Flashcards in Postpartum Care Deck (41)
What is the term used to describe the initial milk that begins to be secreted during mid pregnancy thats immediately available to the newborn @ birth?
What is the term used to describe separation of abd. muscle?
Diastasis recti abdominis
What is the term used to describe the rounded upper most portion of the uterus?
What is the term used to describe rapid reduction in size of the uterus and return of uterus to non-pregnant state?
What is the term used to describe discharge where uterus rids itself of debris remaining after birth?
What is the term used to describe white final discharge as uterus completes healing 3wks following birth?
What is the term used to describe dark red initial discharge 1-3 days following birth?
What is the term used to describe light pink discharge 3-10 days following birth?
What is the term used to describe white slightly blue-tinged color milk that presents by wk 2 postpartum and continues until lactation stops?
What is the term used to describe time immediately following childbirth where physiological changes that occurred during pregnancy begin to return to normal?
Puerperium "postpartum period"
What is the term used to describe slowing of the descent of uterus during post pregnancy healing process?
What is the term used to describe light yellow milk thats more than colostrum, contains more fat, lactose, water-soluble, vitamins and calories and presents b/t 2nd and 5th day following birth?
What is the term used to describe relaxation of uterine muscle tone?
Uterine atony (boggy)
Whats the biggest muscle of the female body?
How long does involution of the uterus usually last?
What are normal findings of the fundus?
Firms and midline @ umbilicus
A deviated fundus that is not midline means what?
A full bladder
Constant tenderness of the fundus could mean what?
The fundus is the top portion of the uterus b/t what?
symphasis pubis and umbilicus
An obstetrical emergency that is the most common cause of maternal morbidity/mortality and causes a lot of passing of clots and blood what is this?
Postpartum hemorrhage (PPH)
If a pt. has postpartum hemorrhage how often do you do fundus checks?
q15min for 1st hr then q30min for 2nd hr
If a pt has had a C-section how long do they stay in LND?
If a pt has had a vaginal birth how long do they stay in LND?
What causes postpartum hemorrhage?
The uterus not contracting
A uterine massage, O2 10-15L/min via face mask, pad count and an 18gauge IV access is what?
Postpartum hemorrhage interventions
What low level of fibrinogen is predictive of severe PPH?
Less than 200mg/dL
Whats a normal prothrombin time (PTT)?
Whats a normal fibrinogen level?
Oxytocin, methylergonovine, dinoprostone (prostin E2), misoprostol (cytotec), and (carboprost) (hemabate) are what?