SEMI Flashcards
Refers to the 6-week period after childbirth.
4th trimester of pregnancy.
PUERPERIUM
refers to the medical and nursing care given to a woman during puerperium
POSTPARTUM CARE
process whereby the reproductive organs return to their non-pregnant state.
INVOLUTION
POSTPARTUM BIOPHYSICAL CHANGES: Organs
UTERUS
CERVIX
VAGINA
PERINEUM
RENAL AND URINARY CHANGES
GASTROINTESTINAL SYSTEM
LOCHIAL
CARDIOVASCULAR
IMMUNE
INVOLUTION OF THE UTERUS HAS 2 MAIN PROCESSES:
Placental implantation site is sealed off by rapid
contraction of the uterus
Uterus is reduced
Process of involution takes how many weeks to
complete.
4-6 weeks
Pattern of size reduction of the uterus:
Immediately after birth
end of the first week
involution is complete
1000g
500g
50g
how many days does the fundal height cannot be
palpated abdominally.
10-14 days postpartum
discharge from the uterus during the first 3
weeks after delivery.
LOCHIA
composition of lochia rubra discharge:
blood
fragments of
decidua
mucus
Pinkish to brownish discharge occurring 3-10
days after delivery.
Lochia Serosa
Lochia Serosa has what type of discharge
Serosanguineous discharge
Lochia Serosa composition discharges:
erythrocytes,
leukocytes,
cervical mucus
white; colorless to creamy yellowish discharge
occurring from 10 days to 3 weeks after delivery.
Lochia Alba
which lochia has no odor
Lochia Alba
Lochia Alba composition discharge
largely mucus, high leukocyte count
Complete cervical involution may take how many months
3-4
months
characteristics of cervix after birth
soft and malleable
how many days does the cervix’s external on has
narrowed to the size.
7 days
characteristics of vagina afterbirth:
Smooth
swollen,
poor tone
perineum characteristics after birth
Edematous
bruised
Episiotomy and lacerations may be present.
A woman who is not breastfeeding vs If she is breastfeeding difference
menstrual flow return in 6
to 10 weeks after birth.
menstrual flow may not return for 3
or 4 months