Term
the 6 weeks following childbirth |
|
Definition
|
|
Term
if possible when discussing sensitive information the interpreter should not be a _, who might interpret selevtively |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
bean sprouts, broccoli and crrots |
|
|
Term
|
Definition
broiled meat, chicken, soup, and eggs |
|
|
Term
the most dramatic changes after birth occur in the woman's |
|
Definition
|
|
Term
refers to changes that the reproductive organs particualry the uterus undergo after birth to return them to their prepregnancy size and condition |
|
Definition
|
|
Term
the uterus should return to the preprgnant size by _ after delivery |
|
Definition
|
|
Term
the failure of the uterus to return to the prepregnant state after 6 wks is called |
|
Definition
|
|
Term
the uterine lining is shed when the placenta |
|
Definition
|
|
Term
the placental site is fully healed in |
|
Definition
|
|
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
|
|
Term
by _ the fundus should no longer be palpable |
|
Definition
|
|
Term
intermittent uterine contractions may cause _ that are similar to mestrual cramps |
|
Definition
|
|
Term
breast-feeding mothers may have more _ because newborn suckling causes their posterior pituitary to release _ a hormone that contracts the uterus |
|
Definition
|
|
Term
vaginal discharge after delivery that is composed of endometrial tissue, blood and lymph |
|
Definition
|
|
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
|
|
Term
lochia rubra lasts for about _ after birth |
|
Definition
|
|
Term
lochia _ is pinkish because of its blood and mucus content |
|
Definition
|
|
Term
lochia serosa lasts from about _ day after birth |
|
Definition
|
|
Term
lochia _ is mostly mucus and is clear and colorless or white |
|
Definition
|
|
Term
lochia alba lasts from the _ after birth |
|
Definition
|
|
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
|
|
Term
the rate of lochia discharge increases with |
|
Definition
|
|
Term
the _ is not normal and may be associated with blood clots retained within the uterus or with infection |
|
Definition
|
|
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
|
|
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
|
|
Term
methylergonovine is given |
|
Definition
|
|
Term
the breast feeding mother should take an analgesic immediately after _ to minimize sedation and side effects passing to the newborn |
|
Definition
|
|
Term
afterpains persisting longer than _ after birth should be reported |
|
Definition
|
|
Term
the cervix regains it's _ but never closes as tightly as during the pregregnant state |
|
Definition
|
|
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
|
|
Term
the rugae reappear _ wks postpartum |
|
Definition
|
|
Term
within _ wks the vagina has regained most of its prepregnancy form, but never returns to the size it was before pregnancy |
|
Definition
|
|
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
|
|
Term
when the ice melts the cold pack is left off for _ before applying another for max effect |
|
Definition
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
Term
postpartum care beyond 6 wks is termed |
|
Definition
|
|
Term
the ideal pregnancy spacing should be approximately: |
|
Definition
|
|
Term
the breasts are full but soft for the first |
|
Definition
|
|
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
|
|
Term
the bra should _ the nursing mother's breasts |
|
Definition
|
|
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
|
|
Term
the non nursing woman should minimize stimulation when washing her: |
|
Definition
|
|
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
|
|
Term
to establish normal fluid balance the body rids itself of excess fluid through: |
|
Definition
|
|
Term
blood clotting factors are higher during pregnancy and for _ of the puerperium, yet the woman's abiltiy to _ clots is not increased |
|
Definition
|
|
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
|
|
Term
the white blood cell count may rise as high as |
|
Definition
|
|
Term
the white blood cell count returns to normal by |
|
Definition
|
|
Term
many mother experience termors that resemble shivering immediately after: |
|
Definition
|
|
Term
tremors after birth stop spontaneously within |
|
Definition
|
|
Term
chills accompanied by fever after the first 24 hours suggest _ and should be reported |
|
Definition
|
|
Term
after childbirth, resistance to blood flow in the vessels of the pelvis: |
|
Definition
|
|
Term
after the fourth stage of labor vital signs are taken every _ for the first 24 hours |
|
Definition
|
|
Term
the womans temp may rise to _ in the first 24 hrs |
|
Definition
|
|
Term
a higher temp (>100.4F) or the persitence of a temperature elevation for more than 24 hrs suggests: |
|
Definition
|
|
Term
because of the normal postpartum bradycardia a high pulse rate often indicates |
|
Definition
|
|
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
|
|
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
|
|
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
|
|
Term
the longitudinal abdominal muscles that extend fromt the chest to the symphysis pubis are separated |
|
Definition
|
|
Term
hypermobility of the joints which normally occurs during pregnancy usuallusaly stablizes within |
|
Definition
|
|
Term
a wman can usually begin light exercises as soon as the first day after |
|
Definition
|
|
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
|
|
Term
abdominal tightening should being with _ and increase the number to _ then _ |
|
Definition
|
|
Term
abdominal tightening may be done _ and then _ daily, up to _ times each day |
|
Definition
|
|
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
|
|
Term
the head lift is held up to the count of _ |
|
Definition
|
|
Term
after the third week the headlift may progress to include the _ |
|
Definition
|
|
Term
the head lift may be done |
|
Definition
|
|
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
|
|
Term
pelvic tilt is held for the count of |
|
Definition
|
|
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
|
|
Term
the rubella vaccine is given: |
|
Definition
|
|
Term
rubella vaccine should not be administered if the woman is sensitive to |
|
Definition
|
|
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
|
|
Term
an indwelling catheter is generally remvoed within |
|
Definition
|
|
Term
the first two or three voiding are measured and measuring should continue until the woman urinates at least |
|
Definition
|
|
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
|
|
Term
new mothers often experience conflicting feelings of joy and emotional letdown during the first few weeks after birth called: |
|
Definition
|
|
Term
when new fathers display intense interest in their new child |
|
Definition
|
|
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
|
|
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
|
|
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
|
|
Term
the nurse should try to keep the still born _ so he or she feels more natural to the parents |
|
Definition
|
|