PP Assessment

Question 1

what 3 processes contribute to the involution of the uterus

Answer 1

• cxn of the muscle fibers
• catabolic processes
• regen of uterine epithelium

Question 2

how does the site of placental attachment heal?

Answer 2

• exfoliation

Question 3

benefit of exfoliation

Answer 3

leaves the endometrium smooth and w/o scars

Question 4

how is involution evaluated?

Answer 4

by measuring the descent of the fundus

Question 5

how much does the fundus descend per day

Answer 5

1 cm

Question 6

how long after birth should the fundus no longer be palpable

Answer 6

14 days

Question 7

describe afterpains

Answer 7

• intermittent uterine cxns

- cause discomfort

Question 8

afterpains are worse for which women

Answer 8

have had multiple pregnancies

Question 9

name the lochia classifications

Answer 9

rubra
serosa
alba

Question 10

how do we assess lochia

Answer 10

amt
type
odor

Question 11

if lochia has a foul odor, what does that indicate?

Answer 11

endometrial infec

Question 12

name the different amts of lochia

Answer 12

scant
light
moderate
heavy

Question 13

scant lochia

Answer 13

<2.5 cm

Question 14

light lochia

Answer 14

2.5-10 cm

Question 15

moderate lochia

Answer 15

10-15 cm

Question 16

hevay lochia

Answer 16

saturated in 1 hr

Question 17

if pads saturate with lochia more often than every hour, what should we suspect

Answer 17

bleeding

hemorrhaging

Question 18

how long does it take the vagina to return to pre preg size

Answer 18

6-10 weeks

Question 19

pernieal trauma and hemorrhoids can interfere with what

Answer 19

activity

bowel elim

Question 20

what happens with the blood from the uterus and placenta

Answer 20

returns to the central circ

Question 21

ECF moves to

Answer 21

vascular compartment

Question 22

after birth, CO _____

Answer 22

increases

Question 23

how is excess fluid expunged from the body after birth

Answer 23

diuresis/diaphoresis

Question 24

describe coag after birth

Answer 24

incr in clotting factors

Question 25

incr in clotting factors after birth puts mom at risk for

Answer 25

clots

Question 26

constipation occurs due to the following factors

Answer 26

- decr food intake during labor - decr muscle and bowel tone - fear of pain during defacation

Question 27

by when should a mom have a bm after birth

Answer 27

2-3 days post birth

Question 28

moms may experience urinary retention due to

Answer 28

- incr bladder capacity | - decr semse to fluid pressure

Question 29

what factors contribute to UTI

Answer 29

-stasis of urine

Question 30

describe what happens if a mom experiences bladder distention

Answer 30

- displaces the uterus | - can interfere w/ uterine cxn

Question 31

bladder distention can cause

Answer 31

extensive bleeding

Question 32

s/s of distended bladder

Answer 32

- fundus above baseline level - fundus displaced from midline - excessive lochia - bladder discomfort - bulge of bladder above symphysis - freq voidings of < 150 mL

Question 33

muscle fatigues/aches occurs for how long PP

Answer 33

1-2 days after birth

Question 34

breastfeeding may cause a delay in

Answer 34

ovulation and menses

Question 35

can ovulation occur before the first menses

Answer 35

yes

Question 36

breastfeeding moms are more likely to experience what and why

Answer 36

vaginal dryness | -due to inadequate estrogen

Question 37

focused asssesments PP

Answer 37

``` VS fundus lochia perineum bladder elim breasts lower extrem homans sign edema DTR's ```

Question 38

what VS do we check PP

Answer 38

``` BP OH Pulse RR Temp Pain ```

Question 39

risk factors for PP hemorrhage

Answer 39

``` grand mulitparity overdeistention of uterus rapid, precip, or prolonged labor retained placenta placenta previa/abruptio meds: tocolytics, oxytocin C sec vacuum coag defects ```

Question 40

risk factors for PP Infec

Answer 40

``` c sec mult cervical exams prolonged labor prolonged ROM manual extraction of placenta DM Cath ```

Question 41

def bonding

Answer 41

initial attraction felt by parents for their infants

Question 42

bonding is _____

Answer 42

unidirectional

Question 43

def attachment

Answer 43

process by which an enduring bond bx a parent and child is developed

Question 44

when does attachment begin and end

Answer 44

beginning of pregnancy to many moths after birth