Shared Flashcard Set

Details

Family after birth
post partum changes in the mother
121
Nursing
Undergraduate 1
04/17/2023
Click here to study/print these flashcards.

Create your own flash cards! Sign up here.

Additional Nursing Flashcards

 

 

Cards

Term
the 6 weeks following childbirth
 Definition
puerperium
Term
if possible when discussing sensitive information the interpreter should not be a _, who might interpret selevtively
 Definition
family member
Term
hot foods include
 Definition
eggs, chicken and rice
Term
yin foods are
 Definition
bean sprouts, broccoli and crrots
Term
yang foods are
 Definition
broiled meat, chicken, soup, and eggs
Term
the most dramatic changes after birth occur in the woman's
 Definition
reproductive system
Term
refers to changes that the reproductive organs particualry the uterus undergo after birth to return them to their prepregnancy size and condition
 Definition
involution
Term
the uterus should return to the preprgnant size by _ after delivery
 Definition
5 to 6 wks
Term
the failure of the uterus to return to the prepregnant state after 6 wks is called
 Definition
subinvolution
Term
the uterine lining is shed when the placenta
 Definition
detatches
Term
the placental site is fully healed in
 Definition
6 to 7 weeks
Term
immediately after the placenta is expelled the uterine fundus can be felt _ as a firm mass
 Definition
midline, at or below unbilicus
Term
after 24 hrs the fundus begins to descend about _ each day
 Definition
1 cm
Term
by _ the fundus should no longer be palpable
 Definition
10 days
Term
intermittent uterine contractions may cause _ that are similar to mestrual cramps
 Definition
afterpains
Term
breast-feeding mothers may have more _ because newborn suckling causes their posterior pituitary to release _ a hormone that contracts the uterus
 Definition
afterpains, oxytocin
Term
vaginal discharge after delivery that is composed of endometrial tissue, blood and lymph
 Definition
lochia
Term
lochia gradually changes characteristics during the early postpartum period in three phases:
 Definition
lochia rubra, serosa and alba
Term
lochia _ is red because it is composed of mostly blood
 Definition
rubra
Term
lochia rubra lasts for about _ after birth
 Definition
3 days
Term
lochia _ is pinkish because of its blood and mucus content
 Definition
lochia serosa
Term
lochia serosa lasts from about _ day after birth
 Definition
3rd to 10th
Term
lochia _ is mostly mucus and is clear and colorless or white
 Definition
lochia alba
Term
lochia alba lasts from the _ after birth
 Definition
10th to 21 day
Term
lochia has a characteristic _ odor and should not have a _
 Definition
fleshy or menstrual odor, foul odor
Term
one gram of weight in a peripad equals about _ volume of blood
 Definition
1ml
Term
the rate of lochia discharge increases with
 Definition
excercise
Term
the _ is not normal and may be associated with blood clots retained within the uterus or with infection
 Definition
absence of lochia
Term
a _ should be massaged until firm to prevent hemmorrhage
 Definition
porrly contracted (boggy) uterus
Term
it is essential to _ on an uncontracted uterus to avoid inverting it
 Definition
not push down
Term
the woman should report any of the following abnormal lochia  characteristics
 Definition
  • foul smelling lochia
  • lochia rubra that persissts beyond the third day
  • unusually heavy flow of lochia
  • lochia that returns to a bright red color after it has progressd to serosa or alba
Term
medications that may be given to stimulate uterine contraction include:
 Definition
oxytocin and methylogonovine
Term
oxytocin is often routinely given in an:
 Definition
IV infusion after birth
Term
methylergonovine is given
 Definition
IM or orally
Term
the breast feeding mother should take an analgesic immediately after _ to minimize sedation and side effects passing to the newborn
 Definition
breastfeeding
Term
afterpains persisting longer than _ after birth should be reported
 Definition
48hrs
Term
the cervix regains it's _ but never closes as tightly as during the pregregnant state
 Definition
muscle tone
Term
a constant trickle of brighter red lochia is associated with bleeding from _ particularly if the fundus remains firm
 Definition
lacerations of the cervix or vagina
Term
vaginal folds are also called
 Definition
rugae
Term
the rugae reappear _ wks postpartum
 Definition
3
Term
within _ wks the vagina has regained most of its prepregnancy form, but never returns to the size it was before pregnancy
 Definition
6
Term
the perineum should be assessed for
 Definition
normal healing and signs of complications
Term
an ice pack or chemical cold pack is applied for the first _ to reduce edema and bruising and to numb the perineal area
 Definition
12 to 24 hours
Term
when the ice melts the cold pack is left off for _ before applying another for max effect
 Definition
10 minutes
Term
after 24 hours heat in the form of a _ increases circulation and promotes healing
 Definition
chemical warm pack, a bidet, or sitz bath
Term
sitting in a cool sitz bath, adding ice cubes and remaining in the water for _ minutes often provides _
 Definition
20, immediate pain relief
Term
pericare after voiding or bowel movement involves a plastic bottle that is filled with warm water and the water is squirted over the perineum in _ direction
 Definition
front to back direction
Term
common medication to reduce inflammation or numb the perineum include:
 Definition
hydrocortisone and promoxine (epifoam), benzocaine
Term
in addition to topical medication _ also reduces the discomfort of hemerrhoids
 Definition
witch hazel pads(tucks) and sitzs baths
Term
to reduce pain when sitting, the mother can be taught to _ as she lowers herself to a sitting position and then to relax her buttocks
 Definition
squeeze her buttocks together
Term
the production of placental estrogen and progsterone stops when the placenta is _ causing a rise in the production of _
 Definition
delivered, FSH
Term
menstrual cycles resum in about _ after delivery in the woman who isn't breastfeeding or possibly in _ after delivery if the woman is breastfeeding without formula supplementation
 Definition
5 weeks, 8wks
Term
it is important to remember that ovulation can occur before _ and pregnancy can result
 Definition
menstrauation is reestablished
Term
combined oral or transdermal estrogen progesteron contraceptives can be started about _ after delivery by women who are not breastfeeding because estrogen _
 Definition
2 to 3wks, suppresses lactation
Term
for breastfeeding woman, a low dose progestin only contraceptive can be started:
 Definition
4 wks postpartum
Term
progestin only contraceptives should be avoided in _ with gestational diabetes who are breastfeeding because the high risk of the woman developing _
 Definition
hispanic woman, diabetes mellitus type 2
Term
other modes of contraception can be started as soon as lactation is well:
 Definition
established
Term
postpartum care beyond 6 wks is termed
 Definition
interconceptual care
Term
the ideal pregnancy spacing should be approximately:
 Definition
2 years apart
Term
the breasts are full but soft for the first
 Definition
2 or 3 days
Term
by the third day the breasts become _ as blood flow increases and _ begins
 Definition
firm and lumpy, milk production
Term
the breasts of the non nursing mother return to their normal size in
 Definition
1 to 2 wks
Term
the bra should _ the nursing mother's breasts
 Definition
firmly support
Term
the non nursing mother should - to avoid having her clothes brush back and forth over her breasts and should _
 Definition
wear a bra at all times, stand facing away from water spray in the shower
Term
the nipples should be washed with _ to avoid the drying effects of soap
 Definition
plain water
Term
the non nursing woman should minimize stimulation when washing her:
 Definition
breasts
Term
blood loss the woman tolerates at delivery
 Definition
500 mL-vaginal birth
1000mL-cesarean birth
Term
after the initial postbirth excitement wanes the pulse rate may be as low as _ for about 48 hrs after birth
 Definition
50-60 bpm
Term
to establish normal fluid balance the body rids itself of excess fluid through:
 Definition
diuresis, diaphoresis
Term
blood clotting factors are higher during pregnancy and for _ of the puerperium, yet the woman's abiltiy to _ clots is not increased
 Definition
4 to 6 wks, lyse
Term
women who deliver via cesarean section may receive prophylactic anticoagulant therapy with _ to prevent venous congestion and to promote circulation
 Definition
heparin and/or pneumatic compression devices on lower extremities
Term
it is important to remember not to massage the leg of a _ patient
 Definition
DVT
Term
the white blood cell count may rise as high as
 Definition
12000 to 20000 mm3
Term
the white blood cell count returns to normal by
 Definition
12 days postpartum
Term
many mother experience termors that resemble shivering immediately after:
 Definition
birth
Term
tremors after birth stop spontaneously within
 Definition
20 minutes
Term
chills accompanied by fever after the first 24 hours suggest _ and should be reported
 Definition
infection
Term
after childbirth, resistance to blood flow in the vessels of the pelvis:
 Definition
drops
Term
after the fourth stage of labor vital signs are taken every _ for the first 24 hours
 Definition
4 hrs
Term
the womans temp may rise to _ in the first 24 hrs
 Definition
38C (100.4F)
Term
a higher temp (>100.4F) or the persitence of a temperature elevation for more than 24 hrs suggests:
 Definition
infection
Term
because of the normal postpartum bradycardia a high pulse rate often indicates
 Definition
infection or hypovolemia
Term
when assessing for thrombosis, the nurse should look for:
 Definition
reddened, tender area or edama, pain and sometimes pallor
Term
kidney function returns to normal within a month after
 Definition
birth
Term
measures that may help a woman to urinate
 Definition
  • provide privacy,
  • remain near woman but do not rush her,
  • run water in the sink,
  • have the woman place her hands in warm water,
  • have the woman use the peribottle to quirt warm water over her perineal area to relax the urethral spincter
Term
continued burning or urgency of urination suggests _, high fever and chills may occur with _
 Definition
bladder infection, kidney infection
Term
the gastrointestinal system resumes normal activity shortly after birth when _ decreases
 Definition
progesterone
Term
constipation may occur during the post partum period as a result of several factors
 Definition
medications slow peristalsis, streatched abdominal muscles make it difficult to bear down, hemorrhoids or soreness and swelling of the perineum may make the woman fearful of first bm, slight dehydration and little food intake during labor makes feces harder
Term
stool softeners that are usually ordered
 Definition
docusate calcium (surfack), docusate sodium (colace)
Term
a common laxative that is given orally or as a suppository when indicated
 Definition
bisadocyl (dulcolax)
Term
the longitudinal abdominal muscles that extend fromt the chest to the symphysis pubis are separated
 Definition
diastasis recti
Term
hypermobility of the joints which normally occurs during pregnancy usuallusaly stablizes within
 Definition
6wks
Term
a wman can usually begin light exercises as soon as the first day after
 Definition
vaginal birth
Term
common postpartum exercises
 Definition
abdomnial tightening, head lift, pelvic tilt, keagel exercises
Term
in the supine or erect position the woman inhales slowly and then exhales slowly while contracting her abdominal muscles
 Definition
abdominal tightening
Term
abdominal tightening should being with _ and increase the number to _ then _
 Definition
3 repetitions, 5, 10
Term
abdominal tightening may be done _ and then _ daily, up to _ times each day
 Definition
3 times, 5 time, 10
Term
the woman lies flat on her back on her bed with her knees bent and inhales, while exhaling she lifts her head, chin to chest and looks at her thighs
 Definition
head lift
Term
the head lift is held up to the count of _
 Definition
3
Term
after the third week the headlift may progress to include the _
 Definition
head and shoulders
Term
the head lift may be done
 Definition
5 to 10 times daily
Term
while lying supin with her knees bent and feet flat, the woman inhales and exhales, flattening her lower back to the bed or exercise surface and contracting her abdominal muscles
 Definition
pelvic tilt
Term
pelvic tilt is held for the count of
 Definition
3 seconds
Term
kegels should be performed:
 Definition
5 times each hour for first few days
Term
a titer of _ or greadter indicates immunity to the rubella virus
 Definition
1:8
Term
the rubella vaccine is given:
 Definition
subq in the upper arm
Term
rubella vaccine should not be administered if the woman is sensitive to
 Definition
neomycin
Term
if the woman has a vertical skin incision the nurse should gently _ the fingers toward the fundus from the side to her abdominal midline when assessing the fundus
 Definition
walk
Term
an indwelling catheter is generally remvoed within
 Definition
24 hrs of delivery
Term
the first two or three voiding are measured and measuring should continue until the woman urinates at least
 Definition
150 mL
Term
signs of urinary tract infection
 Definition
fever, burning pain on urination, urgency of urination
Term
frequent voidings of small quantities of urine associated with other s&s suggest a
 Definition
UTI
Term
new mothers often experience conflicting feelings of joy and emotional letdown during the first few weeks after birth called:
 Definition
postpartum blues
Term
when new fathers display intense interest in their new child
 Definition
engrossment
Term
new fatthers often experience four phases of adjustment to fotherhood characterized by:
 Definition
having expectations and personal intentions, confronting reality and overcoming frustrations, creating one's own personal father role, reaping rewards of fatherhood
Term
toddlers may respond with _ when the mother's attention turns to the newborn
 Definition
regression and anger
Term
preschool children typically look at and discuss the newborn but may hesitate to:
 Definition
touch or actively hold the newborn
Term
Older children often enjoy helping with care of the newborn and are very _ about the newcomer
 Definition
curious
Term
if the death of child is not expected, the nurse is likely to encounter the following reactions typical of any grieving
 Definition
shock and disbelief, anger, guilt, sadness and depression, gradual resolution of sadness
Term
stillborn newborn may have _ which is often _
 Definition
blue skin, peeling
Term
the nurse should try to keep the still born _ so he or she feels more natural to the parents
 Definition
warm
Supporting users have an ad free experience!