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SEMI Flashcards

1
Q

Refers to the 6-week period after childbirth.

4th trimester of pregnancy.

A

PUERPERIUM

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2
Q

refers to the medical and nursing care given to a woman during puerperium

A

POSTPARTUM CARE

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3
Q

process whereby the reproductive organs return to their non-pregnant state.

A

INVOLUTION

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4
Q

POSTPARTUM BIOPHYSICAL CHANGES: Organs

A

UTERUS

CERVIX

VAGINA

PERINEUM

RENAL AND URINARY CHANGES

GASTROINTESTINAL SYSTEM

LOCHIAL

CARDIOVASCULAR

IMMUNE

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5
Q

INVOLUTION OF THE UTERUS HAS 2 MAIN PROCESSES:

A

Placental implantation site is sealed off by rapid
contraction of the uterus

Uterus is reduced

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6
Q

Process of involution takes how many weeks to
complete.

A

4-6 weeks

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7
Q

Pattern of size reduction of the uterus:

Immediately after birth

end of the first week

involution is complete

A

1000g
500g
50g

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8
Q

how many days does the fundal height cannot be
palpated abdominally.

A

10-14 days postpartum

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9
Q

discharge from the uterus during the first 3
weeks after delivery.

A

LOCHIA

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10
Q

composition of lochia rubra discharge:

A

blood

fragments of
decidua

mucus

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11
Q

Pinkish to brownish discharge occurring 3-10
days after delivery.

A

Lochia Serosa

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12
Q

Lochia Serosa has what type of discharge

A

Serosanguineous discharge

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13
Q

Lochia Serosa composition discharges:

A

erythrocytes,
leukocytes,
cervical mucus

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14
Q

white; colorless to creamy yellowish discharge
occurring from 10 days to 3 weeks after delivery.

A

Lochia Alba

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15
Q

which lochia has no odor

A

Lochia Alba

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16
Q

Lochia Alba composition discharge

A

largely mucus, high leukocyte count

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17
Q

Complete cervical involution may take how many months

A

3-4
months

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18
Q

characteristics of cervix after birth

A

soft and malleable

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19
Q

how many days does the cervix’s external on has
narrowed to the size.

A

7 days

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20
Q

characteristics of vagina afterbirth:

A

Smooth
swollen,
poor tone

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21
Q

perineum characteristics after birth

A

Edematous
bruised
Episiotomy and lacerations may be present.

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22
Q

A woman who is not breastfeeding vs If she is breastfeeding difference

A

menstrual flow return in 6
to 10 weeks after birth.

menstrual flow may not return for 3
or 4 months

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23
Q

menstrual flow may not return for 3 or 4 months what term is this

A

lactational amenorrhea

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24
Q

pr of mother 24-48 hours after delivery

A

(50-70 bpm)

25
volume in millilitres ejected from each ventricle due to the contraction of the heart muscle
STROKE VOLUME (VS)
26
BP and PR returns to non-pregnant state by how many months pospartum
3 months
27
Day 1 elevation of temp effect
dehydration
28
Day 2 and for 2 consec days elevation of temp effect
puerperal sepsis.
29
Day 2 elevation and normal by day 3 of temp effect
breast engorgement.
30
cause of Overdistention of the bladder
Increased bladder capacity Bruising of the tissues around urethra Diminished sensation to increased pressure
31
Adequate bladder emptying resumes in how many days after delivery.
5-7
32
this occur within 24 hours post-delivery in connection with renal and urinary changes
Puerperal diaphoresis and diuresis
33
GASTROINTESTINAL SYSTEM changes postpartum:
hungry and thirsty. Constipation and Hemorrhoids
34
a nurse, who divided the puerperium into three separate phases.
Reva Rubin
35
PHASES OF PUERPERIUM:
“Taking in” Phase (Dependent): “Taking Hold” “Letting Go”
36
a time of reflection and the mother is dependent what phase is this
Taking in
37
the taking hold phase occurs how many days postpartum
3-10 days
38
which phase is where mother strives for independence and begins to reassert herself.
“Taking Hold” Phase
39
a phase where mood swings occur and maximal stage of learning readiness.
“Taking Hold”
40
the letting go phase occurs how many days postpartum
10 to 6 weeks postpartum
41
phase where mother accepts baby as separate person.
“Letting Go” Phase
42
temporary feeling of overwhelming sadness
POSTPARTAL BLUES/ baby blues
43
CHARACTERISTICS OF POSTPARTAL BLUES:
irritable Mood liability Feelings of inadequacy burst into tears
44
POSTPARTUM WARNING SIGNS TO REPORT TO THE PHYSICIAN:
Enlarging hematoma. Increased bleeding Difficulty breathing,
45
deciding when the right time is to have children, and what is the appropriate number of children
FAMILY PLANNING
46
in family planning a couple decides on:
1. The number 2. Spacing of children 3. The timing of births
47
voluntary prevention of pregnancy.
CONTRACEPTION
48
The best contraceptive method is
Most comfortable and natural using it correctly.
49
NURSING RESPONSIBILITIES: in fam planning
Assist the couple to select effective contraceptive method. Understand one’s own philosophy, beliefs Educating couple
50
technique of determining the fertile period of a woman
NATURAL FAMILLY PLANNING METHOD
51
TYPES OF NATURAL FAMILY PLANNING PERIOD:
Basal Body Temperature Shift.”
52
BBT is measured during
Each morning before arising after at least 3 hours of sleep.
53
hormone that causes the BTT to rise
progesterone
54
temperature rises above the highest of the previous low temperature is called
“Thermal Shift.”
55
alternative time for taking bbt
8pm and midnight.
56
how many minutes should u leave bbt temp
5 minutes.
57
point of reference to determine the thermal shift due to ovulation.
COVERLINE
58
when Intercourse is allowed from the 4thd ay of the thermal shift until the end of the cycle. This is known as
absolute infertile phase days.

MATERNAL (12 decks)

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