PP Assessment Flashcards Preview

NUR 359: OB > PP Assessment > Flashcards

Flashcards in PP Assessment Deck (44):
1

what 3 processes contribute to the involution of the uterus

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

2

how does the site of placental attachment heal?

- exfoliation

3

benefit of exfoliation

leaves the endometrium smooth and w/o scars

4

how is involution evaluated?

by measuring the descent of the fundus

5

how much does the fundus descend per day

1 cm

6

how long after birth should the fundus no longer be palpable

14 days

7

describe afterpains

-intermittent uterine cxns
-cause discomfort

8

afterpains are worse for which women

have had multiple pregnancies

9

name the lochia classifications

rubra
serosa
alba

10

how do we assess lochia

amt
type
odor

11

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

endometrial infec

12

name the different amts of lochia

scant
light
moderate
heavy

13

scant lochia

<2.5 cm

14

light lochia

2.5-10 cm

15

moderate lochia

10-15 cm

16

hevay lochia

saturated in 1 hr

17

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

bleeding
hemorrhaging

18

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

6-10 weeks

19

pernieal trauma and hemorrhoids can interfere with what

activity
bowel elim

20

what happens with the blood from the uterus and placenta

returns to the central circ

21

ECF moves to

vascular compartment

22

after birth, CO _____

increases

23

how is excess fluid expunged from the body after birth

diuresis/diaphoresis

24

describe coag after birth

incr in clotting factors

25

incr in clotting factors after birth puts mom at risk for

clots

26

constipation occurs due to the following factors

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

27

by when should a mom have a bm after birth

2-3 days post birth

28

moms may experience urinary retention due to

- incr bladder capacity
- decr semse to fluid pressure

29

what factors contribute to UTI

-stasis of urine

30

describe what happens if a mom experiences bladder distention

- displaces the uterus
- can interfere w/ uterine cxn

31

bladder distention can cause

extensive bleeding

32

s/s of distended bladder

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

33

muscle fatigues/aches occurs for how long PP

1-2 days after birth

34

breastfeeding may cause a delay in

ovulation and menses

35

can ovulation occur before the first menses

yes

36

breastfeeding moms are more likely to experience what and why

vaginal dryness
-due to inadequate estrogen

37

focused asssesments PP

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

38

what VS do we check PP

BP
OH
Pulse
RR
Temp
Pain

39

risk factors for PP hemorrhage

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

40

risk factors for PP Infec

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

41

def bonding

initial attraction felt by parents for their infants

42

bonding is _____

unidirectional

43

def attachment

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

44

when does attachment begin and end

beginning of pregnancy to many moths after birth