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MCN > POST PARTUM 1 > Flashcards

POST PARTUM 1 Flashcards

(85 cards)

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1
Q

Post partum is the __________ period after childbirth

A

6 week

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2
Q

Meaning of latin word “puer”

A

child

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3
Q

meaning of latin word “parere”

A

to bring forth

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4
Q

Puerperium is in the _____trimester of pregnancy

A

4th

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5
Q

in what phase of Puerperium includes:

-time of reflection
-being passive dependent
-birth experience

A

taking in phase

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6
Q

in what phase of Puerperium includes:

-initiates action
-greater independence
-ideal for teaching

A

taking hold

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7
Q

in what phase of Puerperium includes:

-giving up old roles, previous lifestyle, ideal birth experience

-readjustment of relationship

A

Letting go

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8
Q

feeling abandoned & less important after giving birth

e.g woman as center of attention to baby as everyone’s interest

A

abandonment

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9
Q

______________ in baby in terms of the baby’s sex, size or look may be experienced by parents or partners

A

Disappointment

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10
Q

conflicting feelings of joy & emotional letdown during first few weeks after birth

A

Postpartum blues

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11
Q

other name of postpartum blues

A

baby blues

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12
Q

Postpartum blues is evidenced by:

A

by tearfulness, feelings of inadequacy, mood lability, anorexia & sleep disturbance

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13
Q

Mood elation, depression may caused by

A

Fluctuating hormones

response to dependence

low self-esteem

exhaustion

being away from home

physical discomfort

tension engendered by assuming a new role

Not having support from the partner

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14
Q

when anticipatory stage occurs?

A

during pregnancy

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15
Q

what woman look for during anticipatory stage of pregnancy?

A

role models, specially her mother

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16
Q

this is the stage that begins when the child is born

A

formal stage

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17
Q

in what stage include that the woman is still influenced by the guidance of others and

tries to act as she believes other expect hear to act

A

formal stage

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18
Q

begins when the mother begins to make her own choices about mothering

A

informal stage

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19
Q

begins when mother develop her own style of mothering and find ways of functioning that work well for her

A

informal stage

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20
Q

final stage of maternal role attainment

A

personal stage

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21
Q

when the women reaches and comfortable with the notion of herself as a mother

A

personal stage

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22
Q

Influence factors regarding success in attaining the maternal role

A

Social support

Age

Personality traits

Marital relationships

Anxiety / Depression

Previous child care skills

Temperament of infant

Socio-economic status

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23
Q

childless or parent of one to new role as parents

A

transition

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24
Q

what are the four stages of psychological adjustment of maternal role attainment

A
  1. anticipatory
  2. formal
  3. informal
  4. personal
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25
Challenges of the Post partum Women; Finding _____________ for themselves Feelings of _________________ Fatigue Feeling of ________________ Finding time for their ________________ children Infant’s _____________
time incompetence responsibility older behavior
26
reduction in size & return of uterus to a nonpregnant state
involution
27
two main process involved in involution
Sealing of placenta site Reduction of organ to approximate pregestational size
28
wt. of uterus immediately after birth
1000g
28
wt. of uterus at the end of 1st week
500g
29
wt. of uterus in complete involution
50g
30
how many weeks for complete involution happen?
6 weeks
31
complete involution is similar to its ___________ wt.
pre pregnant
32
after birth the fundus it at level of the _____________ where it remains for 24 hrs
umbilicus
32
what is the normal condition of the uterine atony
contracted
32
lochia composed of blood, mucus, and leukocytes
lochia serosa
32
in first hour after birth the uterine atony is boggy( soft or flabby) the mother is _____________
in danger
32
at what hour after the delivery where fundus is at the level of the umbilicus
1 hr
32
the fundus decreases__________ per day
fingerbreadth
32
lochia composed of largely mucus
lochia alba
33
why the uterus need to be contracted
to prevent hemorrhage
34
after pain is experience d/t: ________________ of the uterus after birth “intermittent cramping” Those who gave birth to ______________ babies or ___________ births
Contraction, large or multiple
35
lochia composed of blood, fragments of decidua, mucus
lochia rubra
36
red lochia
lochia rubra
37
pink lochia
lochia serosa
38
white lochia
lochia alba
39
lochia last for 1-3 days
lochia rubra
40
lochia last for 3-10 days
lochia serosa
41
lochia last for 10-14 days, up to 6 weeks
lochia alba
42
what are the three lochia
Rubra, serosa, alba
43
lochia stain larger than 6 inches in length within 1 hour
heavy amount
44
50 to 80 ml
heavy amount
45
saturated peripad within an hour
heavy amount
46
stain < 6 inches in length within 1 hour
moderate amount
47
20-50ml lochia
moderate amount
48
stain less than 4 inches in length after 1 hour
small amount
49
10-25ml lochia
small amount
50
stain less than 1 inch in length after 1 hour
scant amount
51
only on tissue when the woman wipes lochia
scant amount
52
the trauma of difficult childbirth deliveries may tear the cervix producing _____________or ____________ lacerations
transverse or stellate
53
the external os is size of a ________ opening at the end of seven days
pencil
54
after birth what what exercise should you perform
kegel exercise
55
the vagina is hymen is ___________ torn
permanently torn
56
after vaginal birth the diameter is __________ than normal
greater
57
changes in perineum
edematous tender bruising with ecchymosis
58
after birth the pregnancy hormones _________
decreases
59
what hormones decreased by 24 hrs
hCG and hPL
60
what hormones decreased by week 1
progestin, estrogen, estradiol
61
hormones decreased in 12 days then initiate new menstrual cycle is initiated
FSH
62
the transient loss of tone and edema (bladder) result in ________sense to void
decreased
63
hydronephrosis increased the possibility of urinary ___________ and ___________
stasis and UTI
64
the is an increase of ____________ in circulatory system
leukocytes(WBC)
65
GI tracts systemic changes
constipation, hemorrhoids
66
Integumentary changes
rectus muscle tone is not regained, modified sit up, barely detectable in 6 weeks time
67
retrogressive changes of the puerperium exhaustion >__________ wt. loss>________________
sleep hunger, return to pre pregnant wt.
68
oral temp. above 38°C indicates_______________
febrile that may indicate postpartum infection
69
during 1st 24 hours there is ___________ in temp. due to dehydration that occurred during labor
increase
70
if there is a adequate fluid during first 24 hrs the temp. becomes_____________
normal
71
if there is a rapid and thready pulse _____________
there is hemorrhage
72
if BP decrease it may indicate ______________
bleeding
73
> 140 mmHg systolic or 90 mmHg diastolic may indicate_______________
postpartum hypertension
74
occurs on standing due to lack of adequate blood volume to maintain nourishment of brain cells
orthostatic hypotension
75
hormones important for lactation
prolactin and oxytocin
76
not BF the menstruation return ______________ after birth
6-10 weeks
77
78
__________ml/day (diaphoresis & diuresis)
3000

MCN (7 decks)

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