Postpartum Care Flashcards
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?
Colostrum
What is the term used to describe separation of abd. muscle?
Diastasis recti abdominis
What is the term used to describe the rounded upper most portion of the uterus?
Fundus
What is the term used to describe rapid reduction in size of the uterus and return of uterus to non-pregnant state?
Involution
What is the term used to describe discharge where uterus rids itself of debris remaining after birth?
Lochia
What is the term used to describe white final discharge as uterus completes healing 3wks following birth?
Lochia alba
What is the term used to describe dark red initial discharge 1-3 days following birth?
Lochia rubra
What is the term used to describe light pink discharge 3-10 days following birth?
Lochia serosa
What is the term used to describe white slightly blue-tinged color milk that presents by wk 2 postpartum and continues until lactation stops?
Mature milk
What is the term used to describe time immediately following childbirth where physiological changes that occurred during pregnancy begin to return to normal?
Puerperium “postpartum period”
What is the term used to describe slowing of the descent of uterus during post pregnancy healing process?
Subinvolution
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?
Transitional milk
What is the term used to describe relaxation of uterine muscle tone?
Uterine atony (boggy)
Whats the biggest muscle of the female body?
Uterus
How long does involution of the uterus usually last?
3-6wks
What are normal findings of the fundus?
Firms and midline @ umbilicus
A deviated fundus that is not midline means what?
A full bladder
Constant tenderness of the fundus could mean what?
an infection
The fundus is the top portion of the uterus b/t what?
symphasis pubis and umbilicus
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?
Postpartum hemorrhage (PPH)
If a pt. has postpartum hemorrhage how often do you do fundus checks?
q15min for 1st hr then q30min for 2nd hr
If a pt has had a C-section how long do they stay in LND?
4hrs
If a pt has had a vaginal birth how long do they stay in LND?
2hrs
What causes postpartum hemorrhage?
The uterus not contracting
A uterine massage, O2 10-15L/min via face mask, pad count and an 18gauge IV access is what?
Postpartum hemorrhage interventions
What low level of fibrinogen is predictive of severe PPH?
Less than 200mg/dL
Whats a normal prothrombin time (PTT)?
10-14sec
Whats a normal fibrinogen level?
200-400mg/dL
Oxytocin, methylergonovine, dinoprostone (prostin E2), misoprostol (cytotec), and (carboprost) (hemabate) are what?
Med management
Slight edema and bruising are what?
Normal postpartum findings
Hemorrhoids, vulvar hematoma and episiotomy are what?
possible postpartum alterations
A surgical procedure that is done bc a baby’s head is to big is what?
episiotomy
When should a newborn receive there hep B?
w/in 12hrs
If a mothers blood type is negative and the baby’s is positive what do you give the mother?
Rhogam
Whats the name of the uterine process after delivery and takes 6wks?
uterine involution
A fundus that is not firm, soft, non palpable, uterine atony, and could cause mom to go into postpartum hemorrhage is what?
A boggy fundus
Ice packs, peri bottle, dermoplus spray, sitz bath, and witch hazel tucks are all what?
Comfort measures for perineal discomfort
What med is a fundus contractor?
Oxytocin
True or false.
Postpartum hemorrhage has a large amount of lochia rubra and a boggy uterus thats high in the abd.
True
True or false.
a puerperal infection has foul smelling lochia and a temp of 38.55C.
True
Whats the most important assessment in postpartum care?
Fundus/abd and lochi/perineum
