postpartum nursing Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
puerperium | the postpartal pperiod, to last 6 weeks after birth. physical and psychological adjustment of mom. body returns to prepregnant state |
Uterus involution | return of uterus size and location. back to 30 to 60 grams, fundus is unable to be palpated above symphisis by 10 days |
subinvolution | failure of uterus to return to normal prepregnat size |
fundus | top of uterus, size of large grapefruit immediately pp |
location of fundus | pp located midway between symphisis and umbilicus, birth to 6 hours |
location of fundus pp | by 6-12 hours, fundus rises to umbilicus and decreases 1 fingerbreadth/day until 10 days |
boggy fundus | hemorrhage |
fundus high and deviated | full bladder |
breastfeeding facilitates | involution ( the return of uterus to preppregnant state) |
Lochia | menstural like discharge postpartum |
Rubra | dark red lochia days 1-3, contains epithelial cells, erythrocytes, leukocytes, shreds of deciduas |
serosa | pinkish lochia days 3-10, more serous |
alba | creamy colored lochia yellowish, lasts 1-2 weeks |
character of lochia | never absent, foul smelling, or full of large clots, never reverse itself |
cervical changes | Os closes by 7 days, only admits a finger. Cervical lacerations usually heal if not too extensive. |
severly lacerated cervix | pp hemorrhage |
vagina pp | size decreases and rugae return within 3 weeks |
kegels | ppp exercises to improve tone and contractility of vagina. can do any time, should do often. |
return of menses | in non-nursing women by 6=10 weeks |
breastfeeding return of menses | get periods within 30-36 weeks, ovulate in 17 to 28 weeks not a form of birth control |
perineum pp | swelling and edema may occur, episiotomy may be present, external hemorrhoids may be present related to L &D, bruising can occur. |
perineum care pp | ice first 24 hours then heat (sitz bath) |
prolactin and oxytocin | hormones that cause milk production |
Colostrum | thick creamy substance, before milk comes in, high iin fat, protein, fat soluable vitamins and high level antibodies and immunoglobulins |
how long is colostrum available | at delivery and for the first 2-4 days |
transitional milk | replaces colostrum, in breast first 2 weeks of life. contains lactose, water soluable vitamins, elevated levels of fat, more calories than colostrum |
mature milk | thin apperance, high % of water, protein is lower in breast milk than formula higher in carbohydrates |
abdomen pp | tone will return in 2-3 months with exercise, stretch marks fade over time |
GI system pp | sluggish bowel d/t lingering effects of Relaxin (hormone) of if mom had c section |
Urinary tract pp | at risk for overdistension r/t increased bladder capacity, swelling around urethra, and dec. sensitivity to pressure (epidural) |
urination pp | needs to void frequently and shouldnt let go beyond 4-6 hours without voiding. Diuresis occurs, increasing urine output and returning blood volume to normal rapidly |
vital signs pp | postpartum infection suggested by 38C any 2 episodes after 24 hours(100.4 F) |
BP pp | should remain stable, elevations may be indicative of PIHand decrease may indicate hemorrhage |
pulse | normal pulse is 60-90, immediately after delivery there may be an increase in pulse, then days 1-6pp, the pulse is a normal bradycardia |
pp leukocytosis | 15,000-20,000 normal |
pp HGB | usually drops 2 pts related to blood loss (normal HGB is 12-15) |
ppH+H | return to normal with reduction of blood volume |
weight loss pp | 10-12 lbs at birth, return to normal with reduction of blood volume |
physiologic pp chill | related to vasomotor changes andnervous response to delivery |
diaphoresis pp | elimination of excess fluid and waste products via perspiration, night sweats often occur |
Afterpains pp | intermittent uterine contractions, they are more painful in multips. May occur with breastfeeding or administration of methergine |
taking -in phase | mom- more passive, dependent, needs care for her needs , still focused inward, starting to move out. may need to talk about L& D experience |
taking-hold phase | after day 2-3 Mother resumes control of her life and body functions. wants to take care of her newborn, seeks information about baby care. may need reassurance |
postpartum blues | transient period of depression occuring first week or so ppp. related to shift in horemones, exhaustion, discomfort |
BUBBLE HE HA | Breasts, Uterus, BOwels, Bladder, Lochia, Episiotomy, Homans sign, edema, hemorrhoids, attachment |
Postpartum infection | any clinical infection infection of the genital canal which occurs within 28 days after childbirth or abortion |
sites of pp infection | episiotomy, lacerations of vagina or cervix, placental site, c section incision |
chorioamnionitis | may be a result of PROM it is inflammatory reaction of fetal membranes in response to bacteria/ viruses in amniotic fluid |
endometritis | usually at placental site, permits the start of the infection. If not treated, and prevented from spreading, it can travel along genital tract, become more extensive and serious |
symptoms of pp infection | temp of 100.4 or higher on 2 successive days, not counting first 24 hours of birth, accompanied by fatigue, lethargy, lack of appitite, chills, perineal discomfort, lower abdominal paiin, nausea, foul profuse lochia |
treatment of pp infection | prevention, most effective and cheapest method. fluids and broad spectrum antibiotics breastfeedig may continue |
mastitis | infection of breasts |
mastitis symptoms | painful breasts, high fever, chills, low BP |
mastitis lab findings | entric gram neg. bacteria, usually staph aureus, from the newborns mouth |
treatment of mastitis | antibiotics, good bra support of breasts, local heat or cold, and analgesics. Encourage continued breastfeeding or pumping breasts |
Created by:
goryan
Popular Nursing sets