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15 Cards in this Set

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How is the puerperium period defined?
Postpartum period= first 6 weeks after delivery
What must one be careful to inspect for after a vaginal birth?
Hematomas
What are common conditions associated with prolonged second stage of labor from a vaginal birth?
Hemorrhoids- managed over the counter hemorrhoid meds, stool softeners, and ice packs
What is postoperative ileus and when is it found?
Ileus is a Mechanical, dynamic, or adynamic obstruction of the intestines; may be accompanied by severe colicky pain, abdominal distention, vomiting, absence of passage of stool, and often fever and dehydration. Pain management and use of narcotics can contribute to the ileus.
What is given to patients for routine prophylaxis against infection in a casesarian?
first or second generation cephalosporins
When do patients usually experience the onset of lactation, engorgement or "let down"? And what happens?
Approximately 24 to 27 hours postpartum. Breasts become uniformly warmer, firmer, and tender. Patients may complain of pain or warmth in the breasts and may experience a low-grade fever.
What does engorgment mean? What relieves engorgement?
Mechanical, dynamic, or adynamic obstruction of the intestines; may be accompanied by severe colicky pain, abdominal distention, vomiting, absence of passage of stool, and often fever and dehydration.
What are usueful for patients that are not breastfeeding to help management symptoms of let down?
Ice packs, a tight bra, analgesics, and anti-inflammatories are all useful
What are usueful for patients that are breastfeeding to help management symptoms of let down?
Breast-feeding itself, although this itself can lead to its own difficulties such as tenderness, and erosions around the nipple.
How long after birth must patients wait before resuming sexual activity?
6 weeks
What are the first line hormonal modes of contraception recomended to patients who are breast-feeding?
Progesterone-only minipill Norplant and Depo=Provera
What form of contraception is recomended to patients who are not interested in breast-feeding?
Estrogen-progesterone (OCP) combinations have been shown to decreased milk production, so are usually recommended only to those patients who are not interested in breast-feeding. However can be used if patient starts OCP 4-6 weeks postpartum.
What are the nonhormonal methods of contraception and their benefits?
condoms (good for protection against STDS), Barrier methods of diagphram and cervical cap should be avoided until 6 weeks postpartum when the cervix has returned to its normal shape and size. IUD (intrauterine devices) may have a higher rate of extrusion in the immediate postpartum
How many days do insurance companies cover after delivery?
2 days after vaginal, 4 days after cesarean
What are the issues that must be addresed in a vaginal delivery before the patient is discharged?
Perineal care, contraception, breast care, post partum "blues", counseling problems patiend has transitioning to home life