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6 Cards in this Set
- Front
- Back
Involution
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The reduction in the size of the uterus after delivery to prepregnant size
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What causes involution
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It is caused by uterine contractions that constrict and occlude underlying blood vessels at the placental site
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Clients who breastfeed will experience what re involution
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They will experience a more rapid involution b.c of the release of Oxytocin during breastfeeding
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Pain and involution?
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Client will feel cramping
Give Ibuprofen 600-800 mg and Percocet |
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Factors that enhance involution - CUBA
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Complete expulsion of placenta and membranes
Uncomplicated labor and delivery Breastfeeding Ambulating early |
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Factors that slow involution - PAIR FOG
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˗ Prolonged labor and difficult delivery
˗ Anesthesia ˗ Infection ˗ Retained placental fragments or membranes ˗ Full urinary bladder: need to void 6-8 hrs postop or Foley/straight cath ˗ Overdistention of the uterus possibly due to multiples, fibroids ˗ Grand multiparity ie one baby after another |