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exam2
postpartum
| Question | Answer |
|---|---|
| what period is between birth and return of organs to nonpreg state? 6 weeks can vary based on mothers energy level, comfort level, health care providers, puerperium or 4th trimester, healthy preg experience low risk. | postpartum period |
| what is the return of the uterus to the nonpreg state following birth? occurs immediatly after delivery of placenta with contractions of smooth muscle, size of grapefuit | involution |
| 12 hours postpartum, were should the uterus be? | 1cm above the umbilicus |
| 6 days postaprtum were should the uterus be? | midway between umbilicus and symphysis pubis |
| 2 weeks postpartum, were should the uterus be located? | within the true pelvis |
| how much does the uterus decend every 24 hours postpartum? | 1-2 cm |
| decrease in estrogen and progesterone causes destruction of hypertrophied cells | what causes the uterus to shrink? |
| hemostasis is acheived by compression of the intramyometrial blood vessels by the uterine muscles, release of oxytocin, pitocin meds, breast feeding stimulate? | contractions |
| because of overdistension multiparas have inc contractions causing more discomfort, primaparas have satisfactory uterine tone, do not experience moderate to severe cramp-like pains of uterus working harder to remain contracted? | afterpains |
| vascular constriction and thromboses occurs at site, endometrium regenerated at end of 3rd week, placental site regenerated at 6 weeks. This happens where? | placental site |
| what is post birth uturine discharge, contains sloughed off necrotic tissues undergoes changes with the healing process of uterin placental site? | lochia |
| what lochia is present from day 1-3 bright red, small clots, inc flow standing or breast feeding, fleshy odor, abnormal: larg clots, heavy amount sat pad in 15, foul odor, placental fragments | lochia rubra |
| what kind of lochia from postpartum day 4-10 is pink or brown color, scant amount, inc flow w/ physical activity, fleshy odor abnormal: rubra after day 4, heavy amount sat pad in 15, foul odor | lochia serosa |
| what kind of lochia day 10 and after postpartum is yellow to white in color, scant amount, fleshy odor abnormal: bright red bleeding, foul odor? | lochia alba |
| what immediatly after birth is soft, in 2-3 days is firm, shortened and retains form, has small lacerations, susceptible to infection, | cervix |
| estrogen deprovation causes thining of mucosa and absence of rugae, decreased vag lubrication, 6-10 wks this returns to prepreg state? | vagina |
| what in the perineum of a postpartum woman may be red and edematous, episiotomy or laceration should appear approximated | vaginal introitus |
| what part of the perineum of a postpartum woman may have hemorrhoids during pregnancy, when pushing, dec in 6 weeks, treated with topical ointments? | anus |
| what part of the perineum postpartum is that supportive structures may be injured during childbirth and cause relaxation and dec muscle tone can affect uterus, vagina, bladder, urethra, rectum, 6 months to regrow, kegals excercises | pelvic muscle support |
| what is caused by lacerations, edema, episiotomy, hemorrhoids, treatments are ice initially, sitz bath, pain meds/stool softners, rubber ring? | peri pain after delivery |
| because of a 30-50% inc in blood volume at term, mothers ability to tolerate substantial blood loss 500cc vag, 1000 ccs c/s. This is called what? | hypervolemia |
| after birth, because of a dec in pressure from uterus on vessels, extracellular fluid moves back into vascualr sx causing an inc in stroke volume, tachycardia immediatly after delivery, bradycardia 24hrs. this is what | inc in cardiac output |
| what is the cause of diureses and diaphoresis in postpartum period? | excessive plasma volume |
Created by:
malcolmnursing2
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