Postpartum Care

Question 1

What is the term used to describe the initial milk that begins to be secreted during mid pregnancy thats immediately available to the newborn @ birth?

Answer 1

Colostrum

Question 2

What is the term used to describe separation of abd. muscle?

Answer 2

Diastasis recti abdominis

Question 3

What is the term used to describe the rounded upper most portion of the uterus?

Answer 3

Fundus

Question 4

What is the term used to describe rapid reduction in size of the uterus and return of uterus to non-pregnant state?

Answer 4

Involution

Question 5

What is the term used to describe discharge where uterus rids itself of debris remaining after birth?

Answer 5

Lochia

Question 6

What is the term used to describe white final discharge as uterus completes healing 3wks following birth?

Answer 6

Lochia alba

Question 7

What is the term used to describe dark red initial discharge 1-3 days following birth?

Answer 7

Lochia rubra

Question 8

What is the term used to describe light pink discharge 3-10 days following birth?

Answer 8

Lochia serosa

Question 9

What is the term used to describe white slightly blue-tinged color milk that presents by wk 2 postpartum and continues until lactation stops?

Answer 9

Mature milk

Question 10

What is the term used to describe time immediately following childbirth where physiological changes that occurred during pregnancy begin to return to normal?

Answer 10

Puerperium “postpartum period”

Question 11

What is the term used to describe slowing of the descent of uterus during post pregnancy healing process?

Answer 11

Subinvolution

Question 12

What is the term used to describe light yellow milk thats more than colostrum, contains more fat, lactose, water-soluble, vitamins and calories and presents b/t 2nd and 5th day following birth?

Answer 12

Transitional milk

Question 13

What is the term used to describe relaxation of uterine muscle tone?

Answer 13

Uterine atony (boggy)

Question 14

Whats the biggest muscle of the female body?

Answer 14

Uterus

Question 15

How long does involution of the uterus usually last?

Answer 15

3-6wks

Question 16

What are normal findings of the fundus?

Answer 16

Firms and midline @ umbilicus

Question 17

A deviated fundus that is not midline means what?

Answer 17

A full bladder

Question 18

Constant tenderness of the fundus could mean what?

Answer 18

an infection

Question 19

The fundus is the top portion of the uterus b/t what?

Answer 19

symphasis pubis and umbilicus

Question 20

An obstetrical emergency that is the most common cause of maternal morbidity/mortality and causes a lot of passing of clots and blood what is this?

Answer 20

Postpartum hemorrhage (PPH)

Question 21

If a pt. has postpartum hemorrhage how often do you do fundus checks?

Answer 21

q15min for 1st hr then q30min for 2nd hr

Question 22

If a pt has had a C-section how long do they stay in LND?

Answer 22

4hrs

Question 23

If a pt has had a vaginal birth how long do they stay in LND?

Answer 23

2hrs

Question 24

What causes postpartum hemorrhage?

Answer 24

The uterus not contracting

Question 25

A uterine massage, O2 10-15L/min via face mask, pad count and an 18gauge IV access is what?

Answer 25

Postpartum hemorrhage interventions

Question 26

What low level of fibrinogen is predictive of severe PPH?

Answer 26

Less than 200mg/dL

Question 27

Whats a normal prothrombin time (PTT)?

Answer 27

10-14sec

Question 28

Whats a normal fibrinogen level?

Answer 28

200-400mg/dL

Question 29

Oxytocin, methylergonovine, dinoprostone (prostin E2), misoprostol (cytotec), and (carboprost) (hemabate) are what?

Answer 29

Med management

Question 30

Slight edema and bruising are what?

Answer 30

Normal postpartum findings

Question 31

Hemorrhoids, vulvar hematoma and episiotomy are what?

Answer 31

possible postpartum alterations

Question 32

A surgical procedure that is done bc a baby's head is to big is what?

Answer 32

episiotomy

Question 33

When should a newborn receive there hep B?

Answer 33

w/in 12hrs

Question 34

If a mothers blood type is negative and the baby's is positive what do you give the mother?

Answer 34

Rhogam

Question 35

Whats the name of the uterine process after delivery and takes 6wks?

Answer 35

uterine involution

Question 36

A fundus that is not firm, soft, non palpable, uterine atony, and could cause mom to go into postpartum hemorrhage is what?

Answer 36

A boggy fundus

Question 37

Ice packs, peri bottle, dermoplus spray, sitz bath, and witch hazel tucks are all what?

Answer 37

Comfort measures for perineal discomfort

Question 38

What med is a fundus contractor?

Answer 38

Oxytocin

Question 39

True or false. | Postpartum hemorrhage has a large amount of lochia rubra and a boggy uterus thats high in the abd.

Answer 39

True

Question 40

True or false. | a puerperal infection has foul smelling lochia and a temp of 38.55C.

Answer 40

True

Question 41

Whats the most important assessment in postpartum care?

Answer 41

Fundus/abd and lochi/perineum