Term
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Definition
| return of the uterus to its pre-pregnancy size and condition |
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Term
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Definition
| any slowing of the descent of the uterus |
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Term
| what causes afterbirth pains? |
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Definition
| result of uterine contractions |
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Term
| what hormone is involved in afterpains? |
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Definition
| oxytocin causes uterine vessels to contract after birth= afterpains |
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Term
| When might afterpains be exaggerated? |
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Definition
| During breastfeeding, b/c of increased oxytocin |
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Term
| How does involution prevent hemorrhage? |
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Definition
| decrease in estrogen and progesterone -> uterine cells atrophy -> hyperplasia of cells reverses -> cells shrink -> smaller lumen, less blood flow |
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Term
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Definition
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Term
| how long does lochia rubra last? |
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Definition
|
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Term
| how long does lochia serosa last? |
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Definition
|
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Term
| How long does lochia alba last? |
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Definition
|
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Term
| what color is lochia rubra? |
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Definition
|
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Term
| what color is lochia serosa? |
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Definition
|
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Term
| what color is lochia alba? |
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Definition
|
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Term
| is it normal for large clots to be present in lochia? |
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Definition
|
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Term
| what should be assessed when assessing lochia? |
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Definition
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Term
|
Definition
-to determine presence of hemorrhage
-to assess uterine involution |
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Term
| what does foul smelling lochia indicate? |
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Definition
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Term
| What kind of effect does uterine atony have on the bladder? |
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Definition
| has an antidiuretic effect |
|
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Term
| a full bladder can cause a firm uterus to do what? |
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Definition
| relax, which can cause hemorrhage, empty bladder! |
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Term
| Where is the fundus on the 1st pp day? |
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Definition
|
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Term
| how much does the top of the fundus descend per day? |
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Definition
|
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Term
| On what day does the fundus descend into the pelvis? |
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Definition
|
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Term
| Should the uterus be palpable after 10 days? |
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Definition
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Term
|
Definition
| lack of muscle tone in the uterus |
|
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Term
| what happens to the fundus when boggy uterus occurs? |
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Definition
| clots form or blood flows out, fundus rises |
|
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Term
| what happens to the bladder when the fundus rises? |
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Definition
| bladder distention occurs, bladder should be emptied immediately |
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Term
|
Definition
| redness, edema, ecchymosis, discharge, approximation of suture lines |
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Term
|
Definition
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Term
| When should ice be used to treat an episiotomy/laceration? |
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Definition
| ice a few hours after birth, on 20 min off 10, first 24 hours |
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Term
| When can a sitz bath be used? |
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Definition
| first few hours after birth, usually 20 min, tid, qid, or prn |
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Term
| What stimulates lactation? |
|
Definition
| placenta expelled -> decreased estrogen & progesterone -> anterior pituitary excretes prolactin -> milk production |
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Term
| What stimulates uterine involution? |
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Definition
| decrease in estrogen & progesteron -> uterine cells atrophy -> hyperplasia of cells reverse -> cells shrink |
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Term
|
Definition
| brain, breasts, uterus, bladder, bowel, lochia, episiotomy, homan's sign, emotional |
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Term
| What happens to the temp during the first 24 hrs pp? |
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Definition
-temp increases b/c dehydration and muscle exertion
-100.4 is normal for first 24
-push fluids! |
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Term
| If pp pt has a fever after 24 hours, what should you suspect/do? |
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Definition
|
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Term
| why is postpartum diaphoresis important? |
|
Definition
| eliminates body excess fluid/waste |
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|
Term
| pp diaphoresis causes what vs change? |
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Definition
|
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Term
|
Definition
| calf pain, calf swelling, calf warmth, cramps, line up one leg |
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Term
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Definition
|
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Term
| why should pt ambulate right after c-section? |
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Definition
|
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Term
| why might a pp woman not have a bm soon after vag delivery or c-section? |
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Definition
-usually have bm during labor
-if bm during labor, bowel motility will not return until 2-3 days after vaginal childbirth
-if c-section assess for BS |
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Term
| when is a rubella vaccine warranted? |
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Definition
| if woman is not already vaccinated and titers are less than 1:10 |
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Term
| why should woman stay abstinent for 3 months after rubella vaccine? |
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Definition
| b/c its a live attenuated vaccine |
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Term
|
Definition
72 HOURS AFTER BIRTH
-given to woman who is rh neg, indirect coombs neg with..
-rh pos baby with direct coombs neg |
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Term
| which trimester is most critical in development during pregnancy bc of teratogens? |
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Definition
2nd trimester
b/c major organ systems/main external features are developing |
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Term
| When is the placenta fully functioning? |
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Definition
|
|
Term
| Transport functions of the placenta |
|
Definition
simple diffusion
active transport
facilitated transport
pinocytosis |
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Term
|
Definition
| maternal portion of placenta |
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Term
|
Definition
| fetal portion of placenta |
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Term
| function of chorionic villi |
|
Definition
| allow exchange of nutrients between mother and embryo/fetus |
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Term
| function of arteries in a baby |
|
Definition
| carry dexoxygenated blood back to placenta |
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Term
|
Definition
| carry oxygenated blood to fetus |
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Term
| chorionic villi form spaces into what maternal structure? |
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Definition
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Term
|
Definition
| how blood returns from the superior vena cava and enters the right ventricle, bypassing the lungs |
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Term
|
Definition
| allows blood to bypass the pulmonary arteries and flow from the right atrium to the left atrium |
|
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Term
| 3 stages of fetal development |
|
Definition
| pre-embryonic, embryonic, fetal |
|
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Term
|
Definition
-fertilization-day 14
-cell multiplication/differentiation |
|
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Term
|
Definition
-day 15- 8th week
-major organ systems develop
-main external features develop
-MOST VULNERABLE TO TERATOGENS |
|
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Term
|
Definition
-8th week-birth
-refining structures
-perfecting function |
|
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Term
|
Definition
-heart beating/circulation begins
-arm/leg buds present
-eyes/nose begin to form |
|
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Term
|
Definition
-spontaneous mvmts made
-FHT can be heard by doppler |
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Term
|
Definition
-mother begins to feel baby move (16-20 wks)
-resp mvmts
-suck&swallow fluid
-vernix
-gender is clear! |
|
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Term
|
Definition
-threshold of viability
-mature brain
-alveoli appear
-reddish, wrinkled skin |
|
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Term
|
Definition
-eyes opening and closing
-SQ fat
-fingernails/toenails |
|
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Term
|
Definition
-lanugo disappears
-few sole creases
-more vernix
-genitals more prominent |
|
|
Term
|
Definition
-L/S ratio is about 2:1, indicates lung maturity
-smooth pink, skin, longer nails |
|
|
Term
| When can FHT's be heard with doppler? |
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Definition
|
|
Term
| 4 hormones that regulate menstrual cycle |
|
Definition
-estrogen
-progesterone
-LH
-FSH |
|
|
Term
| Where are estrogen & progesterone produced? |
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Definition
|
|
Term
| Where are LH & FSH produced? |
|
Definition
|
|
Term
|
Definition
-elastic mucous, thin
-abdominal pain
-BBT rises |
|
|
Term
| what phase during the endometrial cycle causes estrogen to increase and then endometrial lining to thicken before ovulation? |
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Definition
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Term
|
Definition
-follicular phase-> FSH&LH cause follicle maturation and oocyte maturation-> ovulation
-luteal phase- after ovulation and ends w menstruation |
|
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Term
|
Definition
-menstrual phase
-proliferative phase- endometrium restoration (day 5-ovulation)
-secretory phase- ovulation to 3 days, mature endometrium
-ischemic phase-no implantation, endometrium necrosis |
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|
Term
| What hormones cause growth of ovarian follicle? |
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Definition
|
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Term
|
Definition
| reproduction, sperm transport, site of implantation, placentation, growth & development of fetus |
|
|
Term
| male hormones responsible for spermatogenesis |
|
Definition
|
|
Term
| Where does implantation occur? |
|
Definition
|
|
Term
| what happens when pregnancy occurs outside the uterus? |
|
Definition
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