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36 Cards in this Set
- Front
- Back
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The postpartum period encompasses?
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Time between delivery until the reproductive organs have returned to their prepregnant state
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Postpartum period is also called?
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Puerperium
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Postpartum starts at the ___ stage of labor
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4th
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Define the Rubin's maternal phases
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Restorative phases that the mother must go through to replenish the energy lost during labor and to gain comfort in the role of a mother
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What are the 3 phases in Rubin's maternal phases?
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- Taking in
- Taking hold - Letting go |
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True or False
Postpartal blues are normal for about 1-2 weeks after pregnancy. |
True
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Uterine involution is ?
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The rapid reduction in size and return of the uterus to its normal size and condition
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Uterine involution, placental sealing, and uterine shrinking occur ?
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Immediately after delivery
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The uterus shrinks ____ fingerbreath below the umbilicus every day.
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One
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Where should the fundus be in relationship to the abdomen?
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Midline
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If the patient's fundus is shifted to the left or right what should you ask the patient?
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When is the last time you voided?
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How should a uterus feel after delivery?
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Firm
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What is a boggy uterus? what is done to fix it?
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- It is soft, difficult to find
- Fundus must be massaged till firm to prevent pooling of blood or hemorrhage |
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If a patient complains of cramps while breatfeeding what do you tell them?
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That it is completely normal. Breastfeeding releases oxytocin which causes the uterus to contract.
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What are the 3 kinds of lochia?
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- Rubria
- Serosa - Alba |
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When is lochia rubra seen? what does it look like?
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-First 3 days PP
- Bright red |
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When is lochia serosa seen? what does it look like?
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- about the 4th day PP
- Pink or brown tinged |
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When is lochia alba seen? what does it look like?
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- about the 11th day PP and lasts 3-6 weeks
- Colorless or white |
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True or False
Saturating a perineal pad in less than one hour is considered normal. |
False, it is considered abnormal and should be looked at quickly
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Should locia contain large clots?
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No
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If the lochia is at serosa but changes back to rubria, what is this indicative of?
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New bleeding
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Do both the internal and external os of the cervix close completely after delivery?
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No only the internal os, the external os will remain slightly open and look like a slit
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What type of exercises are encouraged to help with the muscles in the vagina?
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Kegal exercises
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Vital signs right after delivery should be taken?
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every 15 min for the first hour
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What temp is considered febrile and postpartal infection should be suspected?
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>100.4 F
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How long is colostrum produced?
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For 2 days
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When does milk form in the breasts?
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3rd day PP
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How often should you palpate the fundus after delivery?
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every 15 mins in the first hr
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How many additional calories should be maintained if breastfeeding?
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500 cal
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What are important nursing interventions for the PP patient?
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- Promote rest
- Promote adequate fluid intake - Promote urinary elimination - Prevent constipation and hemorrhoids |
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What does BUBBLEHE stand for?
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Breast
Uterus Bladder Bowel Lochia Episiotomy Hormones Emotions |
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Prolactin is a hormone that does what?
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Promotes milk production by stimulating the alveolar cells of breasts
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Oxytocin is a hormone that does what?
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Triggers the Let down reflex and a flow of milk results
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What is the daily calorie intake for a newborn?
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45 to 50 kcal/lb
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What is the daily fluid intake for a newborn?
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100 to 150 mL/kg (45-68 mL/lb)
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When does mature milk come in?
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after 2 weeks
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