post partum Flashcards Preview

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Flashcards in post partum Deck (59)
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1
Q

1 hr after delivery fundal height is at

A

the umbilicus

2
Q

1 hr after delivery fundal height is at

A

the umbilicus

3
Q

2 days and after delivery uterus shrinks

A

1cm per day

4
Q

After day 10 the uterus is not

A

palpable

5
Q

before assessing uterus have the patient

A

empty her bladder

6
Q

calls for concern when assessing the fundus

A

if it is not firm

7
Q

there could be possible urinary _____ if there is you may need to ______

A

Retention

Catheterize

8
Q

if uterus is not going back down give

A

pictocin (aka supplemental oxytocin)

9
Q

Lochia- Rubra

A

Dark red 1-3 days

10
Q

Lochi- Serosa

A

Pink/brown tinged 3-10 days

11
Q

Lochia- Alba

A

yellowish white 10-14 days

12
Q

scant

A
13
Q

light

A

2.5-10cm

14
Q

moderate

A

10-15 cm stain

15
Q

heavy

A

saturated in an hour

16
Q

Lochia danger signs

A
  • reapperance
  • odor
  • may increase after laying down
  • c section
  • return of menstrual cycle
  • ovulation
17
Q

vagina after delivery

A

returns to normal in 6-8 weeks

18
Q

cervix after delivery

A

2 finger tips- until 1st week

1 week on = 1 finger tip

19
Q

issues with perineum

A

blood, horrible odor

20
Q

episiotomy

A

cut to open vagina so baby can fit

21
Q

ecchymosis

A

a discoloration of the skin resulting from bleeding underneath, typically caused by bruising.

22
Q

complete feeling is restored in

A

4-6 mos

23
Q

2 days and after delivery uterus shrinks

A

1cm per day

24
Q

After day 10 the uterus is not

A

palpable

25
Q

before assessing uterus have the patient

A

empty her bladder

26
Q

calls for concern when assessing the fundus

A

if it is not firm

27
Q

there could be possible urinary _____ if there is you may need to ______

A

Retention

Catheterize

28
Q

if uterus is not going back down give

A

pictocin (aka supplemental oxytocin)

29
Q

Lochia- Rubra

A

Dark red 1-3 days

30
Q

Lochi- Serosa

A

Pink/brown tinged 3-10 days

31
Q

Lochia- Alba

A

yellowish white 10-14 days

32
Q

scant

A
33
Q

light

A

2.5-10cm

34
Q

moderate

A

10-15 cm stain

35
Q

heavy

A

saturated in an hour

36
Q

Lochia danger signs

A
  • reapperance
  • odor
  • may increase after laying down
  • c section
  • return of menstrual cycle
  • ovulation
37
Q

vagina after delivery

A

returns to normal in 6-8 weeks

38
Q

cervix after delivery

A

2 finger tips- until 1st week

1 week on = 1 finger tip

39
Q

issues with perineum

A

blood, horrible odor

40
Q

episiotomy

A

cut to open vagina so baby can fit

41
Q

ecchymosis

A

a discoloration of the skin resulting from bleeding underneath, typically caused by bruising.

42
Q

complete feeling is restored in

A

4-6 mos

43
Q

lactation stops

A

1-2 weeks after delivery

44
Q

painful intercourse due to

A

low estrogen levels

45
Q

suggest ______ soluble lubricant

A

water

46
Q

HcG should be gone after what week?

A

third week

47
Q

if HcG levels are high that means

A

the placenta may have not been fully delivered

48
Q

Placental hormones

A

HcG
HcS
Progesterone
Estrogen

49
Q

pituitary hormones

A

FSH and prolactin

50
Q

Prolactin

A

breast feeding/ responds to succling

51
Q

estrogen

A

causes cramping

52
Q

progesterone highs/lows

A

High- before delivery

Low- plummets after delivery

53
Q

hypervolumia

A

high levels of blood

54
Q

BMR during pregnancy increases

A

20-25%

55
Q

diaphresis is normal because the mom has

A

alot of extra fluid, up to 3kg

56
Q

a mom can become hypovolumic because

A

blood stays in the abdomen

57
Q

headaches in pregnancy can be a sign of

A

hypertension

58
Q

Decreased BP can cause

A

hemorraging

59
Q

Coaggulants

A

platelets fall but are retained up to 3 days