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MATERNAL > SEMI > Flashcards

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
Q

volume in millilitres
ejected from each ventricle due to the contraction of
the heart muscle

A

STROKE VOLUME (VS)

26
Q

BP and PR returns to non-pregnant state by how many months pospartum

A

3 months

27
Q

Day 1 elevation of temp effect

A

dehydration

28
Q

Day 2 and for 2 consec days elevation of temp effect

A

puerperal sepsis.

29
Q

Day 2 elevation and normal by day 3 of temp effect

A

breast engorgement.

30
Q

cause of Overdistention of the bladder

A

Increased bladder capacity

Bruising of the tissues around urethra

Diminished sensation to increased
pressure

31
Q

Adequate bladder emptying resumes in how many days after delivery.

A

5-7

32
Q

this occur within
24 hours post-delivery in connection with renal and urinary changes

A

Puerperal diaphoresis and diuresis

33
Q

GASTROINTESTINAL SYSTEM changes postpartum:

A

hungry and thirsty.

Constipation and Hemorrhoids

34
Q

a nurse, who divided the puerperium into
three separate phases.

A

Reva Rubin

35
Q

PHASES OF PUERPERIUM:

A

“Taking in” Phase (Dependent):

“Taking Hold”

“Letting Go”

36
Q

a time of reflection and the mother is dependent what phase is this

A

Taking in

37
Q

the taking hold phase occurs how many days postpartum

A

3-10 days

38
Q

which phase is where mother strives for independence and
begins to reassert herself.

A

“Taking Hold” Phase

39
Q

a phase where mood swings occur and maximal stage of learning readiness.

A

“Taking Hold”

40
Q

the letting go phase occurs how many days postpartum

A

10 to 6 weeks postpartum

41
Q

phase where mother accepts baby as separate person.

A

“Letting Go” Phase

42
Q

temporary feeling of overwhelming sadness

A

POSTPARTAL BLUES/ baby blues

43
Q

CHARACTERISTICS OF POSTPARTAL
BLUES:

A

irritable
Mood liability
Feelings of inadequacy
burst into tears

44
Q

POSTPARTUM WARNING SIGNS TO REPORT TO THE
PHYSICIAN:

A

Enlarging hematoma.

Increased bleeding

Difficulty breathing,

45
Q

deciding when the right
time is to have children, and what is the appropriate
number of children

A

FAMILY PLANNING

46
Q

in family planning a couple decides on:

A
  1. The number
  2. Spacing of children
  3. The timing of births
47
Q

voluntary prevention of
pregnancy.

A

CONTRACEPTION

48
Q

The best contraceptive method is

A

Most comfortable and natural

using it correctly.

49
Q

NURSING RESPONSIBILITIES: in fam planning

A

Assist the couple to select effective contraceptive method.

Understand one’s own philosophy, beliefs

Educating couple

50
Q

technique of determining the fertile period of a
woman

A

NATURAL FAMILLY PLANNING METHOD

51
Q

TYPES OF NATURAL FAMILY PLANNING PERIOD:

A

Basal Body Temperature

Shift.”

52
Q

BBT is measured during

A

Each morning
before arising after at least 3 hours of sleep.

53
Q

hormone that causes the BTT to rise

A

progesterone

54
Q

temperature rises above the highest of the
previous low temperature is called

A

“Thermal Shift.”

55
Q

alternative time for taking bbt

A

8pm and midnight.

56
Q

how many minutes should u leave bbt temp

A

5 minutes.

57
Q

point of reference to determine the thermal shift due to ovulation.

A

COVERLINE

58
Q

when Intercourse is allowed
from the 4thd ay of the thermal shift until the
end of the cycle. This is known as

A

absolute infertile
phase days.

MATERNAL (12 decks)

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