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31 Cards in this Set
- Front
- Back
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Puerperium period
overview |
-childbirth to comlete involution
-time of physical and psychological adjustment to childbearing -considered 4th trimester |
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Placental site
overview |
-7 cm in length
-heals by exfoliation -new endometrium is generated at the site |
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Involution of the uterus
def |
-the changes in the reproductive organs esp the uterus which occur after child birth because the organs are returning to their non pregnant size and condition
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Involution of the uterus
events that take place |
-contraction of the uterus
- catabolism (cells get smaller) -regeneration of the epithelium |
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factors that impede or slow involution
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-full b ladder
-anesthesia -retained placenta -exausted uterus |
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How long firm uterus can be felt
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10-14 days
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Effect of oxytocin
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-anterior pituitary produces milk
-prolactin makes the milk -oxytocin brings the milk doen -primipara has more uterine tone |
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Lochia
rubra |
-dark red
-1-3 days |
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Lochia
Serosa |
-pink
- 4-10 days |
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Lochia
Alba |
-whitish
-11-21 days |
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persistant rubra may indicate
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-retained placenta
- not involuting properly |
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Non breast feeding mother
teaching |
-good supportive bra
-ice -avoid warm water on breasts in shower |
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colostrum
amount/time |
2-4 days
1 tbsp per breast |
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Engourgement
timing |
2-4 days
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sore cracked nipples means
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improper attachement
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Postpartum cerix
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- will return to normal firmness and size in one week
-os will be slightly open -external os closes in 18 hours |
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first degree laceration
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mucousa and or skin
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2nd degree laceration
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deeper/ ? muscle
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3rd degree laceration
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anal sphicnter
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4th degree laceration
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rectal mucosa
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Perineal Care
Nursing Interventions |
- ice
-sitz bath -topical medications -peri bottle |
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Hormones of pregnancy
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-estrogen
-progesterone -human placental lactogen -human chorionic gonadotropin -aldosterone all must return to normal post pregnancy |
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Inital weight loss
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17-20 lbs in the forst few days
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Non BF Menstaration
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- returns in 7-9 weeks
-50 % ovulate prior |
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BF menstration
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12 weeks
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HCT and blood loos
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- > within 2-3 days
- 250 cc = 4 points |
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Postpartum labs
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- > WBC
- |
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Postpartum VS
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- Low BP
- low HR -Temp 98-100.4 (24 hours) |
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Post partum blues
sx |
- crying
-fatigue - anxiety -mood swings - greater than 1 week- call MD |
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Post op C sect
care |
- asses for Paralytic ileau
-DVT -Monitor UO - Itchiness |
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Rhogam
administereed when |
28 weeks
72 hours after birth |
