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OB > Postpartum Physiologic Changes > Flashcards

Postpartum Physiologic Changes Flashcards

1
Q

Postpartum period

A

Birth and the return of the reproductive organs back to their nonpregnant state
6 weeks

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2
Q

Discharge instructions

A

Car seat
Ways to feed the baby
Lactation consultation
WIC
Formula (how to mix and do not)

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3
Q

Uterus PP

A

Uterine involution is the return of the uterus to a nonpregnant state (under the pubic bone)

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4
Q

When does the uterus start to return?

A

After the delivery of the placenta and contraction of smooth muscle of the uterus occurs

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5
Q

Where is the uterus located at 3rd stage of labor

A

Midline and 2 cm below the umbilicus

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6
Q

Within the 1st 12 hrs, the fundus can rise ____ above the umbilicus

A

1 cm

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7
Q

After 2 weeks, the fundus _____

A

should not be able to palpate

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8
Q

The uterus return to the nonpregnant location by

A

6 weeks

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9
Q

Day 1-3 what type of lochia

A

lochia rubra

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10
Q

Days 1-3 Normal Discharge

A

Bloody, small clots; fleshy earthy odor; red or red-brown

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11
Q

Abnormal discharge Days 1-3 Lochia

A

Large clots; saturated perineal pads; foul odors

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12
Q

Days 4-10 what kind of lochia

A

Lochia serosa

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13
Q

Normal discharge Days 4-10

A

v amount ; serosanguineous; pink or brown tinged

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14
Q

Abnormal Discharge Days 4-10

A

Excessive amount; foul smell, continued or recurrent reddish color

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15
Q

Day 11-21 what kind of discharge

A

Lochia alba

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16
Q

Normal discharge lochia alba

A

white, cream, or light yellow color; decreasing amount

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17
Q

Abnormal discharge lochia alba

A

persistent lochia serosa; return to lochia rubra; foul odor; discharge continuing

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18
Q

Cervix PP

A

Gradually closes

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19
Q

Placental Hormones (PP)

A

v estrogen
v progesterone
v HCG
Autolysis

20
Q

Autolysis

A

Placenta pulls away the wall; rough edge

21
Q

Metabolic Changes (PP)

A

v HCS
v Estrogen
v Cortisol
v Insulinase
v T3 and T4

22
Q

Pituitary and Hormones and Ovarian Function (PP)

A

v or ^ prolactin

23
Q

How to decrease prolactation

A

No stimulation of the breasts

24
Q

Would BUN ^ or v PP

A

Increase; 50% kidneys work hard to excrete the volume (urine out or sweat out)

25
Q

Check for Bowel Sounds due to

A

Constipation

26
Q

Colostrum

A

the first milk; 3days; the liquid gold

27
Q

What does colostrum contains?

A

Antibodies

28
Q

Mature Milk

A

4th days

29
Q

Engorgement

A

Breast fills up; continue breastfeeding the baby

30
Q

Mastitis

A

opening of the breast that can cause infection; continue to breastfeed

31
Q

Non-breastfeeding

A

do not simulate the breasts (no touching; water)
Tightfitting bras
Uterus will take longer to reutn to normal
Educate both products and make them an education decision
Learn how to clean the bottle

32
Q

Blood Volume PP

A

Plasma volume v the first few days

33
Q

Cardiovascular CO

A

decrease back to the prepregnant state

34
Q

Temperature the first 24th hour

A

Possible Increase (body trying to reregulating)

35
Q

Pulse PP

A

Increase (1hr)
Next 24 hr -> decrease
must know her normal pulse

36
Q

Blood components

A

Hgb and Hct v 3-4 days
back to prepregnant 8wk

37
Q

WBC

A

^ body undergo stress

38
Q

Coagulation factors

A

^ clotting factors and fibringen

39
Q

Varicosities

A

varices empty rapidly with complete or near emptying during the postparum period

40
Q

What is the most common varicosities location?

A

Back of the legs, front of the legs, labia

41
Q

Respiratory system PP

A

Breathing must better
intraabdominal pressure v
chest wall compliance ^

42
Q

Neurologic System

A

Neuro discomforts of pregnancy go away
HA are common (stress and preëclampsia), warrant careful assessment

43
Q

Musculoskeletal System

A

Abdominal wall back to prebody state
Time for muscle tone return varies
Diastasis recti abdominis (picture)
Back pain resolves

44
Q

Integumentary System

A

Melasma (cholsama) go away
Hyperpigmentation of areolae and linea nigra
Striae gravidarum = lighter

45
Q

BUBBLE-HE

A

B-Breast (symmetrical)
U-Uterus
B-Bowel
B-Bladder at least 30 ml
L-Lochia (color, odor, clot, amount)
E-Episiotomy/Laceration

H-Heaviness and Hemorrhoids (DVT, hematomas, Witchhazel and ice pack)
E-Emotions (Baby blue, PPD, Psychosis)

OB (12 decks)

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