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37 Cards in this Set
- Front
- Back
How long does the pueperium period last?
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about 6-8 weeks
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The uterus weighs about how much and has a volume of how much right after birth?
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-1,000g
-5,000mL |
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Right after birth, the fundus of the uterus is easily palpable where?
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halfway btw the pubic symphysis and the umbilicus
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The uterus returns to the pelvis by how long postpartum?
Back to normal size? |
-2 weeks
-6 weeks |
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By about how long postpartum does the endometrium is reestablished in most patients?
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3 weeks
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Vulvular and vaginal tissues return to normal when?
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over first several days
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After birth, the hymen is represented by several tags of tissue called what?
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myrtiform caruncles
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Ovulation can occur how soon after birth in non breast feeding women?
-breast feeding women? |
4-5 weeks
-10 weeks |
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Estrogen levels fall immediately after delivery in all pts, but begin to rise approximately how long after deliver if breast feeding is not undertaken.
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2 weeks
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Separation of teh rectus muscles and fascia is known as what?
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Diastasis recti
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Pregnancy-related cardio changes return to normal how soon after birth?
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2-3 weeks
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The leukocytosis seen during labor persists into early postpartum for several days, which makes what difficult?
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identifying any infection
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Why should drugs with renal excretion be given in decreased doses during the first few weeks postpartum?
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bc the GFR rate is still elevated
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Ureter and renal pelvis dilation regresses when?
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6-8 weeks after birth
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Urinary stress incontinence usually regresses by how long?
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3 months
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The likelihood of serious postparturm complications is greatest when?
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immediately after delivery
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Heavy baginal bleeding btw 8-14 days postpartum, most likely associated with the separation and passage of what?
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placental eschar
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How soon after birth should ambulation begin?
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as soon as possible
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Breast engorgement in women who are not breast feeding typically happens when?
tx includes? |
-3 days
-breast binders, ince packs, Bromocriptine |
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Breast feeding women may get postpartum mastitis, which is manifested by what?
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-high fever
-chills -pain -local erythema -firmness of the breast |
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It is common for a patient not to have a bowel movement for how long after delivery?
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1-2 days
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Periurethral edema after vaginal delivery may cause what?
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transitory urinary retention
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Perineal pain can be minimized by the use of what things?
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-analgesics
-ice bags -local anesthetic spray |
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Coitus may be resumed when after pregnancy?
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as soon as the patient is comfortable
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Weight loss emmediatley after delivery is what?
per week afterwards? |
-5-6kg
-2-3 kg per week |
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What are some benefits of breast feeding?
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-convenience
-decreased cost -improved infant nutrition -protection against infection |
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Suckling by the infant stimulates the release of what?
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oxytocin from the neurohypophysis
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Prolactin release is also stimulated by suckling, with resultant secretion of what?
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fatty acids, lactose, and casein
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Colostrum is produced for how long post partum?
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first 5 days
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Colostrum contains what immunoglobulins?
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A
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For milk to be produced on an ongoing basis, what must there be?
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adequate insulin, cortisol, and thryroid hormone, and adequate nurtients and fluids in the diet
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All vitamins except what are found in human milk?
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K
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After each feeding, what should the nipple care include?
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washed with water and exposed to air for 15-20 minutes
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What are the three main causes of an enlarged tender breast postpartum?
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-Engorgement
-mastitis -plugged duct |
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Mastitis is associated with infections by what bacteria?
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-S aureus
-B-hemolytic strep -H. Flu |
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A plugged duct is treated with what?
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warm packs and a breast pump
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What are some medications that are contraindicated in breast feeding?
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-Li
-tetracycline -bromocriptine -methotrexate -any radioactive substance -illegal substances |