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PP mom adaptions Flashcards

1
Q

when is non shivering thermogenxis in babies triggered

A

35-36

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2
Q

does milk come late for c section moms

A

yes

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3
Q

how long does PP last

A

6-12 weeks

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4
Q

what to know for mom about the PP

A

what happened during pregnancy and labour
family attachment, how it occurs
whats normal for the NB

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5
Q

PP defined as

A

interval between birth of nb and return of repro organs to pre preg

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6
Q

what approach in PP

A

well orientated, not an illness!

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7
Q

4th trimester of pregnancy aka puerperium =

A

PP

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8
Q

pp assessment (BUbbllee)

A

b - breast and nipples
U - uterus
b- bladder
b - bowel
L- lochia
L- legs
E - episitomy / lacertation
E- emotional status / energy levels

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9
Q

bladder assessment

A

amount and frequency assessed
dont want utis

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10
Q

legs assessment

A

peripheral edema
DVT

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11
Q

what hormones decrease

A

prog and est

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12
Q

what hormones increase

A

prolactin

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13
Q

when does diuresis occur

A

PP , sweatly, peeing more

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14
Q

what hormone is highest month after birth

A

prolactin

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15
Q

which women does ovulation occur first in

A

non lacting women

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16
Q

involution =

A

uterus back in normal state

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17
Q

slowing of uterine descent is known as

A

uterine atony

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18
Q

what cause uterine involutoion

A

not empty bladder
placenta retained
infection

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19
Q

afterpains tx and cause

A

with breasftfeeding, utertus hurts
- pain meds
- warm compress
- uterus is doing what is should
- breastfeedin
- interact with baby

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20
Q

women with largr babies, loads of fluid in uterus, twins, multiple preg =

A

more pain with after pain and distention

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21
Q

lucia rubra

A

first three days
- dont want large clots
- deep dark red

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22
Q

when is lochia serosa

A

3-10
pink-0brown
no clots

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23
Q

lochia alba

A

10-14
no clots
white creamy

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24
Q

will a c section mom have lochia

A

yes, leftover blood

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25
getting up and gush of blood =
lochia not hemmorrhage
26
suspected hemmorrage, what to do
weighing pad check Hb and hct when was it last changed
27
sudden bright red bleeding =
tear in vagina
28
signs of excessive blood loss
- pooled blood -pad saturated in 15 mins
29
what to do if pt is in a pool of blood
- let the pt know, clean it up, call for help (1) - assess VS (2), BP is last signs , LOC vaginal exam - assess skin being pale and clammy (3) - assess/ massage fundus (4) O2 (5), call MD - IV start for fluids (6)
30
going to shock what positon
feet higher than head - trend
31
what does the cervix look like after birth
fish mouth
32
why does vaginal muscos get thin
- drop in estrogen??
33
what can foreceps do to the vagina
vaults, hematoma
34
ice packs benefits
decrease inflammation increase blood flow increase wbc and other cells to increase healing only first 24 hours
35
hematoms - vaginal from
- forcels first time mom episiotomy
36
retrioerotineal hematoma
least common, LT from c - sectipn scar caused by laceratuon of cvessel attached to hypogastrci artery hard to detect
37
pain in lower region, vagina , no cramps, feeling of pressure=
hematoma
38
initial signs of retroperitoneal hematoma
mimic shock
39
treating hematoma
- sugergy treat looss of fluids O2 hct , Hb
40
when does mensturation return in lacting women
6 months later first period is heavier than normal
41
how long to wait to do adbo exercises with c section
4 weeks
42
how much pee should we expect
150ml/ void
43
how ling does it take kidneys to go back to normal
one month
44
urine components changes
no glycosuria increase BUN no protenirua ketonuria may occur
45
what happens in the urnanry system within 12 hours
diuresis from estrogen decrease
46
why do women lose weight after birth
- diuresis - dropped baby - bf
47
when might BM occur
2-3 days after affected by: - decreased mobilty, opoids, iron supplemetns, lacertations, hemmorrhoids
48
how long does temp remain higher
first 24 hours
49
how long does orthy hypotension stay for
first 48 hours
50
what happens to hematocrit
- drops mod for 3-4 days
51
does unexplection c secton increase risk of thrombus
yes
51
coagulation of PP moms
hypercoguable state - check legs - moving feet, ted stockings
52
what do they give women who have rf for clots
heparin
53
what happens to resp system after birth
- tigh rib cages, deep breathing - intra abdo p decrease diaphram p decreases
54
what is chloasma
darkened brown spots on face
55
when do PP blues start
3-5
56
if PP lasting more than 2 weeks =
concerning, not good inform MD
57
PP blue feeling s
sad, difficulty sleeping, anxious, headache , guilty for feeling sad - very common normalize
58
when do PP blues subside,
day 10
59
pp blues tx`
limit visitors share feelings sleep when bay sleeps relaxation techniques
60
taking in phase time
first 24-48 hours
61
taking in phase
self focus dependent on others meet basic needs tells people what happened
62
taking hold phase time
- starts 2-3 days, last 10 days
63
letting go phase
accepted they are a mother relate to others
64
taking hold phase
competent mothers take charge learning time Nurturing and acceptance by others still important
65
normal sigblings behaviours
angry at baby, fussy
66
strategies for siblings acceptable
show photo feel bump explain sibling is coming read stories about it gift sibling smt , help older kid find gift for baby mom should old OG baby first, not have baby in arms
67

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