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Postpartum
Crossword puzzles from class
| Question | Answer |
|---|---|
| creamy colored vag discharge that occurs when the amount of blood is decreased and number of leukocytes is increased | Alba |
| common after delivery and usually treated with ambulation, fluids, fiber, stool softeners | Constipation |
| reddish vaginal discharge composed mostly of blood that occurs immediately after birth | Rubra |
| used to treat episiotomies, lacerations, or hematomas during first 24 hours after delivery | Icepack |
| redness, ecchymosis, edema, discharge, and approximation - used to assess wound healing | REEDA |
| approximately 7-9 weeks after childbirth - breastfeeding may delay this | Return of menstruation |
| cramping pain after childbirth caused by relaxation and contraction of uterine muscles - worse when breastfeeding | Afterpains |
| profuse sweating to rid body of excess fluid and is not clinically significant | Diaphoresis |
| swelling of the breasts resulting from increased blood flow, edema, and presence of milk | Engorgement |
| common in women who have had an epidural - may not feel urge to void and must be encouraged to do so | Bladder Distention |
| pink or brown-tinged vag discharge that follows rubra, composed mostly of exudate, blood and leukocytes | Serosa |
| changes that return the uterus to it's prepregnant state | Involution |
| med that is admin to Rh negative moms who have Rh positive babies to prevent development of maternal antibodies - must be given IM within 72 hours of delivery | RhoGAM |
| increased excretion of urine, as much as 3000 ml per day on days 2-5 after delivery | Diuresis |
| vaccine given to protect subsequent pregnancies from measles - patient should not get pregnant again for 28 days | Rubella |
| vaginal drainage after birth, recorded as scant, light, moderate, or heavy - lighter in C/S moms | Lochia |
| usually accomplished by squirting warm water over perineum after each voiding or BM - pat dry | Pericare |
| time for couple to give up old roles and take on the role of parenthood | Letting-Go |
| call MD if: temp > 100.5, bleeding heavier than 1 pad per hour, worsening pain, foul smelling discharge, nothing in the vagina for 6 weeks | Discharge instructions |
| transient condtion characterized by fatigue, tearfulness, mood instabiity and anxiety - usually related to postpartum discomforts, fatigue, or concern about ability to parent | Baby blues |
| mother is focused primarily on her own needs and is unable to focus on new information | Taking- In |
| may occur after spinal anesthesia - patient may need a blood patch | Postdural HA |
| ambulate early and often, pelvic lifts, avoidance of carbonated beverages and straws, simethicone | Abdominal distention |
| rapid initial attraction felt by parents soon after childbirth | Bonding |
| most vag deliveries can eat soon after delivery, but C/S moms start out NPO - nurse progresses diet with positive bowel sounds | Progressive diet |
| mother shifts her attention from her own needs to the needs of the iinfant - called the 'teachable, reachable moment" | Taking hold |
| comfort measure for perineal discomfort, with cool water 1st 24 hours and warm water after 1st 24 hours | Sitz bath |
| infant's face held level with mom's face and prolonged, mutual gazing occurs | Enface |
| important for all moms, but especially those who are bottle-feeding - should also avoid breast stimulation | Supportive bra |
| common during first days home from hospital, patient should nap when baby naps | Fatigue |
| enduring bond is developed through pleasurable satisfyling interaction | Attachment |
| patient-controlled analgesia - side effects include resp depression, N & V, pruritis | PCA |
| soft, mushy uterine fundus | Boggy |
| edema, warmth, tenderness, pain, fever, drainage | Wound infection |
| continue to do this with engorgement or mastitis unless absess occurs | Breastfeeding |
| falling BP, increasing pulse, heavy bleeding somewhere | Hypovolemic shock |
| number 1 cause of late PPH | Placental fragments |
| admin to prevent or treat PPH and is a powerful vasoconstrictor | Methergine |
| episiotomy or laceration that extends into the rectal mucosa | 4th degree |
| noted with firm fundus but continuous trickle of vaginal bleeding | Laceration |
| rare condition characterized by confusion, agitation, hallucinations, dellusions and risk of harm to baby | Postpartum psychosis |
| failure of uterus to contract around blood vessels after delivery | Atony |
| first line of treatment for DVT | Bedrest |
| slower than expected return of uterus to prepregnant state | Subinvolution |
| management includes culture and antibiotics, push PO fluids | UTI |
| Blood loss of > 500 ml (vag) or 1000 ml (c/s) | Postpartum Hemorrhage |
| localized area of pain in breast with redness and flu-like symptoms that include fever and aching muscles | Mastitis |
| bleeding into loose tissue at area of vessel damage - firm fundus, lochia normal, extra painful perineum | Hematoma |
| swelling of leg, heat, tenderness, erythema | DVT |
Created by:
L.moore
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