PP 2 of test 2 Flashcards
What is involution?
the return of the uterus to it’s pre-pregnancy size
What speeds up involution?
oxitocin from BF or the drug oxitocin, fundal massage
What slows involution?
bottle feeding, anethesia, full bladder, infection, uterin destention (from twins..), placental fragments
subinvolution
uterus doesn’t go back to original size
What are the 3 types of lochia?
Rubra, serosa & alba
What is lochia rubra?
seen in days after birth (3-4) blood and decidual & trophoblastic debris (clots)
what is lochia serosa?
by 4-5th day, it starts to change from red to brown (old blood), serum, leukocytes and debris
what is lochia alba?
clear, yellow lighter color. can happen up to 6 wks
After a few days, how much does the cervix close back to?
2-3 cm
How is the abdomen after birth?
decreased muscle tone, striae-red, fades to silver, separation of rectus muscles
How is GI after birth?
Risk for constipation
How is urinary after birth?
increased capacity, decreased tone of bladder, postpartal diuresis-during 1st 24 hrs, full bladder displaces uterus
What does the BP do after birth?
bradycardia of 50-70bpm for 6-10 days
Why are they tachacardia?
related to blood loss, fever or difficult, prolonged labor and birth
Cardiac output?
increased during pregnancy and stays that way until about 2 wks after birth
h&h
decreased during pregnancy, may go up initially after birth but will go back down. 2-6 wks pp, everything normalizes;
WBC
can increase around 10-12 days pp, then will decrease
EBL for vag and csection birth
vag - 500
c-sect - 1000
What do coagulation factors do during pregnancy?
they increase and can put you at risk for thrombophlebitis
What is the placenta doing during pregnancy ?
releasing progestrone estrogen hormones. Once its out, levels drop markedly.
What is BUBBLE-E
checks to do on pp mom. Breast Uterus Bladder Bowel Lochia Emotional status Episiotomy
Breast assessment
breast or bottle, palpate for engorgement or tenderness, inspect nipples for redness, cracks and erectility, if nursing
Uterus
palpate fundus, firmness, height of fundus and posititon in relation to midline of the abdomen, correlate fundal location w/ expected descent of 1 cm/day
Bladder
should void w/in 6-8 hrs after delivery, assess frequency, burning or urgency, able to empty, palpate bladder for distension (incase they can’t empty)
