Postpartum/Lactation Flashcards

1
Q

By 12 hours post delivery, the fundus is where?

A

At the level of the umbilicus

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2
Q

By ______ weeks, the fundus is no longer palpated abdominally.

A

2 weeks

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3
Q

By ______ weeks, the fundus returns to slightly larger than the pre pregnant size.

A

6 weeks

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4
Q

Immediately after delivery, the fundus contracts and is located where?

A

Between the umbilicus and symphysis pubis

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5
Q

Lochia serosa is noted what days postpartum?

A

14-21 days

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6
Q

By day ____, the cervix dilation is down to ___cm.

A

day 7, 1 cm

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7
Q

By ____ weeks, the cervix is no longer dilated.

A

4 weeks

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8
Q

By when during the postpartum period does rugae return?

A

3-4 weeks

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9
Q

By when during the postpartum period does the vaginal epithelium regenerate?

A

6-10 weeks

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10
Q

Cardiac output does what during the initial hours postdelivery?

A

Increases 60-80%

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11
Q

At what point during the postpartum period does cardiac output normalize?

A

by 2 weeks

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12
Q

Generally, ovulation occurs ___ to ___ days after weaning.

A

14-30 days

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13
Q

Can the HPV vaccine be given to a breastfeeding mother?

A

Yes

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14
Q

What are the five stages of grief according to the Elizabeth Kubler Ross model?

A

Denial, anger, bargaining, depression, acceptance

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15
Q

When does the non-breastfeeding woman likely return to ovulation?

A

around 39 days PP

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16
Q

A post void residual volume of >____mL is c/w a diagnosis of urinary retention PP?

A

> 150mL

17
Q

Postpartum fever is defined as >_____ twice during postpartum days 2-10.

A

100.4

18
Q

What is the gold standard treatment for uterine infection/endometritis?

A

Clindamycin and gentamicin (vanc can be added if staphyloccus aureus is suspected)

19
Q

General malaise/flu-like symptoms, tachycardia, abdominal pain and malodorous lochia could be c/w a diagnosis of what?

A

Endometritis

20
Q

ACOG definitions of postpartum hemorrhage?

A

EBL >1000mL regardless of route of delivery OR blood loss accompanied by signs/symptoms of hypovolemia within 24 hours of birth

21
Q

What is the most common cause of primary PPH?

A

Uterine atony

22
Q

Some causes (4) of secondary PPH would be?

A

Sub-involution, retained products of conception, infection, coagulation defects

23
Q

Sebaceous glands that provide protective secretion and lubrication to the nipple are called what?

A

Montgomery tubercules

24
Q

Early pregnancy to third day postpartum is lactogenesis what?

A

Lactogenesis 1

25
Q

Lactogenesis that begins between 7 and 14 days PP is which one?

A

Lactogenesis 3

26
Q

Lactogenesis during days 2-4 PP is which one?

A

Lactogenesis 2

27
Q

The second stage of lactogenesis is initiated by (3 things)?

A

Delivery of placenta, decrease in progestin hormone concentration and increase in prolactin hormone concentration

28
Q

What does milk supply depend on during lactogenesis 3?

A

Supply-demand

29
Q

Which hormone stimulates milk production?

A

Prolactin

30
Q

Which hormone is responsible for the let down reflex?

A

Oxytocin

31
Q

What antibiotics are first line treatment for mastitis?

A

Dicloxacilling or flucloxacillin/ Cephalexin (Keflex)

32
Q

What organism most often causes a breast abscess?

A

S. auerus