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40 Cards in this Set
- Front
- Back
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How long does lochia rubra last?
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1-3 days
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How long does lochia serosa last?
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3-10 days
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How long does lochia alba last?
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10th day and on
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When is cervix closed?
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When lochia alba is reached.
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1st degree episiotomy/ laceration involves....
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perineal skin and vaginal mucosa
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2nd degree episiotomy/laceration involves....
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1st degree PLUS muscle of perineum
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3rd episiotomy/laceration involves....
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1st & 2nd degree PLUS to rectal sphincter
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4th episiotomy/laceration involves....
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1st, 2nd & 3rd PLUS extending through sphincter
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When does transitional milk occur?
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7-10 days after birth
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Foremilk is....
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watery, quenches thirst
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Hindmilk is....
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higher in fat content and contains 20kcal/oz
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What can help with engorgment?
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Ice or warm compresses, whichever relieves most for mom. Cabbage leaf and massage.
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What increase in vitamins for breastfeeding?
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Calcium and vit C
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Stage 4 is when?
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1-4 hours after delivery
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Postpartum temp may be...
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increased d/t dehydration; may increase with milk production. If increased > 24 hours, may inidicate infection
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Coagulation changes
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Increased clotting factors along with decreased ability to break down clots.
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What are some urinary system changes?
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proteinuria X 1-2 days
ketonuria elevated BUN |
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What joints don't return to pre-pregnant state?
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Feet
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What Rubin's phase includes:
Passiveness Need to talk about birth Willing to let others care for baby. Focus on food, sleep, fluids |
Taking-In Phase (1-2 days)
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What Rubin's phase includes:
Interest in caring for baby Assumes responsibility for own care. Good time for teaching |
Taking-Hold Phase
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What Rubin's phase includes:
Giving up previous lifestyle Give up ideal birth experience Give up fantasy child and accept real child |
Letting-Go Phase
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List features of past-partum blues
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Mild, transient emotional lability & crying with no apparent reason.
Affects up to 80% Fatigue Anxiety Restlessness HA Sadness |
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List *mild* post-partum depression symptoms
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Irritable
Guilt Shame Unworthiness Sense of loss of self |
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List *moderate* post-partum depression symptoms
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spontaneous crying
insomnia/hypersomnia fatigue decreased concentration food cravings |
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List *severe* post-partum depression symptoms
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violent outbursts
uncontrollable crying disinterest in infant annoyance with care demands possible thoughts of infant harm |
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What are some ways to TX post-partum depression?
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psychotherapy
social support anti-depressants hormonal skin patches exercise proper nutrition rest |
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What position should the patient be in for a full post-partum assessment?
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lying in bed with the HOB flat
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If given the rubella immunization what is a precaution to tell patient?
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Don't get pregnant X 1-3 months
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If a mother is RH- and baby is RH+ when must Rhogam be given?
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within 72 hours
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What is usually the 1st sign of hypovolemic shock?
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tachycardia
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What are signs of hypovolemic shock?
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tachycardia
tachypnea narrow pulse pressure pale, cole clammy skin anxiety confusion, restlessness, lethary oliguria hypotension |
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How many mL does 1 gram equal?
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1mL
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How many mL's does a saturated pad contain?
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100mL
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What are some medications used to treat PP hemorrhage?
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Pitocin/methergine
carboprost |
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What could an unrepaired laceration lead to?
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Prolapse in later life
(cystocele/rectocele) |
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What are some TX for retained placental fragments?
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D & C
oxytocin methergine carboprost prostaglandins antibiotics |
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Where are frequent sites of hematomas?
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incision edge
vulva pudendal site vaginal mucous membrane |
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What are some S/S of hematoma?
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difficulty voiding
severe pain edema discoloration *possible hypovolemic shock with normal lochia flow |
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Hematoma TX....
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ice packs
assess size & reassess freq. vaginal packing surgical repair (I&D) |
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What is thrombophlebitis?
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blood clot in inflamed vein
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