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
Q

Apply a firm bra & ice packs to her breasts (if in pain)

A

BREASTS (REPRODUCTIVE SYSTEM)

26
Q

The average amount of milk produced First week

A

6 to 10 oz

27
Q

The average amount of milk produced 1 to 4 weeks

A

20 oz

28
Q

The average amount of milk produced After 4 weeks

A

30 oz

29
Q

how long should you breastfeed?

A

Breastfeed per demand

30
Q
  1. Requirements for rest and sleep increase significantly
A

ENDOCRINE CHANGES

31
Q
  1. E & P levels drops rapidly after delivery
A

ENDOCRINE CHANGES

32
Q
  1. Ovulation and return of menstruation
A

ENDOCRINE CHANGES

33
Q
  1. BV decreases to non-pregnant level by
A

2 weeks after delivery (CARDIOVASCULAR)

34
Q
  1. HEMATOCRIT rises by day
A

3 to 7 (CARDIOVASCULAR)

35
Q
  1. BP remains stable
A

CARDIOVASCULAR

36
Q
  1. PR returns to non- pregnant state by
A

3 months postpartum (CARDIOVASCULAR)

37
Q
  1. Pulmonary functions returns to non-pregnant status by
A

6 months after delivery (RESPIRATORY SYSTEM)

38
Q
  1. Over-distention of the bladder is common
A

RENAL & URINARY SYSTEM CHANGES

39
Q

A full bladder will

A

displace the uterus in the right (RENAL & URINARY SYSTEM CHANGES)

40
Q

A full bladder can cause

A

postpartum hemorrhage (RENAL & URINARY SYSTEM CHANGES)

41
Q
  1. Adequate urinary emptying generally resume in
A

5-7days (RENAL & URINARY SYSTEM CHANGES)

42
Q
  1. Hunger & thirst are common
  2. Hemorrhoids
A

GASTROINTESTINAL SYSTEM CHANGES

43
Q
  1. GI motility and tone return to the non-pregnant state within
A

2 wks. after delivery. (GASTROINTESTINAL SYSTEM CHANGES)

44
Q
  1. Ambulates ____________after delivery for NSD
A

4 to 8 hrs (MUSCULOSKELETAL SYSTEM CHANGES)

45
Q
  1. Melanin, striae gravidarum gradually fades
A

INTEGUMENTARY SYSTEM CHANGES

46
Q

PHYSICAL ASSESSMENT FOR POSTPARTUM

A

B: Breasts
U: Uterine Fundus
B: Bladder Function
B: Bowel Function
L: Lochia
E: Episiotomy (Perineum)
H: Homan’s Sign (Legs)
E: Emotions

47
Q

STAGE 1: TAKING-IN PERIOD
STAGE 2: TAKING-HOLD PERIOD
STAGE 3: LETTING-GO PERIOD

A

POSTPARTAL ADAPTATIONS

48
Q

1 to 2 days after delivery

A

STAGE 1: TAKING-IN PERIOD

49
Q

New mother is typically passive & dependent with energies focused on bodily concerns

A

STAGE 1: TAKING-IN PERIOD

50
Q

She may review her labor & delivery experience frequently

A

STAGE 1: TAKING-IN PERIOD

51
Q

Uninterrupted sleep is IMPORTANT

A

STAGE 1: TAKING-IN PERIOD

52
Q

2 to 4 days after delivery

A

STAGE 2: TAKING-HOLD PERIOD

53
Q

The mother becomes concerned with her ability to parent successfully

A

STAGE 2: TAKING-HOLD PERIOD

54
Q

Accepts increasing responsibility for her infant

A

STAGE 2: TAKING-HOLD PERIOD

55
Q

The mother strives to master infant-care skills

A

STAGE 2: TAKING-HOLD PERIOD

56
Q

The mother focuses on regaining control over her body functions

A

STAGE 2: TAKING-HOLD PERIOD

57
Q

Occurs when the new mother returns home

A

STAGE 3: LETTING-GO PERIOD

58
Q

Mother assumes responsibility for newborn care

A

STAGE 3: LETTING-GO PERIOD

59
Q

Postpartum depression most commonly occurs

A

STAGE 3: LETTING-GO PERIOD

60
Q
  1. Abandonment
  2. Disappointment
  3. Post-Partal Blues
A

MATERNAL CONCERNS & FEELINGS IN THE POSTPARTAL PERIOD

61
Q
  1. Work
  2. Rest
  3. Exercise
  4. Hygiene
  5. Coitus
  6. Follow-up
  7. Contraception
A

POSTPARTAL DISCHARGE INSTRUCTIONS