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Flashcards in Postpartum Care Deck (41)
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1

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?

Colostrum

2

What is the term used to describe separation of abd. muscle?

Diastasis recti abdominis

3

What is the term used to describe the rounded upper most portion of the uterus?

Fundus

4

What is the term used to describe rapid reduction in size of the uterus and return of uterus to non-pregnant state?

Involution

5

What is the term used to describe discharge where uterus rids itself of debris remaining after birth?

Lochia

6

What is the term used to describe white final discharge as uterus completes healing 3wks following birth?

Lochia alba

7

What is the term used to describe dark red initial discharge 1-3 days following birth?

Lochia rubra

8

What is the term used to describe light pink discharge 3-10 days following birth?

Lochia serosa

9

What is the term used to describe white slightly blue-tinged color milk that presents by wk 2 postpartum and continues until lactation stops?

Mature milk

10

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"

11

What is the term used to describe slowing of the descent of uterus during post pregnancy healing process?

Subinvolution

12

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?

Transitional milk

13

What is the term used to describe relaxation of uterine muscle tone?

Uterine atony (boggy)

14

Whats the biggest muscle of the female body?

Uterus

15

How long does involution of the uterus usually last?

3-6wks

16

What are normal findings of the fundus?

Firms and midline @ umbilicus

17

A deviated fundus that is not midline means what?

A full bladder

18

Constant tenderness of the fundus could mean what?

an infection

19

The fundus is the top portion of the uterus b/t what?

symphasis pubis and umbilicus

20

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)

21

If a pt. has postpartum hemorrhage how often do you do fundus checks?

q15min for 1st hr then q30min for 2nd hr

22

If a pt has had a C-section how long do they stay in LND?

4hrs

23

If a pt has had a vaginal birth how long do they stay in LND?

2hrs

24

What causes postpartum hemorrhage?

The uterus not contracting

25

A uterine massage, O2 10-15L/min via face mask, pad count and an 18gauge IV access is what?

Postpartum hemorrhage interventions

26

What low level of fibrinogen is predictive of severe PPH?

Less than 200mg/dL

27

Whats a normal prothrombin time (PTT)?

10-14sec

28

Whats a normal fibrinogen level?

200-400mg/dL

29

Oxytocin, methylergonovine, dinoprostone (prostin E2), misoprostol (cytotec), and (carboprost) (hemabate) are what?

Med management

30

Slight edema and bruising are what?

Normal postpartum findings