Postpartum Care Flashcards

1
Q

What do you do if a woman has a prolapse cervix?

A

Reglove and gently push the cervix back up to its usual position. Instruct the woman to stay in bed as much as possible and to begin exercising the pelvic muscles.

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2
Q

Are warm compresses useful to help prevent mastitis?

A

Yes, they can stimulate the flow of milk preventing it from backing up and becoming infected.

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3
Q

What can you use beside warm water for your compress?

A

Steamed, fresh comfrey leaves
Strong tea

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4
Q

Can raw cabbage leaves be used to help prevent mastitis?

A

Yes, who raw cabbage leaves(which steam on the breast) may also be used and should be left until they soften.

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5
Q

What can stimulate milk production?

A

Hops tincture
Fennel/Barley water

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6
Q

How do you dry up milk supply?

A

Bind breasts w/ long stretchy wrap
Cold compresses
Sage tea
Pokeroot tincture

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7
Q

Where should the fundus be at day 1 postpartum?

A

Just below the umbilicus and should feel firm, not tender.

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8
Q

What should bleeding look like 1 day postpartum?

A

Red-brown flow in amounts like a heavy menstrual period.

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9
Q

When does hypoglycemia need referral?

A

If there is a high-pitched, catlike wail, do a heel stick glucose level. If in conjunction with jaundice, refer immediately.

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10
Q

What should bleeding look like by day 3 postpartum?

A

A bit lighter than before, beginning to change from brown/red(lochia rubra) to pink(lochia serosa).

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11
Q

What temperate is WNL for mother when milk comes in?

A

101 degrees is normal but continue to rule out other signs of infection.

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12
Q

What is normal blood sugar levels for a newborn?

A

50-60mg/mL is normal.
Anything below 30 is of serious concern.

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13
Q

What are the symptoms of hypoglycemia?

A

Lethargy
Irregular respirations
Inability to regulate body temp
Refuse to nurse
Irritability(high pitched cry)
Tremors

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14
Q

Jaundice and ABO incompatibility.
What blood type?

A

Jaundice can be caused by ABO incompatibility, which occurs when a mother has type O blood and her baby is type A, B, or AB.

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15
Q

What are other names for uterine infection?

A

Puerperal infection
Endometritis

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16
Q

What STI, with an initial outbreak in the first trimester needs immediate backup consultation?

A

Herpes Simplex Virus

17
Q

It is standard of care to offer rhogam prophylactically at 28-39wks. This conveys only passive immunity, that is, it will not protect subsequent pregnancies. Rhogam is also administered for what?

A

Amniocentesis
Threatened miscarriage
Event of trauma

18
Q

What STI is most damaging to the fetus in the first trimester?

A

Cytomegalovirus