Rotation 1 - OB Postpartum Psycho

Question 1

The postpartum period, or puerperium, refers to the period beginning immediately after the birth of a child and extending for about _____ weeks period after delivery

Answer 1

6-8

Question 2

The changes that the woman undergoes are crucial within the first ____hours of postpartum

Answer 2

24

Question 3

The taking-in phase usually sets _____days after delivery.

Answer 3

1 to 2

Question 4

What phase?

This is the time of reflection for the woman because within the 2 to 3-day period, the woman is passive

Answer 4

Taking-in Phase (Dependent Phase)

Question 5

What phase?

Focused on self, not infant, on her own needs for sleep & rest

Answer 5

Taking-in Phase (Dependent Phase)

Question 6

What phase?

The woman becomes dependent on her healthcare provider or support person with some of the daily tasks and decision-making.

Answer 6

Taking-in Phase (Dependent Phase)

Question 7

What phase?

Dependence is mainly due to her physical discomfort from episiotomy or epishioraphy or the after pains, from the uncertainty of how she could care for the newborn, and also from the extreme tiredness she feels that follows childbirth

Answer 7

Taking-in Phase (Dependent Phase)

Question 8

What phase?

woman prefers to talk about her experiences during labor and birth and also her pregnancy

Answer 8

Taking-in Phase (Dependent Phase)

Question 9

What phase?

There is a sense of wonderment when looking at the neonate

Answer 9

Taking-in Phase (Dependent Phase)

Question 10

What phase?

provides time for the woman to regain her physical strength and organize her rambling thoughts about her new role.

Answer 10

Taking-in Phase (Dependent Phase)

Question 11

What phase?

Encouraging the woman to talk about her experiences during labor and birth would greatly help her adjust and let her incorporate it into her new life.

Answer 11

Taking-in Phase (Dependent Phase)

Question 12

• The taking hold phase starts _____ after delivery and last from the ___postpartum, initiates self-care activities, focus on bowels, bladder & breastfeeding

Answer 12

2 to 4 days…3rd to 10th day

Question 13

What phase?

Women who underwent anesthesia reach this phase only hours after her delivery.

Answer 13

Taking hold Phase (Dependent to Independent phase)

Question 14

What phase?

She starts to focus on the newborn instead of herself and begins to actively participate in newborn care. May express lack of confidence in caring for the neonate.

Answer 14

Taking hold Phase (Dependent to Independent phase)

Question 15

What phase?

The woman still needs positive reinforcements despite the independence that she is already showing because she might still feel insecure about the care of her child.

Answer 15

Taking hold Phase (Dependent to Independent phase)

Question 16

What phase?

Allow the woman to settle in gradually into her new role while still at the hospital or healthcare facility because making decisions about the child’s welfare is a difficult part of motherhood

Answer 16

Taking hold Phase (Dependent to Independent phase)

Question 17

Letting go phase lasts from ___ to ___ postpartum

Answer 17

10 days…6 weeks

Question 18

What phase?

The woman finally redefines her new role, see self as separate from infant, gives up fantasized image of her child and accepts the real one

Answer 18

Letting go Phase (Interdependent phase)

Question 19

What phase?

The woman finally accepts her new role and gives up her old roles like being a childless woman or just a mother of one child.

Answer 19

Letting go Phase (Interdependent phase)

Question 20

What phase?

Phase where postpartum depression may set in

Answer 20

Letting go Phase (Interdependent phase)

Question 21

What phase?

Readjustment of relationship is needed for an easy transition to this phase

Answer 21

Letting go Phase (Interdependent phase)

Question 22

this may cause many different emotions

Answer 22

Adjustment to all new changes, new roles the family will play

Question 23

occurs in some women in different degrees, as a temporary depression lasting usually 1 to 2 weeks after birth, and may not be afraid to talk out her feelings with someone, family, friend, or health care provider. It often helps.

Answer 23

Postpartum blues

Question 24

Postpartum blues usually lasts _______ after birth

Answer 24

1-2 weeks

Question 25

Different cultures have different rituals they follow after mother has the baby.

Answer 25

Cultural influences

Question 26

The process of interaction and bonding between mother & baby.

Answer 26

Attachement

Question 27

Only hours before, she was the center of attention, with everyone asking about her health and well-being. Now suddenly, the baby is the chief interest. The woman may feel confused by a sensation very close to jealousy. Shared responsibility for infant care can help alleviate these feelings.

Answer 27

Abandonment

Question 28

It’s the process by which the mother forms an emotional relationship with her infant over time. Mother explores the infant first with fingers, then palms and finally enfolding the newborn with whole hands and arms. Holds infant in face to face position.

Answer 28

Bonding

Question 29

The baby blues generally show up _____days after birth and may last for the few weeks after delivery.

Answer 29

3 to 4

Question 30

A moderate to severe depression in a woman after she has given birth. It may occur soon after delivery or up to a year later

Answer 30

Postpartum depression

Question 31

requires immediate attention, especially if her symptoms include thoughts of suicide or other harm to herself or baby

Answer 31

Postpartum Psychosis