In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: What is ? Answer: From the delivery of the placenta & membranes to the return of a 's reproductive system to its non-pregnant state - approx 6 weeks. Question: What is ? Answer: the process by the uterus returns to its normal size. Question: What is evidence of involution? Answer: Firmness of uterus, rate of descent & nature of lochia. Question: What is the rate of descent of the uterus? Answer: 1st day postpartum - at or slightly above umbilicus, 2nd day - at or slightly below umbilicus, 3rd day - 1 below umbilicus, 4th day - 2 fingers below, by 10th day - behind symphysis - not detectable Question: What can involution? Answer: A prolonged labor, general anesthesia, difficult delivery, pregnancies, full bladder, infection, retention of placental fragments. Question: What is the #1 concern? Answer: Question: What are S/S of ? Answer: Increase pulse rate, decrease in BP, excessive bright red bleeding, boggy uterus that does not respond to massage, pelvic discomfort or back pain, cold, clammy skin Question: What are the panic for H&H? Answer: Hb <5.0g/dl & Hct of <20%, will decrease 1 to 1.5 g/dl & hematocrit will decrease 2-4% per 500 ml of blood loss Question: What are the early or causes of hemorrhage? Answer: blood loss greater than 500 ml in first 24 hrs caused by uterine atony, laceration of the tract, retained placenta, adherent placenta. Question: What are later causes of ? Answer: Retained placenta and infection are the most common . Question: What is ? Answer: the decidua (lining) which is cast off down to myometrium, a new is formed Question: What is rubra and how long does it last? Answer: Bright red, to clot, serosanguineous, becoming more serous and less bloody - last 1-3 days. Question: What is serosa and how long does it last? Answer: Dark red (or pinkish) to brond, sheds of decidua, looks less like - lasts 3-10 days Question: What is alba and how long does it last? Answer: Whitish/yellowish - lasts 10-14 days, may last 3-6 weeks and remain normal. Question: What is diastasis ? Answer: separation of the rectus abdominis muscles may occur leaving part of wall with no support except skin, subcutaneous fat, fascia & peritoneum. Question: Why is so important? Answer: There is an risk for infection during postpartum. Question: What is an ? Answer: A surgical incision of the perineal body - using REEDA - redness, edema, echymosis, discharge, approximation Question: What is a ? Answer: A tear in the perineal body occurs in varying degrees. Question: 1st degree Answer: tear through skin & structures that are superficial to Question: 2nd laceration Answer: extends through perineal - much like an episiotomy Question: 3rd degree Answer: continues through anal sphincter Question: 4th degree Answer: involves anterior wall Question: tear Answer: tear into the of the vagina Question: What are some concerns involving the ? Answer: Pt should void within 6-8 following delivery, check for bladder distention if less than adequate amount voided - retention with overflow Question: What can cause bowel ? Answer: Delay in bowel function can be due to loss of abdominal tone, fear of pain, sluggishness due to progesterone effect on smooth muscle function. Question: Are there any dietary restrictions delivery? Answer: Vaginal deliveries can have normal diet, have increased thirst due to fluid loss & medications. C-sections on clear liquids until bowel sounds or flatus are present. Question: How ofter should vitals be checked delivery? Answer: Q15 minutes for 1st hour, q30 for 2nd hour, q4 hours for 24 hours then q8 hours. Question: What are considered the standard signs? Answer: Temp, resp, , BP, lochia, fundus & appearance of sutures Question: What does HE stand for? Answer: Breasts, uterus, bladder, function, lochia, episiotomy (or laceration) Homnam's sign, emotional status. Question: How are the breasts ? Answer: Are they soft, firm or ? Any discharge - type & amount, Nipples cracked/lesions? Unusual contour? Question: How is the assessed? Answer: Is it firm? Is it ? Location & position in abdomen Question: How is the assessed? Answer: Assess for position and size. Teach S/S of infection, teach proper Question: How is the bowel ? Answer: Check for flatus/bowel sounds, pressure. Teach need for extra fluids, fiber Question: How is assessed? Answer: Assess for amount: scant, light, moderate, heavy, excessive, assess for odor, Question: How is an episiotomy or laceration ? Answer: for redness, edema, echymosis, discharge & approximation Question: What is assessed in to emotional status? Answer: Is the mother dependent or independent? Is she depressed, is she bonding with the baby, does she whats going on? Question: What does mean? Answer: The time between conception and onset of labor, used interchangeably with Question: What does mean? Answer: The time between the beginning of labor and the birth of the . Question: What does puerperium or mean? Answer: Time from birth of infant woman's body returns to essentially prepregnant state. Question: What does para mean? Answer: The number of pregnancies in which the fetus has 20 or more weeks gestation when they are born regardless of live or still born. Question: What does mean? Answer: Birth that occurs prior to the 20 weeks, either selective or spontaneous. Therapeutic - done to save or non-viable fetus. Question: What is preterm or premature ? Answer: Labor that occurs after 20 but before completion of 37 weeks. Question: What is a term pregnancy? Answer: A pregnancy from the beginning of 38 weeks of gestation to the end of 42 Question: What does TPAL for? Answer: TPAL replaces para & gives more information. T = term infants, P = preterm infants, A = abortions (spontaneous or selective), L = living children Question: What is a still birth? Answer: A baby born dead at 20 or more gestation. Question: What is a ? Answer: First 28 days birth. Question: What is ? Answer: Capacity to live outside the uterus - about 22-25 weeks . Question: What is accreta? Answer: Slight penetration of into the myometrium Question: What is increta? Answer: Deep penetration of the placenta into the Question: What is percreta? Answer: Perforation of the uterus by the . Question: What is hydroamios & macrosomia and how does it the uterus? Answer: Hydraminos is too much amnionic fluid, macrosomia is a large baby. Both stretch the more than normal and make it hard for the uterus to contract after birth. Question: How are hematomas to delivery? Answer: There is an injury to a blood vessel, vulvar, vaginal, subperitoneal causing a collection of in the pelvic tissue, can lead to postpartum hemorrhage. Question: What are S/S of a ? Answer: Vulvar - most common & most can be seen, Upper vaginal - difficulty voiding due to pressure on urethra or meatus, Upward - lateral uterine pain, flank pain, abdominal distention. May have S/S of shock without blood loss & a well contracted uterus. Question: What is the first sign of ? Answer: Presence of a of 100.4 Question: What can to the infant if infection is present? Answer: Leading cause of newborn sepsis & meningitis, infant through vaginal birth, can lead to death or severe neurological damage. Routine screening done at 32-36 weeks. Ampicillin or gentamycin can be given during labor. Question: What is ? Answer: of the muscle of the uterus Question: What is ? Answer: Infection at the placental Question: What is ? Answer: of the pelvic connective tissue. Question: What is salpingitis & ? Answer: Infection of the & ovaries. Question: What is ? Answer: An infection of the of a vessel in which a clot attaches to the vessel wall. Question: What are the signs of a polmonary emboli? Answer: Sudden onset of SOB, chest pain, , dyspnea, apprehension, cough, hempotysis, diaphoresis, fever, circumoral cyanosis. Question: What causes an fluid embolism? Answer: A small tear in the amnion or chorion high in the uterus allows to enter maternal circulation. Question: What is intravascular coagulation? Answer: The coagulation sequence is activated by injury to the epithelium, or by bacterial particles or other foreign material. The result is disseminated clotting causing organ damage due to small clot capillaries and consumptions of clotting factors. Question: What are the adjustment stages? Answer: Taking in, taking hold and go. Question: What are the characteristics of the in phase? Answer: Consists of days 1-3, pts are passive & dependent, preoccupied with own needs, talkative, identifying and interpreting infant, finger touch. Question: What are the characteristics of the hold phase? Answer: Consists of days 3 to 2 weeks. Pts resume control of life, concern with control of body functions, about quality and quantity of breast milk and ability to feed baby. Question: What are the characteristics of the go phase? Answer: Accept and realize the physical separation of infant and relinquish role of individual. Challenge - extreme exhaustion of night time care and sleep deprivation, anticipatory guidance needed regarding the realities of motherhood. Question: What are or baby blues? Answer: Can occur 1-2 weeks after birth, often peaks around 5th day and subsides by 10th day - believed to be related to hormone levels. is rated as one of the top causes. Question: How does depression differ from baby blues? Answer: Symptoms persist longer than 2 and intensify. Question: What can cause an temp?Answer: A temp elevated to 100.4* in the 1st 24 post delivery can be due to exertion & dehydration. Question: What is ?Answer: An infection of the tissue. More common in breast feeding mothers. |
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