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21 Cards in this Set
- Front
- Back
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What is involution?
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retrogressive changes of the uterus that return it to its prepregnancy size
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What is lochia?
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vaginal discharge that occurs after birth
will be bloody, clotty and a moderate flow at first |
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What are some things that can cause involution to be slowed?
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prolonged labor, difficult delivery, overdistended uterus, grand multiparity, retained placental fragments, full urinary bladder and infection
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When is the cervix considered completely closed?
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when lochia completely stops
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What are the three stages of lochia?
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rubra, serosa and alba
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Describe rubra
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color: bright red, bloody, clotty
odor: fleshy odor amt: heavy to moderate flow days: 1-3 days post partum |
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Describe serosa
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color: pink to pink brown, serous, no clots
odor: no odor amt: decr. in flow (light) days: 5-7 days post partum |
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Describe alba
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color: cream to yellowish, may be brownish
odor: no odor amt: scant days: 1-3 weeks post partum |
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When should you advise your pt to expect her mentuation cycle to return?
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usually by 12 weeks or so
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When can you expect your pt. cervix and vagina to return to prepregnancy state?
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6-8 weeks
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Your pts BP should return to normal rapidly after giving birth. What could it mean if it doesn't and becomes too low? too high?
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decr. BP could indicate excessive blood loss
incr. BP could indicate pregnancy induced hypertension |
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What are the 3 stages of the maternal adjustment period?
(Reva Rubin) |
taking in
taking hold letting go |
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While doing your assessment on your 12 hour postpartum pt. you find her temperature to be 100.8. What might you suspect this to mean?
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that there is a possible infection
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During your postpartum assessment you find your pts HR to be 65 bpm. What can you derive from this finding?
105 bpm? |
65bpm: good rate, (50-70)
105bpm: tachycardic (need to report this finding asap) |
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What things should you watch for while assessing your pts respirations?
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watch for signs of pulmonary edema or pulmonary emboli
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What would you be concerned about if your pts BP elevated and she complained of a headache and blurred vision?
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Pregnancy induced hypertension
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What would you be concerned about if you notice that your pts BP was gradually going down and her pulse rate was going up?
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hemorrhage
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What does BUBBLE-HEB stand for?
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B = breasts
U = uterus B = bladder B = bowel L = lochia E = epis/perineum H = homans sign E = emotional status B = bonding |
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When should your postpartum pt. void?
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within 4-6 hours of delivery
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When should you do a homan signs on your pt.?
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only if you don't see any redness, swelling or warmth in the pedal area
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When can your pt. begin sexual intercourse again?
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after 4- 6 weeks when the lochia has completely stopped and the cervix is closed
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