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15 Cards in this Set

  • Front
  • Back
when does the 4th stage of labor being?
after delivery of the placenta
what are the 3 phases of the 4th stage of labor and how long do they last?
immediate- 1st 24 hours
early- 1st week
late- up to 6 weeks
temperature can increase during 1st 24 hours due to:
breast engorgement, muscular exertion, dehydration, hormones
bradycardia is common due to decreased workload; if HR over 100 __, __ or __ may be indicated
hypovolemia, infection, pain
define subinvolution
slowed descent of fundus/uterus after delivery
after 24 hours, the level of the fundus decreases by __ every day below the __; should be at level of __ on 7th day; not palpable by __ day
1 cm, umbilicus
symphysis pubis
10th
what are the 3 stages of lochia and how long do they last?
rubra- days 1-3,
serosa- days 4-9,
alba- days 10-14 (can last up to 6 weeks)
what is the EBL with vaginal deliveries? with c-sections?
300-400 ml
600-800 ml
__ __ incontinence common during 1st 6 weeks postpartum
transient stress
postpartum blues occur around __ day in > __ % of women and usually resolves on its own in __-__ days
3rd; 50; 10-14
postpartum ___ occurs in 7-30 % of women, usually in __paras
depression; multiparas
postpartum __ occurs within first __-__ months and is an emergency situation
psychosis; 1-3
needs rhogam while pregnant if Rh __ and need after delivery if ___
negative; baby Rh positive
what is the leading cause of postpartal hemorrhage?
uterine atony
what is considered hemorrhage in a vaginal delivery? in a c-section?
more than 500 ml
more than 1000 ml

*or 10% decrease in Hct between admission and delivery*