Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
Define involution?
|
decribes the rapid reduction in size of uterus and its return to a condition similar to its prepregnant state, although it remains slightly larger than it was before the first pregnancy
|
|
|
Weight of uterus decreases from ______ g in immediate postpartal period to _____ g at the end of the first week.
It reaches _____ g by the end of the second weeks, finally terminating the involution process with a weight of ____ g or less. |
1000
500 300 100 grams or less terminates involution process |
|
|
Involution of placental site takes up to ____ to ___ weeks for completion.
|
6 to 7
|
|
|
Define puerperium?
|
postpartal period
takes about 6 weeks |
|
|
Define fundus?
|
top portion of uterus
situated in mmidline of abdomen one half to two thirds of the way between symphysis pubis and umbilicus |
|
|
Prolonged labor retards involution by?
|
muscles relax because of prolonged time of contraction during labor
|
|
|
Anesthesia prolongs involution by?
|
muscles relax
|
|
|
Difficult birth prolongs involution by?
|
uterus is manipulated excessively
|
|
|
Grandmultiparity prolongs involution by?
|
repeated distention of uterus during pregnancy and labor leads to muscle stretching, diminished tone, and muscle relaxation
|
|
|
Full bladder prolongs involution by?
|
as the uterus is pushed up and usually to the right, pressure on it interferes with effective uterine contraction
|
|
|
Incomplete expulsion of placenta or membranes prolongs involution by?
|
the presence of even small amounts of tissue interferes with ability of uterus to remain firmly contracted
|
|
|
Infection prolongs involution by?
|
Inflammation interferes with uterine muscles' ability to contract effectively
|
|
|
Overdistention of uterus prolongs involution by?
|
overstretching of uterine muscles with conditions such as multiple gestation, hydramnios, or a very large baby may set the stage for slower uterine involution
|
|
|
Define lochia?
|
afterbirth
has a musty, stale unoffensive odor |
|
|
Define lochia rubra?
|
dark red in color
present for first 3 to 4 days postpartum should not contain large clots..investigate immediately nickel-sized clots are considered normal contains: epithelial cells erythrocytes leukocytes bacteria shreds of decidua occasional fetal meconeum lanugo vernix caseosa |
|
|
Define lochia serosa?
|
pinkish to brownish color
follows from fourth to tenth day contains: serous exudate shreds of degenerating decidua erythrocytes leukocytes cervical mucus mcos |
|
|
Define lochia alba?
|
final discharge
rbc component decreases gradually creamy or yellowish discharge persists for one to two weeks contains: leukocytes decidual cells epithelial cells fat cervical mucus cholesterol crystals bacteria may continue for 2 to 86 days |
|
|
Define diastasis recti abdominis?
|
separation of rectus abdominis muscles
|
|
|
Define afterpains?
|
occur more commonly in multipareas than primaparas..
caused by intermittent uterine contractions |
|
|
Normal findings in postpartum mother?
|
blood pressure back to baseline
pulse: 50-90 bpm; check for possible bradycardia 50-70 bpm respirations: 16-24/minute temp: 98-100.4 F breasts: smooth, even pigmentation, changes of pregnancy still apparent, one may appear larger palpation: depending on postpartal day, may be soft, filling, full, or engorged nipples: supple, pigmented, intact, become erect when stimulated abdomen: musculature: may be soft, have a "doughy" texture; rectus muscle intact fundus: firm, midline, following expected process of involution lochia: scant to moderate amount, earthy odor, no clots normal progression: first 1-3 days: rubra then serosa perineum slight edema and bruising in intact perineum episiotomy: no redness, edema, ecchymosis, or discharge; edges well approximated hemorrhoids: none present; if present, should be small and nontender urinary output: voiding in sufficient quantities at least every 4-6 hours; bladder not palpable bowel elimination: should have normal bowel movement by second or third day after birth |
