front 1 TOLAC | back 1 trail of labor after a c-section |
front 2 multifetal pregnancy | back 2 may cause dysfunctional labor |
front 3 puerperium | back 3 known as postpartum period -six weeks following childbirth |
front 4 what is produced before milk? | back 4 colostrum |
front 5 engagement | back 5 the first two to three days postpartum, breasts are full but soft |
front 6 BUBBLE LE | back 6 breasts, uterus, bladder, bowels, lochia, episiotomy/laceration site, legs and emotions |
front 7 REEDA | back 7 a mnemonic used to asses the perineal wound healing after childbirth, specifically focusing on the site of an episiotomy or laceration. |
front 8 REEDA stands for? | back 8 redness, edema, ecchymosis, discharge, an approximation |
front 9 Decent of the uterine fundus | back 9 about I centimeter each day; can be displaced by full bladder, should be a firm mass (about the size of a grape fruit) |
front 10 after pains | back 10 similar to menstrual cramps, more intense the more children a female has |
front 11 after delivery, the vagina will lack tone | back 11 will never return to pre-pregnancy state |
front 12 bulging perineum | back 12 patient may feel constant need for bowel movement hematoma puts pressure on rectum- may utilize ice |
front 13 lochia ruba | back 13 red composed mostly of blood |
front 14 lochia serosa | back 14 pinkish composed of blood and mucus -4 days after birth |
front 15 lochia alba | back 15 clear/ colorless or white composed mostly of mucus and lasts from the 10th day until approx. 6 weeks after birth |
front 16 women must report any foul smelling lochia, unusually heavy flow, or lochia that returns to rubra after progressing to serosa or alba (T/F) | back 16 true |
front 17 if lochia rubra to serosa to alba ; what happens? | back 17 if it goes back to alba that's BAD! |
front 18 what happens if patient pad up every 15 minutes? | back 18 call the doctor IMMEDIETLY- patient can be hemorrhaging |
front 19 nursing care with epiecotmy | back 19
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front 20 linea nigra | back 20 a line that comes down from the umbilicus |
front 21 melosma | back 21 skin hyperpigmentation |
front 22 Coagulation | back 22 clotting factors are higher during pregnancy and 4-6 weeks postpartum |
front 23 involution | back 23 can go back to that pregnancy state |
front 24 Rhogram fact | back 24 if women is RH negative and baby is RH positive (will go by what the dad is to test baby) |
front 25 what do you do for boggyness ? | back 25 massage |
front 26 rubins phychological changes of the puerperium (after birth) | back 26
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front 27 postpartum depression | back 27 persistent mood of unhappiness |
front 28 engrossment | back 28 stare at the newborn for extended periods of time |
front 29 stages of grief | back 29
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front 30 newborn discharge care | back 30 INFANT SAFETY SEATSSS |
front 31 hypovolemic shock | back 31 losing alot of blood |
front 32 cardigenic shock | back 32 not even oxygen reaching the cells |
front 33 postpartum hemorrhage | back 33 blood loss >500ml (vaginal) or 1,000ml (cesarean) |
front 34 postpartum hemmorhage causes | back 34 tone , tissue, trauma, thrombin |
front 35 risk factors for PPH | back 35
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front 36 early PPH | back 36 will occur 24 hours from delivery |
front 37 late PPH | back 37 will occur between 24 Hours and 6 weeks |
front 38 immediate intervention for hypokalemia | back 38
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front 39 uterine atony | back 39 collection of blood within uterus |
front 40 DIC | back 40 can cause clotting factor defects |
front 41 Oxytocin may be used for what? | back 41 to tone the uterus |
front 42 where is fundal height ? | back 42 usually above the umbilicus |
front 43 Subinvolution of the uterus | back 43 the slower than expected or failure of the uterus to return to its normal prepregnant condition. |
front 44 sub involution of the uterus S/S | back 44 fundal height greater than expected |
front 45 rubra | back 45 dark red blood |
front 46 nursing care for sub involution | back 46 women should report fever |
front 47 D&C | back 47 scraping for sub involution of the uterus |
front 48 anemia | back 48 may be advised to continue with iron supplements for several weeks postpartum |
front 49 hematoma | back 49 collection of blood under tissue, vulvar/ vaginal area |
front 50 hematoma s/s | back 50 severe pain, swelling, discoloration, urinary retention, -monitor vital signs and for shock |
front 51 small hematoma | back 51 ice packs |
front 52 Large hematoma | back 52 surgical evacuation |
front 53 puerperal infection | back 53 infection or septicemia after childbirth |
front 54 endometritis | back 54 common after c-section or prolonged labor |
front 55 endometritis s/s | back 55 fever for 2 days, foul lochia, uterine tenderness. main sign- foul smelling, lochia with fever |