Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB Exam 1 > Week 1 (Postpartum) > Flashcards

Week 1 (Postpartum) Flashcards

1
Q

Gravida

KNOW THIS!!!!

A

Total number of confirmed pregnancies

  • regardless of whether these pregnancies have resulted in birth, miscarraige, abortion, or ectopic pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Para

KNOW THIS!!!!

A

Number of pregnancies in which the fetus or fetuses have reached 20 weeks gestation

  • Para is divided into 4 categories: term (T), preterm (P), abortion (A), living (L)

  • not the number of individual fetuses
  • twins are counted as 1 pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Term (T or F)

KNOW THIS!!!!

A

Number of pregnancies that resulted in full term birth

  • 37 + weeks gestation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Preterm Births (P)

KNOW THIS!!!!

A

Number of pregnancies that resulted in preterm birth

  • 20 - 36 weeks gestation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Abortion (A)

KNOW THIS!!!!

A

Number of pregnancies that ended BEFORE 20 weeks gestation

  • either due tomiscarraige or elective abortion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Living (L)

KNOW THIS!!!!

A

Number of currently living children the woman has

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

EDC

KNOW THIS!!!!

A

Estimated Date of Confinement

  • DUE DATE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Naegele’s Rule

A

Subtracts 3 months from last menstration & add 7 days to calculate the estimated due date (EDD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Primigravida

KNOW THIS!!!!

A

First pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Multigravida

KNOW THIS!!!!

A

2 or more pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Precipitous

KNOW THIS!!!!

A

Quick birth

  • Onset to birth is LESS THAN 3 HOURS (from time water breaks to birth of baby)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SVD

KNOW THIS!!!!

A

Spontaneous vaginal delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

LDPR

KNOW THIS!!!!

A

Labor, delivery, postpartum, recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

C/S

KNOW THIS!!!!

A

cesarean section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the postpartum period?

A

From delivery to the placenta to the return of the reproductive system to the non-pregnant state

  • usually 6-8 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Involution

KNOW THIS!!!!

A

When the uterus returns to pre-birth state

  • within 12 hours palpate the fundus 1 cm above the umbilicus; make sure the bladder is empty
  • by 2 weeks, the fundus should not be palpable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Subinvolution

KNOW THIS!!!!

A

Uterus fails to return to normal size

  • caused by retained placenta fragments & infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Afterpains

A

Painful, intermittent contractions of the uterus after delivery

  • most often occur in multiparas from loss of uterine tone & large babies, and are more painful during breastfeeding because it stimulates oxytocin; will relieve in 5-7 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Placental Site

KNOW THIS!!!!

A

Separates from the uterus within 15-30 minutes
* or manual removal (painful)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What can leaving the placenta is left inside & not removing it lead to?

KNOW THIS!!!!

A

Risk of Hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Lochia

KNOW THIS!!!!

A

Combination of blood, mucus, & tissue discharged from the uterine lining

  • types: rubra, serosa, alba
  • evaluate for clots for possible piece of placenta!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Lochia rubra

KNOW THIS!!!!

A

Reddish or red-brown vaginal discharge that occurs IMMEDIATELY after childbirth

  • mostly composed of blood with clots (grape size clots)

  • Rubra = Ruby Red
  • 1 - 3 days
  • May have small clots
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Lochia serosa

KNOW THIS!!!!

A

Pink, serous, & blood-tinged vaginal discharge that lasts 3-4 days after delivery

  • Pinkish / brown
  • little to no clotting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Lochia alba

KNOW THIS!!!!

A

White, cream-colored, or yellow vaginal discharge that occurs 10 days to 6+ weeks after delivery; contains WBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Excessive blood loss

A

Saturation of pad in 15 minutes

26
Q

QBL

KNOW THIS!!!!

A

Quantitative Blood Loss

  • 1 g = 1 mL

NORMAL:
* vaginal < 500 mL
* C-section = 1,000 mL

27
Q

What might presence of free-flowing bright red blood indicate?

KNOW THIS!!!!

A

cervical laceration

28
Q

A vagina should return to normal size within how many weeks of delivery?

KNOW THIS!!!!

A

6 - 8 weeks

29
Q

A nurse is assessing the lochia discharge on a 1 day postpartum woman. THe nurse notes that the lochia is red & has a fleshy odor. The nurse determines that this assessment finding indicates what?

a.) A normal finding
b.) The presenc eof infection
c.) The need for increasing oral fluids
d.) The need for increasing ambulation

A

a.) A normal finding

30
Q

Hematoma

A

Accumulation of blood in the pelvic tissue

S/S:
* unrelenting pain
* pressure in rectum
* ↑ HR
* ↑ RR
* ↓ BP

31
Q

Episiotomy

A

Incision into the body of the perineum during 2nd stage of labor (incision made into the vulva)

  • Have to assess while woman is lying on her side
  • heals in 2-3 weeks after delivvery
  • kegels
32
Q

1st Degree Laceration

A

Laceration through the skin to the superficial muscles

33
Q

2nd Degree Laceration

A

Laceration extends through muscles of the perineal body

34
Q

3rd Degree Laceration

A

Laceration through the anal sphincter

35
Q

4th Degree Laceration

A

Laceration involves the anterior rectal wall

36
Q

Urethral laceration

A

laceration upward from the vagina towards the urethra

37
Q

Postpartum voiding

A

Normal = 3,000 mL/day

  • Q2 from aldosterone diuresis
  • painful
  • delayed BM from low intake
  • decreased muscle tone, pain, analgesia
  • UTIs are comon
38
Q

Colostrum

KNOW THIS!!!!

A

Milk that delivers essential nutrients & antibodies; produced in the first 2-3 days PP

39
Q

Lactogenesis

A

Production of milk

40
Q

Postpartum Complications

A
  • anemia
  • gestational diabetes
  • clotting
  • orthostatic hypotension
  • hypertension
  • swelling / edema
41
Q

What type of state is pregnancy?

KNOW THIS!!!!

A

Hypercoaguable state

42
Q

Pregnancy is a —— state.

KNOW THIS!!!!

A

hypercoaguable

43
Q

—– is a common complaint in postpartum because of hormonal shifts. Can also be from pathological etiology like spinal or PP onset of preeclampsia (have they delivered in the past year?

  • Increased risk of stroke / seizures
  • TX: magnesium sulfate

KNOW THIS!!!!

A

headache

44
Q

Preeclampsia

KNOW THIS!!!!

A

A complication of pregnancy characterized by hypertension, edema, & proteinuria

45
Q

Uterine atony

KNOW THIS!!!!

A

Lack of normal muscle tone in the uterus

  • tx: hemabate, methergine

  • most frequent cause of excessive bleeding PP (from placental fragments
46
Q

What is the most frequent cause of excessive postpartum bleeding?

KNOW THIS!!!!

A

Uterine Atony (lack of normal muscle tone in the uterus)

47
Q

Edinburgh Postnatal Depression Screening

A
  • Screening tool
  • Self-report assessment
  • 10 statements
48
Q

BUBBLE-HE

KNOW THIS!!!!

A
  • Breasts
  • Uterus
  • Bowels
  • Bladder
  • Lochia
  • Episiotomy
  • Hemorrhoids
  • Emotional status
49
Q

Breast (in BUBBLE-HE)

A
  • condition
  • color
  • pain
  • redness
  • nipple condition (normal, inverted, intact, bruised, cracked)
  • soft, firm, full, engorged
  • observe latch if breast feeding
50
Q

Uterus (in BUBBLE-HE)

KNOW THE BOLD

A
  • 2 handed fundal check
  • Normal: firm fundus, midline, should be at or below the umbilicus
  • Interventions: teach to monitor uterus for firmness; advise frequent urinating; ibuprofen for afterbirth pains
  • boggy = bad
  • void Q2H
51
Q

Bowel (in BUBBLE-HE)

A

Normal: soft & non-distended, normal bowel sounds in all quadrants, passing flatus, bowel movmeents with no difficulties

  • check for hemorrhoids, episiotomies, lacerations, lochia
52
Q

Emotions (in BUBBLE-HE)

A

Assess emotions, mood, attachment to infant; cultural aspects

  • cambodian women = no showers after birth
  • japanese = avoid washing hair
  • chinese = use ginger
53
Q

REEDA

KNOW THIS!!!!

A
  • Redness
  • Edema
  • Ecchymosis
  • Drainage
  • Approximation

* wound evaluations

54
Q

Peri Care

A
  • peri bottles
  • ice packs / frozen pads
  • analgesics
55
Q

Maternal adaptation

A

1.) Taking in or dependent phase
2.) Taking hold
3.) Letting go or independent phase

56
Q

Maternal Adaptation: Dependent Phase

A
  • first 24 hours
  • vulnerable & needy
  • divert energy to the infant to extent that her basic needs are met
  • reliving birth details
  • may need assistance with self-care
  • inwardly focused/concerned about physical needs
57
Q

Taking Hold Phase (maternal adaptation)

A
  • Day 2/3 to several weeks
  • independent & dependent
  • preoccupied with care of the baby
58
Q

Independent Phase (maternal adaptation)

A
  • Letting go phase
  • focus on family as a unit
  • resumption of role (intimate partner, individual, etc.)
59
Q

Postpartum Blues

A
  • Right after delivery - labile & cry for no reason; mild depression
  • resolve in 2 weeks (day 10)
  • 40-80% prevalence

Teaching:
* rest
* relaxation
* self-care / time
* plan a day out of the house
* talk to partner
* community resources

60
Q

Postpartum discharge

A

begins on admission

  • look for complications - infection
  • no sexual activity for 6 weeks
  • medications
  • follow-up in 2/3 days for infant & 2 weeks for mom
61
Q

POST BIRTH warning signs

A

POST
* Pain in chest
* Obstructed breathing or SOB
* Seizures
* Thoughts of hurting yourself or the baby

BIRTH
* Bleeding: soaking through a pad in an hour or > golf ball clots
* Red or swollen leg that is painful or warm to touch
* Temperature of 100.4 or greater
* Headache that does not get better

OB Exam 1 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions