Postpartal Family (Physiological Changes)

Question 1

Which physiologic changes are related specifically to the reproductive system as well as other systemic changes?

Answer 1

Retrogressive Changes

Question 2

Involution of the uterus

The area where the _________ was implanted is sealed off to prevent __________

Answer 2

placenta; bleeding

Question 3

Involution of the uterus

The organ is reduced to its approximate progestational _____

Answer 3

size

Question 4

How is the area where the placenta was implanted sealed off?

Answer 4

rapid contraction of the uterus immediately after delivery of the placenta

Question 5

What permanently seals the area within the uterine sinuses?

Answer 5

thrombi

Question 6

Involution of the uterus

Woman is in danger of ____________ until involution is complete which is in ___ weeks

Answer 6

hemorrhage; 6 weeks

Question 7

What promotes uterine involution?

Answer 7

Breastfeeding; oxytocin stimulates uterine contractions

Question 8

Factors that delay uterine involution:

Over distention of uterus from __________ and multiple fetuses

Answer 8

hydramnios

Question 9

Factors that delay uterine involution:

Use of ________ during labor

Answer 9

analgesia

Question 10

Factors that delay uterine involution:

___________ due to prolonged and difficult labor

Answer 10

Exhaustion

Question 11

Factors that delay uterine involution

M_________

Answer 11

Multiparity

Question 12

Uterine weight

right after delivery:

1 week after:

2 weeks after:

6 weeks after:

Answer 12

1000 g; 500 g; 300 g; 50 g

Question 13

By the __ or __ day, the uterus can no longer be detected by abdominal palpation

Answer 13

9th or 10th day

Question 14

What are strong uterine contractions that cause uncomfortable cramps after childbirth?

Answer 14

Afterpains

Question 15

When are afterpains present?

Answer 15

2-3 days after childbirth

Question 16

What position should the woman assume to relieve afterpains?

Answer 16

Prone Position

Question 17

In primiparas, the uterus remains tonically contracted unless ______ or _______ remain in uterus

Answer 17

clots or tissue

Question 18

Afterpains tend to be noticed by _________ than by ________ and by women who have given birth to large babies or multiple births

Answer 18

multiparas; primiparas

Question 19

Afterpains are more severe when __________ in both primiparas and multiparas

Answer 19

breastfeeding

Question 20

What is uterine discharge after delivery consisting of blood, fragments of decidua, white blood cells, mucus, and some bacteria?

Answer 20

Lochia

Question 21

When does Lochia Rubra occur?

Answer 21

from delivery up to 3rd day

Question 22

What color is Lochia Rubra?

Answer 22

bright red and may contain small clots

Question 23

When does Lochia Serosa occur?

Answer 23

4th to 10th day

Question 24

What color is Lochia Serosa?

Answer 24

Pinkish to brownish in color

Question 25

When does Lochia Alba occur?

Answer 25

10th to 14th day (may last 6 weeks pp)

Question 26

What color is Lochia Alba?

Answer 26

white or cream to yellowish

Question 27

What is soft, edematous, and relaxed?

Answer 27

Cervix

Question 28

By the end of __ days, external os has narrowed to size of a __________ __________, appears slit-like, feels firm and non-gravid

Answer 28

7 days; pencil opening

Question 29

What is smooth and swollen right after childbirth?

Answer 29

Vagina

Question 30

When are lacerations and episiotomy usually healed?

Answer 30

After 2 weeks

Question 31

When does rugae reappear?

Answer 31

After 3-4 weeks

Question 32

When does the vagina return to prepregnant condition?

Answer 32

6-8 weeks

Question 33

What exercise helps to improve circulation?

Answer 33

Kegel exercises

Question 34

What is swollen, has ecchymosis, and painful immediately after delivery?

Answer 34

Perineum?

Question 35

When is perineal muscle tone regained?

Answer 35

after 6 weeks

Question 36

What does REEDA stand for when evaluating episiotomy and perineal laceration?

Answer 36

Redness Edema Ecchymosis Drainage Approximation

Question 37

Levels of ________ _________ ___________ (hCG) and _______ __________ __________ (hPL) are almost negligible by __ hours

Answer 37

human chorionic gonadotropin; human placental lactogen; 24 hours

Question 38

By week _, ______ and ________ are all at prepregnancy levels

Answer 38

1; progestin and estrogen

Question 39

E1: E2: E3: E4:

Answer 39

Estrone; Estradiol; Estriol; Estetrol

Question 40

__________-_________ hormone remains low for about __ days

Answer 40

Follicle-stimulating; 12 days

Question 41

When does menses resume if the woman is not breastfeeding?

Answer 41

by 6th to 10th week

Question 42

When does menses return if a woman is breastfeeding consistently?

Answer 42

in 6 months

Question 43

What produces more prolactin which stimulates more milk production?

Answer 43

Infant suckling

Question 44

What is the let down reflex?

Answer 44

mammary glands sends milk to nipples

Question 45

What is hydronephrosis and when does it occur?

Answer 45

Enlargement of ureters; after delivery to 4 weeks

Question 46

What is a normal level of urine output vs the urine output of a postpartal woman?

Answer 46

1500 ml vs 3000 ml per day

Question 47

How much fluid accumulates in the body during pregnancy?

Answer 47

2000-3000 ml

Question 48

The woman may have a decreased ability to sense when she has to _____

Answer 48

void

Question 49

How much does blood volume increase in pregnancy?

Answer 49

30% to 50%

Question 50

How much blood loss occurs in NSVD (normal spontaneous vaginal delivery)?

Answer 50

300 - 500 cc

Question 51

How much blood loss occurs in C/S?

Answer 51

500 - 1000 cc

Question 52

What is the average blood volume during pre-pregnant state vs pregnant state?

Answer 52

4000 cc vs 5250 cc

Question 53

______ ___________ appear reddened on abdomen and fade by __-__ months

Answer 53

Striae gravidarum; 3-6 months