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372 > PP mom adaptions > Flashcards

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
Q

getting up and gush of blood =

A

lochia not hemmorrhage

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26
Q

suspected hemmorrage, what to do

A

weighing pad
check Hb and hct
when was it last changed

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27
Q

sudden bright red bleeding =

A

tear in vagina

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28
Q

signs of excessive blood loss

A
  • pooled blood
    -pad saturated in 15 mins
29
Q

what to do if pt is in a pool of blood

A
  • 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
Q

going to shock what positon

A

feet higher than head
- trend

31
Q

what does the cervix look like after birth

A

fish mouth

32
Q

why does vaginal muscos get thin

A
  • drop in estrogen??
33
Q

what can foreceps do to the vagina

A

vaults, hematoma

34
Q

ice packs benefits

A

decrease inflammation
increase blood flow
increase wbc and other cells to increase healing
only first 24 hours

35
Q

hematoms - vaginal from

A
  • forcels
    first time mom
    episiotomy
36
Q

retrioerotineal hematoma

A

least common, LT
from c - sectipn scar
caused by laceratuon of cvessel attached to hypogastrci artery
hard to detect

37
Q

pain in lower region, vagina , no cramps, feeling of pressure=

A

hematoma

38
Q

initial signs of retroperitoneal hematoma

A

mimic shock

39
Q

treating hematoma

A
  • sugergy
    treat looss of fluids
    O2
    hct , Hb
40
Q

when does mensturation return in lacting women

A

6 months later
first period is heavier than normal

41
Q

how long to wait to do adbo exercises with c section

A

4 weeks

42
Q

how much pee should we expect

A

150ml/ void

43
Q

how ling does it take kidneys to go back to normal

A

one month

44
Q

urine components changes

A

no glycosuria
increase BUN
no protenirua
ketonuria may occur

45
Q

what happens in the urnanry system within 12 hours

A

diuresis from estrogen decrease

46
Q

why do women lose weight after birth

A
  • diuresis
  • dropped baby
  • bf
47
Q

when might BM occur

A

2-3 days after
affected by:
- decreased mobilty, opoids, iron supplemetns, lacertations, hemmorrhoids

48
Q

how long does temp remain higher

A

first 24 hours

49
Q

how long does orthy hypotension stay for

A

first 48 hours

50
Q

what happens to hematocrit

A
  • drops mod for 3-4 days
51
Q

does unexplection c secton increase risk of thrombus

A

yes

51
Q

coagulation of PP moms

A

hypercoguable state
- check legs
- moving feet, ted stockings

52
Q

what do they give women who have rf for clots

A

heparin

53
Q

what happens to resp system after birth

A
  • tigh rib cages, deep breathing
  • intra abdo p decrease
    diaphram p decreases
54
Q

what is chloasma

A

darkened brown spots on face

55
Q

when do PP blues start

A

3-5

56
Q

if PP lasting more than 2 weeks =

A

concerning, not good
inform MD

57
Q

PP blue feeling s

A

sad, difficulty sleeping, anxious, headache , guilty for feeling sad
- very common
normalize

58
Q

when do PP blues subside,

A

day 10

59
Q

pp blues tx`

A

limit visitors
share feelings
sleep when bay sleeps
relaxation techniques

60
Q

taking in phase time

A

first 24-48 hours

61
Q

taking in phase

A

self focus
dependent on others
meet basic needs
tells people what happened

62
Q

taking hold phase time

A
  • starts 2-3 days, last 10 days
63
Q

letting go phase

A

accepted they are a mother
relate to others

64
Q

taking hold phase

A

competent mothers
take charge
learning time
Nurturing and acceptance by others still important

65
Q

normal sigblings behaviours

A

angry at baby, fussy

66
Q

strategies for siblings acceptable

A

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
Q
A

372 (6 decks)

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