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;
42 Cards in this Set
- Front
- Back
|
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
|
