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Flashcards in Puerperium + Family Planning Deck (96)
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1

Stage 3 of labor starts with_________ and ends with __________

Stage 3 of labor starts with EXPULSION OF THE BABY and ends with THE EXPULSION OF THE PLACENTA

2

Withtheremoval of the placenta, you can either do _______ or ______

With the removal of the placenta, you can do either GENTLE CORD TRACTION or WAIT FOR THE PLACENTA TO BE EXPELLED

3

Placental separation can either be dirty or shiny? What terms correspond to these?

Duncan/dirty
Schultze/shiny

4

When does puerperium start? And how long does it last?

Starts an hour after delivery.
Lasts for 4-6 weeks

5

What 4 events occur during puerperium?

Uterine contraction
Maternal-neonatal bonding or Milk Reflex
Uterine Involution+ Cervical Repair
Return to Fertility

RUMU

6

Give the components of the Deadly Triad

Hemorrhage
Infection
Hypertension

7

What are minor causes of morbidity/mortality during the puerperium?

Fever
Breast engorgement
Pain
Amniotic fluid embolism

8

During early puerperium what changes happen to the abdomen?

Abdomen becomes soft & flaccid (gelatin-like)
Striae: purplish/reddish -> silvery after yrs
Returns to normal with exercise
Diastasis recti: rectus abdominis separate

9

Immediately after delivery, how many kg would the mother lose?

5-6 kg

10

After diuresis of 2-3 days, how many kg would the mother lose?

2-3 kg

11

After delivery, how many kg would the mother retain?

1.4kg

12

In early puerperium, what is the level of thrombocytes& leukocytes?

Thrombocytes are increased
Leukocytes are increased -> 26,000-30,000

13

During early puerperium, hgb & hct are? Inc or dec?

Decreased. That is why iron supplement is indicated up to 3 mos after delivery

14

During the first 2 days after deliver, cardiac output is ________. After 10 days _______

Increased. CO return to its normal prepregnant state after 10 days

15

If a woman has previous cardiac condition, how many hours/days should you observe her after delivery?

1-2 days because she might have sudden cardiac failure or difficulty breathing or cardiomyopathy

16

If the patient has preeclampsia, she would probably have __________ therefore, you should monitor the patient's ________

Excess retention of fluids
Urine output

17

If your patient have preeclampsia and does not diures, you should give _______

Diuretics -> FUROSEMIDE

18

What are small tags of tissue found in the vagina after delivery?

Myrtiform caruncles

19

What is the rationale for doing IE 1 hr after delivery?

To check for Hematoma because it can occur anywhere even if u didn't do episiotomy

20

When does vaginal epithelium begin to proliferate?

4-6wks

21

Lacerations or stretching of the perineum during delivery may result in ________

Vaginal outlet relaxation

22

Damage to the pelvic floor predisposes to _______

Urinary incontinence and pelvic organ prolapse

23

Immediately after delivery, what is the weight of the uterus?

1000 g

24

At 1 wk PP, what is the weight of the uterus?

500g

25

When does the uterus weigh 250-300g and become a pelvic organ once again?

2 weeks PP

26

When does the uterus return to its prepregnant state?

4 wks PP

27

Why does the uterus need to be contracted even after the mother goes home?

To prevent pp hemorrhage

28

When does oxytocin receptors increase?

Late gestation

29

What tissues locally synthesizes oxytocin?

Placenta, extraembryonic tissue, decidua

PED

30

What are the 4 fxns of oxytocin?

Uterine contractions during labor
Uterine contractions postpartum
Milk reflex
Protein synthesis for involution