Brainscape's Knowledge GenomeTM

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


See full index

EOR - Women's Health > Postpartum Care > Flashcards

Postpartum Care Flashcards

1
Q

mc cause of infxn after childbirth

A

endometritis

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

mc source of bacteria that cause endometritis

A

endogenous

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

3 external sources of bacteria responsible for endometritis

A

during childbirth
gynecologic procedures
IUD
STI

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

2 STI mc responsible for endometritis

A

chlamydia
gonorrhea

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

2 types of endometreitis

A

acute
chronic

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

which type of endometritis is more likely to be symptomatic

A

acute

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

4 sx of endometreitis

A

fever
low abd pain
abd bleeding
d.c

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

5 rf for endometreitis

A

c section
PROM
vaginal delivery
D&C
pelvic exam

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

complications of endometreitis

A

-infxn spread:
myometreitis
parametreitis
salpingitis
oophritis
-asherman syndrome

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

what is asherman syndrome

A

intrauterine adhesions

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

dx for endometreitis

A

clinical
bx (not necessary/commonly done)

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

histological findings of acute vs chronic endometreitis

A

acute: neutrophils in endometrium
chronic: plasma cells in endometrium

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

PE findings of endometreitis

A

-fever
-tachycardia
-vaginal bleed
-foul smell
abd pain/uterine tenderness

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

2 post birth pt’s esp at risk for endometreitis

A

2-3 days post c section
postabortal

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

tx for endometreitis based on cause

A

-childbirth: clinda PLUS gentamicin
-remaining placental/fetal tissues: D&C
-STI: doxy PLUS ceftriaxone
-TB: RIPE

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

postpartum (puerperium) period lasts _ weeks

A

6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what happens in puerperium period

A

anatomic/physiologic changes of pregnancy are reversed - body returns to nonpregnant state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

3 stages of puerperium

A

immediate: first 24 hr
early: through first week
remote: ~ 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

period when acute post anesthetic/post delivery complications may occur

A

immediate puerperium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what changes occur during normal puerperium

A

-uterine involution (shrinkage)
-immediate placental contraction -> hemostasis
-postpartum d.c
-cervix closes
-vagina returns to antepartum size
-ovulation
-widening of pubic symphysis/SIJ
-increased bladder capacity
-mild proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

normal postpartum d/c begins as _

A

lochia rubra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

postpartum d.c is usually gone by _ weeks postpartum

A

5-6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

normal size of the cervix by the end of the first week postpartum

A

~1 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

the vagina normally turns to antepartum size by _ weeks postpartum

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

ovulation usually returns by _ weeks in non bf’ing women

and _ weeks in bf’ing women

A

non bf’ing: as early as 27 days, mean 70-75 days

bf’ing: 6 months

26
Q

anovulation during pregnancy is due to elevated _ levels

A

prolactin

27
Q

tearing or overstretching of musculature/fascia during delivery predisposes pt to (3)

A

genital prolapse
genital hernias
cystocele/rectocele/enterocele

28
Q

involution of abd musculature to pre pregnancy state may require _ weeks post partum

A

6-7

29
Q

pt education until abd musculature is back to normal

A

no vigorous exercise

30
Q

2 common postpartum bladder issues

A

incomplete emptying
residual urine

31
Q

when does bladder usually return to normal postpartum

A

by 6 weeks

32
Q

risk of postpartum UTI is higher in women with

A

persistent dilation

33
Q

when does postpartum proteinuria normally resolve

A

1-2 days postpartum

34
Q

when does CrCl return to normal postpartum

A

by 8 weeks

35
Q

t/f: most patients should be hospitalized for 2-4 days postpartum

A

t!

36
Q

4 common postpartum complaints

A

painful perineum
bf’ing difficulty
UTI
urinary/fecal incontinence

37
Q

most women can return home _ days after vaginal delivery

A

2

38
Q

when can pt get out of bed postpartum

A

as soon as tolerated

39
Q

t/f: in uncomplicated delivery, you can start exercising vigorously without delay

A

t!

just don’t if any rips/tear to abd musculature

40
Q

bf’ing moms require _ more kcal/day

A

500

41
Q

when can postpartum mom get down and dirty again

A

perineum is comfortable
no bleeding

42
Q

normal time for sexy time to occur after delivery

A

-6 weeks

43
Q

mc form of obstetric injury

A

perineal laceration

44
Q

t/f: episiotomies are commonly done

A

f!

it likely increases tears

45
Q

4 classes of perineal tears

A

1st degree: perineal skin and vaginal mucosa
2nd degree: injury to perineal body
3rd degree: through external anal sphincter
4th degree: thru rectal mucosa

46
Q

tx for perineal tear

A

-natural healing
-surgical repair

47
Q

which types of perineal tear usually require surgical repair

A

3rd
4th

48
Q

when are episiotomies mc performed

A

2nd stage of labor

49
Q

indication for episiotomy

A

fetal distress

50
Q

complications of episiotomy

A

bleeding
pain
infxn
unsatisfactory anatomic results
sexual dysfxn

51
Q

types of episiotomy

A

midline
mediolateral (mc)
lateral j shaped

52
Q

mc cause of maternal morbidity/death around the world

A

postpartum hemorrhage

53
Q

definition of postpartum hemorrhage

A

-loss of > 500 mL blood w.in first 24 hr after vaginal delivery
-loss of 1,000 mL blood after c section

54
Q

signs of significant blood loss in mom

A

decrease of 10% Hct
changes in HR, BP, SpO2

55
Q

4 mc causes of postpartum hemorrhage

A

tone
trauma
tissue
thrombin

56
Q

mc cause (90%) of postpartum hemorrhage

A

uterine anatomy/atony: boggy/enlarged uterus

57
Q

anatomical rf for potpartum hemorrhage

A

genital tract trauma
retained placental tissue
coagulation d.o’s

58
Q

what clotting d.o is associated. w sevrve preeclampsia, amniotic fluid embolism, and placental abruption

A

DIC

59
Q

tx for postpartum hemorrhage due to atony

A

-fundal massage
-oxytocin/misoprostol
-hysterectomy

60
Q

tx of postpartum hemorrhage due to genital tract trauma

A

sutures if > 2 cm

EOR - Women's Health (15 decks)

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