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Obstetrics > Puerperium > Flashcards

Puerperium Flashcards

0
Q

Involution of uterus

A

Immediately

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1
Q

Puerperium

A

4-6 w postpartum

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2
Q

Decidua becomes differentiated to necrotic sup layer and basal layer

A

2-3 d pp

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3
Q

Uterus to true pelvis

A

2 w

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4
Q

Entire endometrium restored

A

3 weeks

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5
Q

Uterus at non pregnant size

A

4 w

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6
Q

Lochia
1-3
4-10
10- 4 to8 w

A

Rubra
Serosa
Alba

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7
Q

Prolongation of lochial discharge
Uterine bleeding
Uterus is larger and softer than normal
Retention of placental fragments or pelvic infection

A

Subinvolution of Uterus

Uterotonics and antibiotics

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8
Q

Hemorrhage 1-2 w pp

Abn involution or placental retention or placental polyp

A

Late pp hemorrhage

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9
Q

Vaginal ruggae appear

Lacerations and episiotomy repairs healed

A

4 w

1-2 w

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10
Q

Diuresis is greatest

Normal function

A

2-5 d

4-6 w

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11
Q

Normal BV

Normal CO

A

1 w

2 w

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12
Q 
Post partum weight loss
Uterine evacuation
Diuresis
Dec Na space
Pre preg weights
A

5-6 kg
2-3 kg
2 kg
6 months

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13
Q

Colostrum lacks

A

Vit K

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14
Q

Major proteins of mature human milk

A

Lactobumin

Casin

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15
Q

CI BF

A 
Drugs and alcohol
Galactosemia
HIV
PTB active
Uncertain meds
Breast ca tx
16
Q

Tearful mom still caring for herself and baby
10 d pp
Resolve 2-3 d after

A

Postpartum blues

Reassurance

17
Q

6 w pp
Hopeless anxious
Neglects herself and baby

A

PP depression

Psychotherapy and anti depressants

18
Q

3 w
Hallucinations and delusions
Neglects herself and baby

A

PP psychosis

Hospitalization and Anti psychotics

19
Q

Contraception

POP

A

2-3 weeks

20
Q

Ovulation delay
Lactating
Non lactating

A

12 w

6-8 w

21
Q

Fever >38C on any 2 of the first 10 d of exclusive of the first 24 h

A

PP fever

22
Q

RF PP fever

A

CS

23
Q

MCC PP fever

A

Endometritis

24
Q 
PP fever
0
1
2-3
4-5
5-6
7-21
A 
Wind pulmonary exercises 
Water CVA tenderness antibiotics
Womb uterine tenderness and discharge Clinda Genta IV
Wound drainage and antibiotics
Walk IV heparin for 7-10 d
Mastitis drainage and antibiotics
25
Q

Fever >72 h despite IV antibiotics

A

Adnexal infections

  • ovarian abscess
  • parametrial phlegmon

Obstetrics (18 decks)

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