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NURSING Maternity Review > Postpartum Care > Flashcards

Postpartum Care Flashcards

1
Q

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?

A

Colostrum

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2
Q

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

A

Diastasis recti abdominis

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3
Q

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

A

Fundus

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4
Q

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

A

Involution

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5
Q

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

A

Lochia

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6
Q

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

A

Lochia alba

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7
Q

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

A

Lochia rubra

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8
Q

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

A

Lochia serosa

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9
Q

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

A

Mature milk

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10
Q

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

A

Puerperium “postpartum period”

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11
Q

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

A

Subinvolution

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12
Q

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?

A

Transitional milk

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13
Q

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

A

Uterine atony (boggy)

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14
Q

Whats the biggest muscle of the female body?

A

Uterus

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15
Q

How long does involution of the uterus usually last?

A

3-6wks

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16
Q

What are normal findings of the fundus?

A

Firms and midline @ umbilicus

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17
Q

A deviated fundus that is not midline means what?

A

A full bladder

18
Q

Constant tenderness of the fundus could mean what?

A

an infection

19
Q

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

A

symphasis pubis and umbilicus

20
Q

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?

A

Postpartum hemorrhage (PPH)

21
Q

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

A

q15min for 1st hr then q30min for 2nd hr

22
Q

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

A

4hrs

23
Q

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

A

2hrs

24
Q

What causes postpartum hemorrhage?

A

The uterus not contracting

25
Q

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

A

Postpartum hemorrhage interventions

26
Q

What low level of fibrinogen is predictive of severe PPH?

A

Less than 200mg/dL

27
Q

Whats a normal prothrombin time (PTT)?

A

10-14sec

28
Q

Whats a normal fibrinogen level?

A

200-400mg/dL

29
Q

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

A

Med management

30
Q

Slight edema and bruising are what?

A

Normal postpartum findings

31
Q

Hemorrhoids, vulvar hematoma and episiotomy are what?

A

possible postpartum alterations

32
Q

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

A

episiotomy

33
Q

When should a newborn receive there hep B?

A

w/in 12hrs

34
Q

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

A

Rhogam

35
Q

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

A

uterine involution

36
Q

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

A

A boggy fundus

37
Q

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

A

Comfort measures for perineal discomfort

38
Q

What med is a fundus contractor?

A

Oxytocin

39
Q

True or false.

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

A

True

40
Q

True or false.

a puerperal infection has foul smelling lochia and a temp of 38.55C.

A

True

41
Q

Whats the most important assessment in postpartum care?

A

Fundus/abd and lochi/perineum

NURSING Maternity Review (19 decks)

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