Study your flashcards anywhere!

Download the official Cram app for free >

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

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

A key: Read text to speech.a key


Play button


Play button




Click to flip

46 Cards in this Set

  • Front
  • Back
The ____, or postpart period, is when the woman adjusts physically and psychologically to the process of childbirth. It begins immediately after birth and continues for approximately 6 weeks, or until the body has returned to a near prepregnant state.
The term ____ is used to describe the rapid reduction in size and the return of the uterus to a nonpregnant state. Following separatin of the placenta, the decidua of the uterus is irregular, jagged, and varied in thickness. The spongy layer of the decidua is cast off as lochia, while the inner layer forms the basis for the development of new endometrium.
Rather than forming a fibrous scar in the decidua, the placenta site heals by a process of exfoliation. The infarcted superficial tissue then becomes necrotic and is sloughed off. If healing of the placenta site left a fibrous scar, the area available for future implantation would be limited, as would the number of possible pregnancies.
Factors that slow uterine ____ include prolonged labor, anesthesia or excessive analgesia, difficult birth, grand multiparity, a full bladder, and incomplete expulsion of all of the placenta or fragments of the membranes. Factors that enhance it include an uncomplicated labor and birth, complete expulsion of the placenta or membranes, breatfeeding and early ambulation.
The ____, or top portion of the uterus, is situated in the midline midway between the symphysis pubis and the umbilicus. Within 6 to 12 hours after birth, this rises to the level of the umbilicus.
On the first postpartum day, the top of the fundus is located about 1 cm below the umbilicus. The topd of the fundus descends approximately __ finger-breadth per day until it descends into the pelvis on the 10th day.
If the mother is breastfeeding, endogenous ___ released by the posterior pituitary in response to suckling hastens involution of the uterus. Barring complications, the uterus approaches its prepregnant size and location by 5-6 weeks.
The uterus rids itself of the debris remaining after birth through a discharge called lochia, which is classified according to its appear and contents.
Dark red lochia? It occurs for the first 2-3 days and contains epithelial cells, erythrocytes, leukocytes, shreds of decidua and occasionally fetal meconium, lanugo, and vernix caseosa. It should not contain large clots; if it does the cause should be investigated without delay.
lochia rubra
Pinkish color lochia. It follows from about the 3rd until the 10th day. it is composed of serous exudate, shreds of degenerating decidua, erythrocytes, leukocytes, cervical mucus, and numerous microorganisms.
lochia serosa
Gradually the red blood cell component decreases, and locia ___, a creamy or yellow discharge persists for an additional week or two. This final discharge is composed primarily of leukocytes, decidual cells, epithelial cells, fat, cervical mucus, cholesterol crystals, and bacteria. When lochia flow stops, the cervix is considered closed, and chances of infection ascending from the vagina to the uterus decrease.
Persistant discharge of lochia rubra or return to lochia rubra indicates _____ or late postpartal hemorrhage.
The cervix admits two fingers for a few days following birth, but by the endof the first week it admits only ___ fingertip
After significant cervical laceration or several lacerations, the cervix may appear ______.
The apparent bruising of the vagina is due to pelvic congestion and will quickly disappear. The hymen, torn and jagged, heals irregularly, leaving small tags called the carunculae ______.
By __ weeks the nonlactating woman's vagina usually appears normal. Tone and contractility of the vaginal orifice may be improved by perineal tightening exercises such as Kegel's. The labia majora and labis minora are more flacid in the woman who has borne a child than in the nullipara
Inital healing of the ____ or laceration occurs in 2 to 3 weeks after the birth, although complete healing may take up to 4 to 6 months.
Menstruation generally returns between 6 and 10 weeks after birth; 50 percent of the first cycles are _______.
Overall, 65% of nonlactating mothers resume menstruation by ___ weeks and 90% within 6 months following birth.
The return of ovulation and menstruation in _____ mothers is usually prolonged.
Suckling by the infant typically results in alterationsin the gonadotropin-releasing hormone production, which is thought to be the causeof ______.
What is a separation of the abdominal muscle, may occur with pregnancy, especially in women with poor abdominal muscle tone.
diastasis recti abdominis
A maternal temperature of up to ___ (100.4) may occur after childbirth as a result of te exertion and dehydration of labor. After the first 24 hours, the woman should be afebrile, and a temperature of 100.4 F or greater suggest infection.
38 C
A low or decreasing BP may reflect hypovolemia secondary to ____ but it is a late sign.
Blood pressure elevations may result from excessive use of _____ or vasopressor medication.
Puerperal bradycardia with rate of ___ to ___ beats per minute commonly occurs during the first 6 to 10 days of the postpartal period. It may be related to decreased cardiac effort, the decreased blood volume following placental separation and contraction of the uterus, and increased stroke volume. Tachycardia occurs less frequently and is related to increased blood loss or difficult, prolonged labor and birth.
In general a decrease of two percentage points from the hematocrit at adminission to the birthing unit indicates a blood loss of ____ ml.
Diuresis in the first 2-5 days assists to decrease the extracellular fluid and results in a weight loss of _ kg.
An initial weight loss of about __ to ___ lb occurs as a result of birth of the infant and expulsion of the placenta and amniotic fluid.
_____, caused by intermittent uterine contractions, are more common in multiparas than in primiparas. Although the uterus of the primipara usually remains consistentaly contracted, the loss tone of the multiparas uterus results in alternate contraction and relaxtion. They may cause the mother severe discomfort for 2-3 days after birth. Breastfeeding may also increase their frequency.
What phase is this: During the first day or two after birth, the woman tends to be passive, somewhat dependent, andis focused on self. She follows suggestions, hesitates to make decisions, and is still rather preoccupied with her needs.
taking in period
What period is this: By the second or third day after birth, the new mother is ready to resume control over her life and shifts her focus to her infant. She may also feel that the nurse hangles her baby more proficiently than she dos. She requires assurance that she is doing well as a mother.
taking hold period
Maternal role ____ is the process by which a woman lears mothering behaviors and becomes comfortable with her identity as a mother.
What stage is this: occurs during pregnancy. The woman looks to role models, especially her own mother, for examples of how to mother.
The ____ stage begins when the child is born. The woman is still influenced by the guidance of others and tries to act as she believes others expect her to act.
The ____ begins when the mothers begins to make her own choices about mothering. The woman begins to develop her own style of mothering and find ways of functioning that work well for her.
The ___ stage is the final stage of maternal role attainment. When the women reaches this stage, she is comfortable with the notion of herself as mother.
The ______ ____ consist of a transient period of depression that occurs the first few days of the puerperium in 70% of all postpartal women. It may be manifested by tearfulness, anorexia, difficulty sleeping, and a feeling of letdown. Changing hormone levels are certainly a factor; psychologic adjustments, an unsupportive environment, and insecurity also have been identified as potential causes. Fatigue, discomfort, and overstimulation may play a part as well. Usually resolve naturally within 10-14 days , but if they persist or symtoms worsen, the woman may need evaluation for this.
postpartum blues
_______ is an interactional cycle that occurs simultaneously between mother and infant. It involves mutual cuing behaviors, expectancy, rhythmicity, and synchrony. The mother develops a new relationship with an individual who has a unique character and evokes a response entirely different form the fantasy response of pregnancy. When it is synchronous, the interaction between mother and infant is mutually gratifying and is sought and initiated by both partners.
The characteristic sense of absorption, preoccupation, and interest in the infant demonstrated by fathers during early contact is termed _______ .
If a woman is at increased risk for bleeding or is actually experiencing heavy flow of lochia rubra, the physician may also order what?
What is one method of relieving pain and edema after an episiotomy?
less than inch stain on peripad
less than four inch stain within 1 hour
less six inch stain iwthin on hour
saturated peripad within one hour