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NUR 359: OB > PP Assessment > Flashcards

PP Assessment Flashcards

1
Q

what 3 processes contribute to the involution of the uterus

A
  • cxn of the muscle fibers
  • catabolic processes
  • regen of uterine epithelium
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2
Q

how does the site of placental attachment heal?

A
  • exfoliation
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3
Q

benefit of exfoliation

A

leaves the endometrium smooth and w/o scars

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4
Q

how is involution evaluated?

A

by measuring the descent of the fundus

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5
Q

how much does the fundus descend per day

A

1 cm

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6
Q

how long after birth should the fundus no longer be palpable

A

14 days

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7
Q

describe afterpains

A
  • intermittent uterine cxns

- cause discomfort

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8
Q

afterpains are worse for which women

A

have had multiple pregnancies

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9
Q

name the lochia classifications

A

rubra
serosa
alba

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10
Q

how do we assess lochia

A

amt
type
odor

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11
Q

if lochia has a foul odor, what does that indicate?

A

endometrial infec

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12
Q

name the different amts of lochia

A

scant
light
moderate
heavy

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13
Q

scant lochia

A

<2.5 cm

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14
Q

light lochia

A

2.5-10 cm

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15
Q

moderate lochia

A

10-15 cm

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16
Q

hevay lochia

A

saturated in 1 hr

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17
Q

if pads saturate with lochia more often than every hour, what should we suspect

A

bleeding

hemorrhaging

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18
Q

how long does it take the vagina to return to pre preg size

A

6-10 weeks

19
Q

pernieal trauma and hemorrhoids can interfere with what

A

activity

bowel elim

20
Q

what happens with the blood from the uterus and placenta

A

returns to the central circ

21
Q

ECF moves to

A

vascular compartment

22
Q

after birth, CO _____

A

increases

23
Q

how is excess fluid expunged from the body after birth

A

diuresis/diaphoresis

24
Q

describe coag after birth

A

incr in clotting factors

25
Q

incr in clotting factors after birth puts mom at risk for

A

clots

26
Q

constipation occurs due to the following factors

A
  • decr food intake during labor
  • decr muscle and bowel tone
  • fear of pain during defacation
27
Q

by when should a mom have a bm after birth

A

2-3 days post birth

28
Q

moms may experience urinary retention due to

A
  • incr bladder capacity

- decr semse to fluid pressure

29
Q

what factors contribute to UTI

A

-stasis of urine

30
Q

describe what happens if a mom experiences bladder distention

A
  • displaces the uterus

- can interfere w/ uterine cxn

31
Q

bladder distention can cause

A

extensive bleeding

32
Q

s/s of distended bladder

A
  • fundus above baseline level
  • fundus displaced from midline
  • excessive lochia
  • bladder discomfort
  • bulge of bladder above symphysis
  • freq voidings of < 150 mL
33
Q

muscle fatigues/aches occurs for how long PP

A

1-2 days after birth

34
Q

breastfeeding may cause a delay in

A

ovulation and menses

35
Q

can ovulation occur before the first menses

A

yes

36
Q

breastfeeding moms are more likely to experience what and why

A

vaginal dryness

-due to inadequate estrogen

37
Q

focused asssesments PP

A 
VS
fundus
lochia
perineum
bladder elim
breasts
lower extrem
homans sign
edema
DTR's
38
Q

what VS do we check PP

A 
BP
OH
Pulse
RR
Temp
Pain
39
Q

risk factors for PP hemorrhage

A 
grand mulitparity
overdeistention of uterus
rapid, precip, or prolonged labor
retained placenta
placenta previa/abruptio
meds: tocolytics, oxytocin
C sec
vacuum
coag defects
40
Q

risk factors for PP Infec

A 
c sec
mult cervical exams
prolonged labor
prolonged ROM
manual extraction of placenta
DM
Cath
41
Q

def bonding

A

initial attraction felt by parents for their infants

42
Q

bonding is _____

A

unidirectional

43
Q

def attachment

A

process by which an enduring bond bx a parent and child is developed

44
Q

when does attachment begin and end

A

beginning of pregnancy to many moths after birth

NUR 359: OB (15 decks)

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