Term
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Definition
| rapid reduction in size of uterus |
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Term
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Definition
| Father demonstrating interest in infant |
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Term
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Definition
| Hard, painful of breast. feed |
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Term
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Definition
fourth stage of labor
6 weeks |
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Term
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Definition
| failure of the uterus to return to a nonpregnant state |
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Term
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Definition
Inmediately after delivery=midline 2cm below the level of the umbilicus
12 hours= 1 cm above the umbilicus
1 cm or 1 finger each day
10 days descend into the pelvis not feel |
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Term
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Definition
| endometrium is restored except placental site |
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Term
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Definition
| placental site healed. uterus returns to pre pregnant state |
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Term
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Definition
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Term
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Definition
blood clot formation, disruption of uterine
Massage |
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Term
| Displacement of the uterus |
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Definition
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Term
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Definition
Temperature: increase to 100.4. Dehaydration first 24 hours. After that indicative of infection
Pulse: bradycardia. decreased flow of venous blood. Tachycardia complication, blood loos, infection
BP: like 1st trimester. Decreased indicative of uterine hemorrhage. HTN with headaches and visual changes further assessment
Respiration: normal. Increase with pain , blood loss. |
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Term
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Definition
Never regains nulliparous appearance
Soft after birth
Clases by 4-6 day 2 finger
End of 1 week admits 1 finger
Heal 6 weeks like a circle Jagged slit |
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Term
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Definition
6-10 weeks normal
relaxed, edematous after delivery
Ruggae 3 weeks
Dyspareunia low estrogen |
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Term
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Definition
Redness
Edema
Ecchymosis
Discharge
Aproximation |
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Term
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Definition
Rubra- dark red 2-3 days
Serosa-4-10 days
Alba- three weeks clear |
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Term
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Definition
| less than 1 inch in 1 hour pad |
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Term
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Definition
| less than 4 inches in 1 hour |
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Term
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Definition
| less than 6 inches in 1 hour |
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Term
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Definition
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Term
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Definition
| inadequeate uterine contractions allow bleeding. more than 1 cm |
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Term
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Definition
1-2 colustrum
3-4 filling
beyond 4 engorged.
Prolactin and oxitocin anterior pituitary
Oxytocin letdown reflex sucking
decreased in progesterone and estrogen |
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Term
| Amenorreah during breastfeeding |
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Definition
| GnRH gonadotropin releasing hormone |
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Term
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Definition
not BM 2-3 days after delivery
Bowel sound laxatives
Normal within one week
hemorrhoids
Cesarean flatulence, bowel tone few days |
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Term
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Definition
Normal 1 month after
Diuresis 12 hours 3000 cc/day
Distende bladder risk PPH and UTI |
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Term
| if fundus is higher that expected on palpation and its not in midline |
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Definition
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Term
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Definition
3-4 weeks homeostasis
WBC-elevated after delivery
Activation of clotting factor-thrombophlebitis
Hemotocrit increased 2-3% 500 cc of blood loss |
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Term
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Definition
| normal, helps to restore plasma levels |
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Term
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Definition
6-8 weeks normal weight
Fetus and placenta 10-12 lbs
Perspiration & diuresis 5-8 lbs
Involution and lochia 2-3 |
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Term
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Definition
multiparas common
Primiparas no afterpains
Oxytocin
Mild anagelsic 1 hr before breast feeding, bedtime |
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Term
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Definition
anticipatory stage
Formal stage=baby born guidance
Informal stage= own choices
Personal stage= new role |
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Term
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Definition
Taking in= first few days exhausted
Taking hold some task 2-3 days after delivery
Letting go define new role |
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Term
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Definition
mother: face to face. eye to eye
Acquaintace phase: face position, sounds, fingertip
Father: engrossment, reciprocity |
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Term
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Definition
resolves 10-14 days
Mood swings, crying, anger, difficulty sleeping |
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Term
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Definition
Vaginal delivery: Q15 x1 hour; Q30 2 hours, Q8 or more frequently if bogginess, heavy lochia, funds, lochia, episiotomy, ice, rest and nutrition
Cesarean: Q5, then Q15 when stable, O2 status, I&O, foley, incision, dressing, post anesthesia |
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Term
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Definition
Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy
Homan sign
Emotional status |
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Term
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Definition
Bra
No cream
no perfums
Empty
Assess nipples, palpate
Nonlactating
no sex, no heat stimulation, no water, do not express milk |
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Term
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Definition
Progesterone only pill
coitos safe after lochia ends
Ovulation can occur
Vaginal discomfort with sex due to hormonal imbalances |
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Term
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Definition
early hemorrhage first 24 hours
Late hemorrhage 24 hours after delivery |
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Term
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Definition
vaginal birth 500 ml
cesarean birth 1000 ml
Decrease in HCT 10 points btw fluid replacement need
atony or deterrents |
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Term
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Definition
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Term
| Lack of uterine muscle tone |
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Definition
Oxytocin and methergine
massage |
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Term
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Definition
Failure of uterus to return to normal after pregnancy
lochia rubra freater than 2 weeks |
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Term
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Definition
Excessive bleeding
Boody fundus
Abnormal clots
High temperature
Pelvic discomfort
Bleeding from a firm uterus
Decreased BP
Hematoma
LOC |
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Term
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Definition
| Causes uterine contractions. watch for HTN. Do not mix |
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Term
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Definition
| Stimulates uterine smooth muscle ad produces contractions. IM no IV. |
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Term
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Definition
| stimulates contractions on the myometrium. PO contraindication with asthma or glaucoma. very expensive |
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Term
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Definition
| act as a prostaglandin powerfull contractions of the myometrium. Rectal. |
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Term
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Definition
most common postpartal infection
Inflammation of the endometrium
Chlamydia |
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Term
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Definition
bedrest
Fluid intake
Supportive bra
Do not use soap, cream, perfumes
Frequent breast feeding
Hot cold compressess
Analgesic
Hygiene |
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Term
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Definition
formation of clot in blood vessels
SVT
DVT
PE
Early ambulation
stockings
fluids
No smoking, no crossing legs
Elevation |
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Term
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Definition
heparin til reaches 1.5 -2
Warfarin 2-3 months
analgesics |
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Term
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Definition
PP Blues
Depression
PP psychosis |
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Term
| Contraindication of Brestfeeding |
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Definition
Maternal HIV
Maternal simplex herpes
Galatosemia
Maternal drug abuse
Maternal chemotherapy, litheum consumption
untreated tuberculosis |
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Term
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Definition
| 12.5 to 13 cm from symphysis to sacrum |
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Term
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Definition
| determine if presenting part can engage. SUBSTRACTING 1.5 TO 2 CM From the diagonal conjugate |
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Term
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Definition
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Term
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Definition
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