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
menstrual flow may not return for 3 or 4 months what term is this
lactational amenorrhea
pr of mother 24-48 hours after delivery
(50-70 bpm)
volume in millilitres
ejected from each ventricle due to the contraction of
the heart muscle
STROKE VOLUME (VS)
BP and PR returns to non-pregnant state by how many months pospartum
3 months
Day 1 elevation of temp effect
dehydration
Day 2 and for 2 consec days elevation of temp effect
puerperal sepsis.
Day 2 elevation and normal by day 3 of temp effect
breast engorgement.
cause of Overdistention of the bladder
Increased bladder capacity
Bruising of the tissues around urethra
Diminished sensation to increased
pressure
Adequate bladder emptying resumes in how many days after delivery.
5-7
this occur within
24 hours post-delivery in connection with renal and urinary changes
Puerperal diaphoresis and diuresis
GASTROINTESTINAL SYSTEM changes postpartum:
hungry and thirsty.
Constipation and Hemorrhoids
a nurse, who divided the puerperium into
three separate phases.
Reva Rubin
PHASES OF PUERPERIUM:
“Taking in” Phase (Dependent):
“Taking Hold”
“Letting Go”
a time of reflection and the mother is dependent what phase is this
Taking in
the taking hold phase occurs how many days postpartum
3-10 days
which phase is where mother strives for independence and
begins to reassert herself.
“Taking Hold” Phase
a phase where mood swings occur and maximal stage of learning readiness.
“Taking Hold”
the letting go phase occurs how many days postpartum
10 to 6 weeks postpartum
phase where mother accepts baby as separate person.
“Letting Go” Phase
temporary feeling of overwhelming sadness
POSTPARTAL BLUES/ baby blues
CHARACTERISTICS OF POSTPARTAL
BLUES:
irritable
Mood liability
Feelings of inadequacy
burst into tears
POSTPARTUM WARNING SIGNS TO REPORT TO THE
PHYSICIAN:
Enlarging hematoma.
Increased bleeding
Difficulty breathing,
deciding when the right
time is to have children, and what is the appropriate
number of children
FAMILY PLANNING
in family planning a couple decides on:
- The number
- Spacing of children
- The timing of births
voluntary prevention of
pregnancy.
CONTRACEPTION
The best contraceptive method is
Most comfortable and natural
using it correctly.
NURSING RESPONSIBILITIES: in fam planning
Assist the couple to select effective contraceptive method.
Understand one’s own philosophy, beliefs
Educating couple
technique of determining the fertile period of a
woman
NATURAL FAMILLY PLANNING METHOD
TYPES OF NATURAL FAMILY PLANNING PERIOD:
Basal Body Temperature
Shift.”
BBT is measured during
Each morning
before arising after at least 3 hours of sleep.
hormone that causes the BTT to rise
progesterone
temperature rises above the highest of the
previous low temperature is called
“Thermal Shift.”
alternative time for taking bbt
8pm and midnight.
how many minutes should u leave bbt temp
5 minutes.
point of reference to determine the thermal shift due to ovulation.
COVERLINE
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.
