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45 Cards in this Set
- Front
- Back
Uterine atony
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Failure of the uterine muscle to contract firmly. It is the most frequent cause of excessive post-partum bleeding.
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involution
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return of the uterus to it's non-pregnant state
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autolysis
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the self-destruction of excess hypertrophied uterine tissue as a result of the decrease in estrogen and progesterone level following birth
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puerperium
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4th trimester; terms used interchangeably with postpartum. Refers to the period of recovery after childbirth that lasts approximately 6 weeks.
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sub-involution
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failure of the uterus to return to a non-pregnant state. The most common causes for this failure are placental fragments and infection
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exogeneous oxytocin/pitocin
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medication usually administered IV or IM immediately after the expulsion of the placenta to ensure that the uterus remains firm and well contracted
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dyspariunia
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coital discomfort or pain with intercourse - happens before ovulation starts back up.
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What is the problem that can occur if the bladder is allowed to become distended?
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it displaces the uterus - risk for post-partum hemorrhage
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what are the factors that can interfere with bowel elimination in the post-partum period
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muscle tone
pain meds pre-labor diarrhea dehydration anticipatory discomfort |
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what are the factors that place a post partum woman at increased risk for thrombophlebitis?
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incr. clotting factors
vessel damage decr activity incr thrombosis factor |
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couplet care
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nursing care management approach in which one nurse cares for both the mother and her infant
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Sitz bath
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20 min, 3x a day, warm water
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afterpains
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menstral-like cramps experienced by many women as the uterus contracts after childbirth. Worse with each subsequent pregnancy.
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what contributes to orthostatic hypotension post-partum?
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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.
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Rho-gam is given to who?
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Rh-negative, antibody (Coombs')-negative women who have Rh-positive newborns. admin at 28 weeks gestation and within 72-hours after birth
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What can help a post-partum woman void?
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warm water or sitz bath.
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what are the measure to prevent development of thrombophlebitis?
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exercise legs
early ambulation wear support hose well hydrated |
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What are interventions for engorgement in a bottle-feeding mother?
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wear support bra
ice/ bag of frozen peas back to shower cabbage leaves no heat pain meds |
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What are the interventions to prevent excessive post-partum bleeding?
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maintain uterine-firmness
prevent bladder distension expell clots massage fundus admin oxytocin |
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What is methergine?
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an oxytocic (to demonstrate expected lochial characteristics.
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before administering RhoGAM to a post-partum woman do what?
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verify that the Coomb's test results are negative
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When can you resume sexual activity?
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6 weeks
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entrainment
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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
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pink period
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period surrounding the first day or 2 after giving birth - heightened feelings of joy and well-being.
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When does the blue period happen.
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day 5 to 10
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"engrossment" happens to the __________
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father
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The height of the uterine fundus decreses by approximately _______
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1 cm/day (1 finger-breadth per day)
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The uterus cannot be palpated abdominally by what day?
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10 days post-partum
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a flaccid fundus indicates what? Do what for it?
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uterine atony, should be massaged until firm.
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A tender fundus indicates what?
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infection
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Rubra
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Bright red discharge that occurs from delivery day to day 3
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serosa
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brownish-pink discharge from day 4-10
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alba
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white discharge from day 11-14
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lochia:
scant= light= moderate= heavy= excessive= |
<1 inch
<4 inches <6 inches saturated pad in one hour saturated pad in 15 minutes |
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Temp may be elevated for 24 hours post-partum because of?
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dehydration
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What is a common and normal vital sign finding in post partum mothers?
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bradycardia(50-70BPM) in the first week
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What is the post-partum assessment mneumonic?
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BUBBLE-HE
B-breasts U-uterus B-bladder B-bowel L-lochia E-episiotomy/tear H-Homan's sign E-emotional status |
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interventions for perineal discomfort
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ice packs for 24 hours, then warm sitz baths
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interventions for episiotomy/tear
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peri care squirt bottle after each voiding
analgesic spray pain meds rectal |
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contraception post-partum should begin when?
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after delivery or when intercourse resumes
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engorgement...encourage client to do what?
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wear support bra even when sleeping
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breast-feeding mothers need how many more calories a day?
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200-500
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when breastfeeding, always start with which breast?
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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.
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What is the best kind of birth control pills for breastfeeding?
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progestin-only
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notify the physician for clots larger than what?
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1cm
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