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Postpartum

Test #3

QuestionAnswer
Puerperium extends from the terminiation of pregnancy until a return of all systems to a pre-pregnant state (6weeks)
Exfoliation regeneration of placental site
Location of fundus after delivery of placenta it is 2cm below the umbilicus (U/2) the returns to U/U. * by the 9th day fundus is no longer palpable
Lochia bright red, 3 days
Lochia Serosa pinkish brown, 3-14 days
Lochia Alba yellowish white cream day 10-14 to 3-4 weeks
1st degree laceration extends through the skin and structures superficial to the muscle
2nd degree laceration extends through the muscle of the perineal body
3rd degree laceration continues through the anal sphincter
4 degree laceration involves the anterior rectal wall
Prolactin stimulates milk production(*sucking is most important to the release of prolactin)
Oxytocin "milk ejection reflex"
Vaginal delivery EBL 200-500ml
C-Section EBL 700-1000ml
Taking In mother focused on her own health (dependent)
Taking Hold more focused on infant (dependent)
Letting Go taking on responsibilities of a mother (interdependent0
When is Rhogam given @28 wks to non-sensitized Rh- mother and within 72 hours of delivery
Rh Isoimmunization result of an antigen-antibody reaction
Rhogam immunoglobuline solution containing Rh D antibodies that destroy fetal cells in maternal circulation and blocks maternal antibody production (lasts 2 months)
Criteria for postpartum Rhogam Rh- mother, Rh+ infant, both must have indirect coombs test
Uterine Atony boggy uterus, major cause of early postpartum hemorrhage
Created by: jas067
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