• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

image

PLAY BUTTON

image

PLAY BUTTON

image

Progress

1/55

Click to flip

Card Range To Study

through

55 Cards in this Set

  • Front
  • Back
What does NSVD stand for?
Normal spontaneous vaginal delivery
What are the 3 most important things to check during postpartum assessment?
1. Bleeding
2. Pain
3. IV fluids (must have access)
How long is postpartum period?
42 days or 6 weeks
What is another term for the postpartum period?
Puerperium or the 4th trimester
Following the postpartum, what state does the reproductive organs go to?
A non-pregnant state, not a pre-pregnant state
What is involusion?
The reproductive organs returning to a non-pregnant state
If a mother develops an infection within in 6 weeks of pregnancy, what does her health care provider consider?
That the infection is a result of the pregnancy.

-Part of the postpartum period
Why is it important to monitor the mother during postpartum period?
To maintain ability for the mother to have future children
What are the two types of physiological changes that occur during the postpartum period?
-Retrogressive: the organs going back down
-Progressive: changes moving forward because of birth
What does the body release as soon as the placenta comes off the uterine wall?
Oxytocin: causes fundus to contract
When does uterine involusion occur?
Immediately postpartum
Where is endogenous oxytocin released from?
THe pituitary gland
What are the 2 main processes involved with oxytocin release?
1. Ctx of the uterine smooth muscle fibers
-In time thrombi form w/in the uterine wall and permanently seal the area

2. Ctx continue reducing the size of the uterus (aids in decreased blood loss)
What can occur if the fundus is not dropping at the rate it should?
Hemorrhage of the mom
Where should the fundus be at 24 hours post birth?
The UMBILICUS
Immediately after birth, where is the fundus located?
1/2 between the umbilicus and the symphysis pubis
During postpartum, at what hour is the fundus one finger breadth above the umbilicus?
12 hour post birth
After the first 24 hour, at what rate should the fundus shrink?
1-2 finger breadths (cms) a day.
What day(s) during postpartum should the fundus no longer be palpable?
10-14 days
What is the most dangerous time for the mother during her postpartum period?
1 hour after birth because of possible hemorrhaging
What is uterine atony?
A fundus that is not shrinking. Lacks tone and feels boggy
What is subinvolution?
Failure or DELAY of the uterus to return to the non-pregnant state
What are the 2 possible reasons for subinvolution?
1. uterine atony
2. Retain placental fragments in the uterus causing infection --> inflammation
What are afterpains?
Uterine Ctxs that continue on during the pp period
What does it mean if a women is primiparas?
1st time pregnancy
What are multiparas?
Women who have had 2 or more pregnancies
Who has stronger afterbirth contractions, pritip or multip?
Multitip because their uterus is more distending due to previous pregnancies
What is the Lochia?
the decidual lining of the uterus
When is endometrial regeneration complete during pp period?
After 6 weeks
How can a women improve her recovery of her vaginal and pelvic floor muscle tone during the pp period?
By practicing Kegal's exercises
What happens to progesterone during the pp period?
It's production stops until first ovulation following pp period
What reproductive change occurs in the breast during the pp period?
The breast tissue begins to build up for lactation.
How does lochia rubra appear?
It is bright red
When is lochia rubra seen during postpartum?
Days 1-3
What comprises lochia rubra?
RBCs, small particles of decidual debris and mucus from the placenta
What type of lochia is seen during days 3-10?
Lochia Serosa
What lochia is described as a pinkish/brown?
Serosa
What comprises serosa?
Old blood, leukocytes and debris
During days 10-11 and lasting up to 6 weeks, what kind of discharge will the mother experience?
Lochia Alba
What color is lochia alba?
pale yellow --> white
What lochia is comprised of cells, serum, leukocytes and bacteria?
Lochia alba
When a mother experiences a reversal of bleeding (becomes heavier and brighter) what does this indicate?
The mother is doing too much. They need to increase resting to allow for healing
What does moderate bleeding look like on the pad?
Pad is about 1/2 full within an hour or so
How fast is too fast to saturate a pad?
20 mins is a big problem
What are the 2 endocrine changes that occur during PP?
1. Placental expulsion causes a chain reaction of hormonal changes
2. Pregnancy hormones decrease and lactation hormones increase
What hormones decrease during placental expulsion?
1. human placental lactogen (hPL)
2. human chorionic gonadotropin (hCG)
3. Estrogen
4. Progesterone
5. cortisol
What two hormones are stimulated post placental expulsion? What are their functions?
1. oxytocin: uterine contractions and milk let down
2. prolactin: initiates milk production
What happens to estrogen levels if a women is not breastfeeding?
they will reduce after 2 weeks
When is colostrum present in the breast?
Immediately following birth and for the first 2-3 days
When do the breasts begin to become full?
Days 3-5 of pp period
How do you get more breast milk?
By feeding the baby. Supply and demand
Why do they encourage no sex for 6 weeks pp?
Because estrogen levels drop and the woman becomes more dry
What does the external os look like 7 days post birth?
the size of a pencil tip
What changes can occur in the perineum pp?
1. hemorrhoids
2. possible edema or bruising from the birthing process
If a mother has bleeding but her fundus is firm, what can this be an indication of?
Possible tear in the cervix