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38 Cards in this Set
- Front
- Back
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normal weight of uterus before pregnancy
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2 oz
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size of uterus at term pregnancy
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2 lbs 8 oz
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facilitate blood flow to uterus
promote oxygen flow to fetus tones uterus to prepare for labor |
Braxton Hicks contractions
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2 changes to perineal during pregnancy
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varicose veins
hemorrhoids |
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3 changes to perineum postpartum
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labia majora & minora similar in size
episiotomy vs no episiotomy hemorrhoids |
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gastrointestinal changes during pregnancy & postpartum
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appetite & thirst increase
gastric acid & pepsin levels decrease constipation occurs hemorrhoids may appear in third trimester |
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begins immediately after birth and continues for up to 6 weeks or until body returns to near pre-pregnant state
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postpartal period
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physiological changes during postpartal period include
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placental site heals by exfoliation
involution |
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the rapid reduction in size and the return of the uterus to nonpregnant state
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involution
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top portion of the uterus is called this
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fundus
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where is the fundus/uterus typically found immediately after delivery
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midway between symphysis pubis & umbilicus
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where is the fundus/uterus typically found 6-12 hrs after delivery
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rises to level of umbilicus
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what is the rate of descention of the fundus/uterus
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descends 1 cm/day below umbilicus for 5-6 weeks
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to which side will uterus displace if bladder is full
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to the right side
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maternal discharge of blood, mucus & tissue from the uterus; may last for several weeks after birth
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lochia
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color changes of lochia
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bright red
rubra serosa alba clear |
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when would you expect to find bright red lochia
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at birth
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when would you expect to find lochia rubra
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2-4 days after birth
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when would you expect to find lochia serosa
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3-10 days after birth
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when will menstruation begin after pregnancy
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~ 6 weeks
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how much weight loss occurs at pregnancy
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10-12 lbs
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what should non breastfeeding moms do to prevent milk production
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watch the amount they drink
cabbage leaves for 20 min binding |
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psychlogic adaptation occuring during first 2 days after birth where woman tends to be passive & dependent. Relives birthing experience over & over.
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taking-in
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psychlogic adaptation occuring by second or third day after birth where woman is ready to resume taking control over her body & life
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taking-hold
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transient period of depression that occurs during first few days after delivery. usually resolves w/in 14 days w/o intervention
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postpartum blues
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clinical manifestations of postpartum blues
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tearfulness
anorexia difficulty sleeping feeling of let down |
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causes of postpartum blues
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changing hormone levels
unsupportive environment fatigue discomfort overstimulation |
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difference between blues & depression
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depression usually lasts 6 weeks or more.
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best time to perform physical assessment
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first thing in the morning or before supper
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BUBBLE-HA(T)
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Breasts
Uterus Bladder Bowel Lochia Episiotomy/Laceration Homan's/Hemorrhoids Attachment Teaching |
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things to check during breast assessment
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are they tender
nipples fissures or cracks lungs - check lung sounds - roll pt to side - also helps to see blood on blue pad |
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things to check during uterine assessment
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firm uterus
location of fundus generally more gentle if pt had c-section, more firm if vag delivery |
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things to check during bladder assessment
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any problem with voiding, pain, burning
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things to check during bowel assessment
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have they had a BM
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things to check during lochia assessment
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how much bleeding
clots |
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things to check during episiotomy assessment
REEDA scale |
Redness
Edema Ecchymosis Discharge (right amt, type) Approximattion |
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4 physical & developmental tasks to accomplish prior to discharge
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restore physical condition (up & moving)
develop competence in caring for infant establishing relationship w/infant adapting to altered lifestyle & family structure |
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components of discharge assessment
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physical exam
discharge teaching - maternal & child care rubella, RhoGAM, TDAP, if indicated & desired referrals follow-up exams |
