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40 Cards in this Set

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  • Back
This is the process of the uterus returning to a non pregnant state.
Involution. It begins with the expulsion of the placenta.
Describe the Post Partum Period.
The six week period following birth until the return of reproductive organs to normal non pregnant state.
Give two alternate terms for Post Partum.
4th Trimester or Puerperium.
What is Lochia. Describe the three types.
It is postbirth uterine discharge.
Rubra - Mainly Blood
Serosa - Pink or Brown after 3-4 Days.
Alba - Yellow to White 10 days after childbirth.
Differentiate between Lochial and Non Lochial Bleeding.
Lochial trickles from the vaginal opening. The steady flow is greater as the uterus contracts.
How long does it take for the abdomen to return to is nonpregnancy state?
About 6 weeks.
Define Postpartal Diuresis.
Within 12 hours women begin to loose excess tissue volumes due to decreased estrogen. About 2.25kg is lost during puerperium.
Describe spontaneous bowel evaucation post partum.
Can occur spontaneously for 2-3 days after childbirth.
What should a new mother be taught if a lump is felt in her breast?
Note the location. Unlike tumors, milk sacs move from day to day.
What is the progression of discharge from the lactating breast?
It begins with yellowish fluid, colostrum then progresses to bluish-white milk that appears like skim milk.
What is colostrum?
colostrum (kō-lŏs′trŭm) [L.] Breast fluid that may be secreted from the second trimester of pregnancy onward but that is most evident in the first 2 to 3 days after birth and before the onset of true lactation.
What happens to H/H after childbirth.
H/H rise by the 5th PP day, because there is a greater loss of plasma. It should be WNL at 8 weeks PP.
Describe Temperature after childbirth.
During the first 24 hours may rise to 38C as a result of labor dehytration. Should be afebrile at 24h.
What are some of the reasons that temperature may exceed 38C?
Puerperal sepsis, mastitis, endometritis, UTI or other systemic infection.s
Describe Pulse PP.
They remain elevated for the 1st hour along with stroke volume and cardiac output. They should return to normal levels by 8-10 weeks.
What might a continued rapid HR mean PP?
Hypovolemia as a result of hemorrhage.
What is lanugo?
(lă-nū′gō) [L. lana, wool] 1. Downy hair covering the body. 2. Fine downy hairs that cover the body of the fetus, esp. when premature.
What is vernix caseosa?
A protective sebaceous deposit covering the fetus during intrauterine life, consisting of exfoliations of the outer skin layer, lanugo, and secretions of the sebaceous glands.
Is BP always assessed on a newborn?
No, irregular, very slow or very fast heart rate might indicate the need for a BP assessment.
What is a normal axillary tempearture for a newborn?
36.5 (37) 37.2
What is significant about infant respirations.
They are abdominal in nature.
How long should respirations be assessed in an infant, and why?
A full minute, because short periods of apnea are normal.
What is an exptected RR for an infant?
Between 30 and 60 breaths a minute, with 40 being the average. May be more if infant is very active or crying.
Describe the pulse assessment on an infant.
Preferably when asleep.

Rate may range from 100-180 bpm, but should be 120-140 when condition is stabalized.
Describe procedure and expected response to sucking and rooting.
Touch the lip, cheek, or corner of the mouth.
The infant should turn head, open mouth, take hold, and sucks.
Describe procedure and expected response to swallowing.
Swallowing usually follows sucking and obtaining fluids without gagging, coughing or vomiting.
Describe procedure and expected response to Grasp.
Place finger in palm of hand or base of foot. The infants fingers or toes should curl downward.
Palmar lessons by 3-4 months. Plantar lessens by 8 months.
Describe procedure and expected response to Extrusion.
Touch or depress tip of tongue. The newborn forces tongue outward. It disappears about the 4th month of life.
Describe procedure and expected response to Glabellar.
Tap over forehead, bridge of nose or maxilla whose eyes are open. The newborn blinks for the first four or five taps. Continued blinking with repeated taps is consistent with extrapyramidal disorder.
Describe procedure and expected response to Moro's reflex.
Place infant on flat surface. Strike surface to startle infant. Arms abduct and fingers fan out and form a "C" with thumb and forefinger.
Describe procedure and expected response to Stepping or Walking.
Hold infant vertially, allowing one foot to touch table or surface. Infant will simulate walking, alternating flexion and extention. Term walk on their soles, pre-term on their toes.
What should be remembered when weighing an infant?
It should be done the same time each day. Protect newborn from heat loss.
What is normal length of a newborn?
45-(50)-55 cm.
What is a normal head circumference?
33-35cm (Might range from 32-36.8cm)
Where is the chest circumference measured? What should the measure be?
Measure at the nipple line. 1-2 days after birth it should be the same as the head. After that point it should be 2-3cm less than the head.
Describe procedure and expected response to skin assessment.
It is generally pink but might have mottling, harlequine sign, plethora, milia.
How soon should the infant void?
Withing 24 hours.