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37 Cards in this Set

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  • Back
How long does the pueperium period last?
about 6-8 weeks
The uterus weighs about how much and has a volume of how much right after birth?
-1,000g
-5,000mL
Right after birth, the fundus of the uterus is easily palpable where?
halfway btw the pubic symphysis and the umbilicus
The uterus returns to the pelvis by how long postpartum?

Back to normal size?
-2 weeks

-6 weeks
By about how long postpartum does the endometrium is reestablished in most patients?
3 weeks
Vulvular and vaginal tissues return to normal when?
over first several days
After birth, the hymen is represented by several tags of tissue called what?
myrtiform caruncles
Ovulation can occur how soon after birth in non breast feeding women?

-breast feeding women?
4-5 weeks

-10 weeks
Estrogen levels fall immediately after delivery in all pts, but begin to rise approximately how long after deliver if breast feeding is not undertaken.
2 weeks
Separation of teh rectus muscles and fascia is known as what?
Diastasis recti
Pregnancy-related cardio changes return to normal how soon after birth?
2-3 weeks
The leukocytosis seen during labor persists into early postpartum for several days, which makes what difficult?
identifying any infection
Why should drugs with renal excretion be given in decreased doses during the first few weeks postpartum?
bc the GFR rate is still elevated
Ureter and renal pelvis dilation regresses when?
6-8 weeks after birth
Urinary stress incontinence usually regresses by how long?
3 months
The likelihood of serious postparturm complications is greatest when?
immediately after delivery
Heavy baginal bleeding btw 8-14 days postpartum, most likely associated with the separation and passage of what?
placental eschar
How soon after birth should ambulation begin?
as soon as possible
Breast engorgement in women who are not breast feeding typically happens when?

tx includes?
-3 days

-breast binders, ince packs, Bromocriptine
Breast feeding women may get postpartum mastitis, which is manifested by what?
-high fever
-chills
-pain
-local erythema
-firmness of the breast
It is common for a patient not to have a bowel movement for how long after delivery?
1-2 days
Periurethral edema after vaginal delivery may cause what?
transitory urinary retention
Perineal pain can be minimized by the use of what things?
-analgesics
-ice bags
-local anesthetic spray
Coitus may be resumed when after pregnancy?
as soon as the patient is comfortable
Weight loss emmediatley after delivery is what?

per week afterwards?
-5-6kg

-2-3 kg per week
What are some benefits of breast feeding?
-convenience
-decreased cost
-improved infant nutrition
-protection against infection
Suckling by the infant stimulates the release of what?
oxytocin from the neurohypophysis
Prolactin release is also stimulated by suckling, with resultant secretion of what?
fatty acids, lactose, and casein
Colostrum is produced for how long post partum?
first 5 days
Colostrum contains what immunoglobulins?
A
For milk to be produced on an ongoing basis, what must there be?
adequate insulin, cortisol, and thryroid hormone, and adequate nurtients and fluids in the diet
All vitamins except what are found in human milk?
K
After each feeding, what should the nipple care include?
washed with water and exposed to air for 15-20 minutes
What are the three main causes of an enlarged tender breast postpartum?
-Engorgement
-mastitis
-plugged duct
Mastitis is associated with infections by what bacteria?
-S aureus
-B-hemolytic strep
-H. Flu
A plugged duct is treated with what?
warm packs and a breast pump
What are some medications that are contraindicated in breast feeding?
-Li
-tetracycline
-bromocriptine
-methotrexate
-any radioactive substance
-illegal substances