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Flashcards in Puerperium, Family Planning Deck (33):
1

What is the interval following delivery for the uterus to involute completely?

4 weeks

2

Lochia resolves after how many weeks postpartum?

5 weeks

3

The period of time between 4 and 6 weeks post delivery where maternal changes return to its non pregnant state

Puerperium

4

What is the shape of the cervix after delivery?

Fish mouth appearance

5

Contraction of the uterus after delivery of a primigravid woman occurs
A. Tonically
B. Rhythmically
C. Vigorously at intervals
D. None of the above

A

6

Contraction of the uterus after delivery of a multigravid woman occurs
A. Tonically
B. Rhythmically
C. Vigorously at intervals
D. None of the above

C

7

What do you call the lochia during the first few days when it is a bloody discharge?

Lochia rubra

8

Lochia that has become pale in color, occurring 3-4 days after

Lochia serosa

9

Lochia alba appears on what day postpartum?

10th day onwards

10

Which remaining decidua remains intact and becomes the source of the new endometrium?

Decidua basalis

11

The endometrium becomes fully restored after how many days postpartum?

16th day onwards

12

Which organism has been implicated in late postpartum hemorrhage?

Chlamydia trachomatis

13

Secondary postpartum hemorrhage can occur up to how many weeks postpartum?

12 weeks

14

Which 2 vitamins are lacking in breastmilk and requires supplements?

Vitamin D and K

15

High in casein, electrolytes, saturated fats

Low in cholesterol cysteine and taurine

Formula milk

16

In the standard days method of family planning, the window period to avoid intercourse is in which days?

Day 8-19

17

Women who use standard days method must have regular monthly cycles that ranges from:

26-32 days

18

Calendar rhythm method involves subtracting how many days from the shortest and the longest cycle?

First fertile day: shortest cycle -18
Last fertile day: longest cycle -11

19

Temperature rhythm method involves abstaining from intercourse from the 1st day of menses through what day after the increase in temperature?

3rd day

20

Least effective natural family planning method

Cervical mucus method

21

Abstinence in cervical mucus method is done from the beginning of menses until what day?

4 days after slippery mucus is identified

22

Symptothermal method combines which methods

Cervical mucus and temperature rhythm

23

Injectable progestin prevents pregnancy by which mechanism?

Inhibition of ovulation

24

Etonorgestrel implants (Implanon) provide contraception for how many years?

3 years

25

Oral contraceptives prevents ovulation by suppressing

Hypothalamic gonadotrophin releasing hormones and prevents release of FSH and LH

26

Progestins prevent ovulation by suppressing which hormone?

LH

27

Estrogen in OCPs prevents ovulation by suppressing what hormone?

FSH

28

Theoretical action of progestins

Render the endometrium unfavorable for implantation

29

This hormone in OCP also stabilizes the endometrium which prevents intermenstrual bleeding

Estrogen

30

When can you start an emergency contaceptive pill?

ASAP within 5 days after unprotected sex

31

Injectable progestin like Depo-Provera is given every

3 months

32

Initial DMPA (depo-provera) injection should be given within

1st 5 days of menses

33

Intrauterine devices prevents pregnancy by

Sterile inflammation within the endometrium