Post Partum

Front 1

Uterine atony

Back 1

Failure of the uterine muscle to contract firmly. It is the most frequent cause of excessive post-partum bleeding.

Front 2

involution

Back 2

return of the uterus to it's non-pregnant state

Front 3

autolysis

Back 3

the self-destruction of excess hypertrophied uterine tissue as a result of the decrease in estrogen and progesterone level following birth

Front 4

puerperium

Back 4

4th trimester; terms used interchangeably with postpartum. Refers to the period of recovery after childbirth that lasts approximately 6 weeks.

Front 5

sub-involution

Back 5

failure of the uterus to return to a non-pregnant state. The most common causes for this failure are placental fragments and infection

Front 6

exogeneous oxytocin/pitocin

Back 6

medication usually administered IV or IM immediately after the expulsion of the placenta to ensure that the uterus remains firm and well contracted

Front 7

dyspariunia

Back 7

coital discomfort or pain with intercourse - happens before ovulation starts back up.

Front 8

What is the problem that can occur if the bladder is allowed to become distended?

Back 8

it displaces the uterus - risk for post-partum hemorrhage

Front 9

what are the factors that can interfere with bowel elimination in the post-partum period

Back 9

muscle tone
pain meds
pre-labor diarrhea
dehydration
anticipatory discomfort

Front 10

what are the factors that place a post partum woman at increased risk for thrombophlebitis?

Back 10

incr. clotting factors
vessel damage
decr activity
incr thrombosis factor

Front 11

couplet care

Back 11

nursing care management approach in which one nurse cares for both the mother and her infant

Front 12

Sitz bath

Back 12

20 min, 3x a day, warm water

Front 13

afterpains

Back 13

menstral-like cramps experienced by many women as the uterus contracts after childbirth. Worse with each subsequent pregnancy.

Front 14

what contributes to orthostatic hypotension post-partum?

Back 14

splanic engorgement. dilation of the blood vessels supplying the intestines as a result of the rapid decrease in intaabdominal pressure after birth. It causes blood to pool in the viscera.

Front 15

Rho-gam is given to who?

Back 15

Rh-negative, antibody (Coombs')-negative women who have Rh-positive newborns. admin at 28 weeks gestation and within 72-hours after birth

Front 16

What can help a post-partum woman void?

Back 16

warm water or sitz bath.

Front 17

what are the measure to prevent development of thrombophlebitis?

Back 17

exercise legs
early ambulation
wear support hose
well hydrated

Front 18

What are interventions for engorgement in a bottle-feeding mother?

Back 18

wear support bra
ice/ bag of frozen peas
back to shower
cabbage leaves
no heat
pain meds

Front 19

What are the interventions to prevent excessive post-partum bleeding?

Back 19

maintain uterine-firmness
prevent bladder distension
expell clots
massage fundus
admin oxytocin

Front 20

What is methergine?

Back 20

an oxytocic (to demonstrate expected lochial characteristics.

Front 21

before administering RhoGAM to a post-partum woman do what?

Back 21

verify that the Coomb's test results are negative

Front 22

When can you resume sexual activity?

Back 22

6 weeks

Front 23

entrainment

Back 23

newborns move in time with the structure of adult speech by waving their arms, lifting their heads, and kicking their legs, seemingly "dancing in tune" to a parents voice

Front 24

pink period

Back 24

period surrounding the first day or 2 after giving birth - heightened feelings of joy and well-being.

Front 25

When does the blue period happen.

Back 25

day 5 to 10

Front 26

"engrossment" happens to the __________

Back 26

father

Front 27

The height of the uterine fundus decreses by approximately _______

Back 27

1 cm/day (1 finger-breadth per day)

Front 28

The uterus cannot be palpated abdominally by what day?

Back 28

10 days post-partum

Front 29

a flaccid fundus indicates what? Do what for it?

Back 29

uterine atony, should be massaged until firm.

Front 30

A tender fundus indicates what?

Back 30

infection

Front 31

Rubra

Back 31

Bright red discharge that occurs from delivery day to day 3

Front 32

serosa

Back 32

brownish-pink discharge from day 4-10

Front 33

alba

Back 33

white discharge from day 11-14

Front 34

lochia:
scant=
light=
moderate=
heavy=
excessive=

Back 34

<1 inch
<4 inches
<6 inches
saturated pad in one hour
saturated pad in 15 minutes

Front 35

Temp may be elevated for 24 hours post-partum because of?

Back 35

dehydration

Front 36

What is a common and normal vital sign finding in post partum mothers?

Back 36

bradycardia(50-70BPM) in the first week

Front 37

What is the post-partum assessment mneumonic?

Back 37

BUBBLE-HE
B-breasts
U-uterus
B-bladder
B-bowel
L-lochia
E-episiotomy/tear
H-Homan's sign
E-emotional status

Front 38

interventions for perineal discomfort

Back 38

ice packs for 24 hours, then warm sitz baths

Front 39

interventions for episiotomy/tear

Back 39

peri care squirt bottle after each voiding
analgesic spray
pain meds
rectal

Front 40

contraception post-partum should begin when?

Back 40

after delivery or when intercourse resumes

Front 41

engorgement...encourage client to do what?

Back 41

wear support bra even when sleeping

Front 42

breast-feeding mothers need how many more calories a day?

Back 42

200-500

Front 43

when breastfeeding, always start with which breast?

Back 43

The last one used. This is to prevent one breast producing more milk. Always bring the BABY TO THE BREAST not the breast to the baby.

Front 44

What is the best kind of birth control pills for breastfeeding?

Back 44

progestin-only

Front 45

notify the physician for clots larger than what?

Back 45

1cm