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42 Cards in this Set

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CHAPTER SEVENTEEN
(Ignore this card)
What is the main goal during the immediate PP period?
To prevent PPH
When is the puerperium
begins after delivery of the placenta and ends when the body returns to prepregnant state - lasts about 6 weeks
What are the greatest risks during the PP period?
Hemorrhage, shock, infection
Decreased estrogen is associted with
breast engorgement, diaphoresis, and diuresis; diminished vaginal lubrication
Decreased progesterone is associated with
an increasae in muscle tone throughout the body
Decreased placental enzyme insulinase results in reversal of
the diabetogenic effects of pregnancy resulting in lower blood glucose levels STAT after birth
rhoGAM is administered in how many hours following birth
within 72 hours
The mother should receive an increase RhoGAM dose if how much fetal blood is detected?
15 mL in maternal circulation
BUBBLE-VT
Breasts, Uterus, Bowel, Bladder, Lochia, Episiotomy, Vital signs, Teaching
According to ATI, where should the fundus be STAT after birth?
at the level of the umbilicus
According to ATI, where should the fundus be 12 hours PP?
1 FB above the umbilicus
When should the fundus be halfway between the symphysis pubis and the umbilicus?
6th PP day
By what day should the uterus be within the true pelvis and no longer palpable?
by day 10
How often should the nurse assess the fundus after the recovery period has ended?
at least once per shift
Can oxytocin cause HTN or hypotension?
Hypotension
Methergine, ergonovine maleate, and carboprost cause HTN or hypotension?
HTN
Lochia rubra lasts
1-3 days after delivery
Lochia serosa occurs when?
days 4-10 after delivery
Lochia alba occurs when?
days 11 up to and beyond 6 weeks PP
What terms are used to describe lochia flow?
scant, light, moderate, heavy
Scant lochia flow
< 2.5 cm
Light lochia flow
< 10 cm
Moderate lochia flow
> 10 cm
Heavy lochia flow
one pad saturated within 2 hours
Continued flow of lochia serosa or alba beyond the normal length of time, especially if accompanied by fever, pain, or abdominal tenderness, may indicate
endometritis
Is it a normal finding to see a bright red trickle of blood from the episiotomy site in the early PP period?
Yes
To prevent infection, the patient should not wipe but
blot dry the perineal area
When should ice packs be applied to the perineum?
first 24-48 hours
What temperature should sitz baths be?
38-40C (100-104F)
When does diuresis and diaphoresis occur?
first 2-3 days PP
Elimination of the placenta diverts how much blood into the maternal systemic circulation?
500-750 mL
What is the WBC count PP and for how many days?
20-25k for first 10-14 days
Coagulation factors and fibrinogen levels increase during pregnancy and remain elevated for how long?
2-3 weeks PP
Possible orthostatic hypotension may result within the first 48 hours PP due to what?
splanchnic (viscera/internal organs) engorgement that can occur after birth
Pulse, stroke volume, and cardiac output for the first hour PP occurs and then decreases to baseline by when?
8-10 weeks
When should antiembolism hose be removed?
as soon as the patient is ambulating
What increases the risk of temporary PP anal incontinence that usually resolves in 6 months?
operative vaginal birth
Excessive urine diuresis (1500-3000 mL/day) is normal for how long PP?
2-3 day after delivery
Frequent voiding of less than 150 mL of urine is indicative of what?
urinary retention with overflow
Diastasis recti usually resolves within how many weeks?
6
What titer indicates that a client needs a sub-Q injection of rubella vaccine or MMR vaccine?
less than 1:8