Week 1 Flashcards
Gravida
Women that is pregnant
Gravidity
Pregnancy
Multigravidia
Women with 2 or more pregnancies
Multipara
Women who has completed 2 or more pregnancies to 20 weeks of gestation or more
Nulligravida
Women who has never been pregnant and is currently not pregnant
Nullipara
Women who has not completed a pregnancy with fetus or fetuses beyond 20 weeks of gestation
Parity
Number of pregnancies in which fetus or fetuses have reached 20 weeks of gestation not number of fetuses born.
Not affected whether fetus is born alive or stillborn
Primigravida
Women that is pregnant for the first time
Primipara
Women who has not completed 1 pregnancy with a fetus or fetuses who have reached 20 weeks of gestation
Viability
Capacity to live outside the uterus
occurring at 22-25 weeks of gestation
Term
Pregnancy from beginning of week 37 to week 40 of gestation plus 6 days of gestation
Preterm
Pregnancy that has reached 20 weeks but prior to completion of 36 weeks
Early term
Pregnancy between 37 weeks to 38 weeks, 6 days
Full term
Pregnancy between 39- 40 weeks, 6 days
Late term
Pregnancy in week 41
Post term
Pregnancy after 42 weeks
5 digit system - GTPAL
Women’s obstrctial history
gravidity, term, preterm, abortions, living children
system is gravidity/parity described as 2 digits
Indicated number of pregnancies and number of pregnancies that reached 20 weeks
DOES NOT PROVIDE ENOUGH INFORMATION DO NOT USE
What is the process of involution?
Return of uterus to a non pregnant state following birth
When does process of involution start?
immediately after the expulsion of the placenta, the uterine contractions and smooth muscles
How much does the funds descend?
1 to 2 cm every 24 hours
What is subdilition process
When the uterus does not return to its pre pregnancy state which can lead to postpartum haemorrhage
What is common complication of uterus not returning to normal?
Retained placenta fragmentation
What does it mean when fundus is deviated to left or right?
The women has a full bladder
How does the fundus move to 1 finger above umbilicus
Usually immediately after delivery
why is oxytocin given after delivery
To help with involution process
What is lochia
Vaginal discharge that happens after delivery
Lochia rubra
First few days, 3-4 days, dark red/bright red
Lochia serosa
Pinkish brown, last 4-10 days
Lochia Alba
Yellowish white colour after day 10
What should we check for, when checking the lochia?
Ensure women does not have clots, if she does check size and if there’s placenta tissue
What does that mean if there’s a trickle of blood
It means uterus is still firming up
Lochial bleeding
Trickles from vagina
Steady flow is greater as the uterus contracts
Non lochial bleeding
When bloody discharge spurts from vagina could be from cervical or vaginal tears
Episiotomy
Cut between vaginal opening and anus
How to assess episiotomy?
REEDA
redness
edema
ecchymosis (bruising)
drainage
approximation
What will a women experience after birth regarding urinary system
A period of diuresis (large amount of output at first 24 hours after birth)
What is the number 1 complication in pregnancy
Is diabetes and hypertension
This why it is important to check glucose levels after delivery
How does the milk come in while breastfeeding
first colostrum comes out, then as the mother breastfed more milk will come in
If a women doesn’t want to breast feed will milk still come in?
They will still have colostrum but the prolactin levels drop when there’s not stimulation of the baby at the breast
What can we do to help with the tenderness of a women who isn’t breast feeding
Tell them to wear a tight bra, use ice packs and mild analgesics
When are the breast soft
the first 2 days
When do the breast begin filling
2-3 days
When are the breast full
day 3-5
What is an indication of mastitis
Firmness, heat or pain on breast along with fever and body aches on the first day
What is best care practice when the nipples are in pain?
Excrete a bit of colostrum around the nipple and let it air dry
What is best practice for breast feeding?
Allow the baby to feed on 1 side for however long and then switch sides
Next feeding, start on the side you left on from
What do we do if patient is not vaccinated for rubella
Give the vaccine post delivery
What is the BUBLLE ASSESSMENT
Breast and nipples
Uterine fundus
Bladder function
Lochia
Legs (peripheral edema)
Episiotomy/Laceration
Emotional Stress
What is in the IV for a mom who just had a c-section
ringers lactated with 20 units of oxytocin at 125 cc an hour
When do vaginal delivery moms usually get discharged
24-48 hours
When do c-section moms get discharged
within 72 hours
What does the RN have to do when discharging a patient
Legal responsibility to discharge with teaching
Mom needs to have a good understanding before leaving the hospital
