RENAL & URINARY SYSTEM CHANGES
39
A full bladder will
displace the uterus in the right (RENAL & URINARY SYSTEM CHANGES)
40
A full bladder can cause
postpartum hemorrhage (RENAL & URINARY SYSTEM CHANGES)
41
3. Adequate urinary emptying generally resume in
5-7days (RENAL & URINARY SYSTEM CHANGES)
42
1. Hunger & thirst are common 2. Hemorrhoids
GASTROINTESTINAL SYSTEM CHANGES
43
3. GI motility and tone return to the non-pregnant state within
2 wks. after delivery. (GASTROINTESTINAL SYSTEM CHANGES)
44
1. Ambulates ____________after delivery for NSD
4 to 8 hrs (MUSCULOSKELETAL SYSTEM CHANGES)
45
1. Melanin, striae gravidarum gradually fades
INTEGUMENTARY SYSTEM CHANGES
46
PHYSICAL ASSESSMENT FOR POSTPARTUM
B: Breasts U: Uterine Fundus B: Bladder Function B: Bowel Function L: Lochia E: Episiotomy (Perineum) H: Homan’s Sign (Legs) E: Emotions
47
STAGE 1: TAKING-IN PERIOD STAGE 2: TAKING-HOLD PERIOD STAGE 3: LETTING-GO PERIOD
POSTPARTAL ADAPTATIONS
48
1 to 2 days after delivery
STAGE 1: TAKING-IN PERIOD
49
New mother is typically passive & dependent with energies focused on bodily concerns
STAGE 1: TAKING-IN PERIOD
50
She may review her labor & delivery experience frequently
STAGE 1: TAKING-IN PERIOD
51
Uninterrupted sleep is IMPORTANT
STAGE 1: TAKING-IN PERIOD
52
2 to 4 days after delivery
STAGE 2: TAKING-HOLD PERIOD
53
The mother becomes concerned with her ability to parent successfully
STAGE 2: TAKING-HOLD PERIOD
54
Accepts increasing responsibility for her infant
STAGE 2: TAKING-HOLD PERIOD
55
The mother strives to master infant-care skills
STAGE 2: TAKING-HOLD PERIOD
56
The mother focuses on regaining control over her body functions
STAGE 2: TAKING-HOLD PERIOD
57
Occurs when the new mother returns home
STAGE 3: LETTING-GO PERIOD
58
Mother assumes responsibility for newborn care
STAGE 3: LETTING-GO PERIOD
59
Postpartum depression most commonly occurs
STAGE 3: LETTING-GO PERIOD
60
1. Abandonment 2. Disappointment 3. Post-Partal Blues
MATERNAL CONCERNS & FEELINGS IN THE POSTPARTAL PERIOD
61
1. Work 2. Rest 3. Exercise 4. Hygiene 5. Coitus 6. Follow-up 7. Contraception
POSTPARTAL DISCHARGE INSTRUCTIONS

MCN LEC MIDTERMS (4 decks)

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