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Maternity-Module 7&8
Postpartum I & II - Chapters 11 & 12
| Question | Answer |
|---|---|
| puerperium | period that begins after the third stage of labor and lasts until uterine involution is complete, usually 3 to 6 weeks |
| afterpains | intermittent uterine contractions that occur during the process of involution |
| BUBBLE-HE | a mnemonic that guides postpardum nursing care by reminding the nurse to assess the breasts, uterus, bladder, bowel, lochia, and episiotomy (perineum), Homan's sign/DVTs and emotions |
| involution | reduction in uterine size following birth |
| lochia | vaginal discharge during the postpartal period, consists of blood, tissue, and mucus |
| lochia rubra | bright red vaginal flow that follows birth and lasts 2 to 4 days |
| lochia serosa | serous, pinkish-brown thin vaginal discharge that follows lochia rubra until about the 10th day following birth |
| lochia alba | thin, yellowish-white vaginal discharge that follows lochia serosa on approximately the 10th day after birth |
| parturition | the act of giving birth |
| paresthesias | sensation of pins and needles in the legs - common side effects with spinal or epidural anesthesia |
| let-down reflex | also termed "milk ejection reflex"; release of milk from the breast, caused by the contraction of the myoepithelial cells within the milk glands in response to oxytocin |
| latch-on | proper attachment of the infant to the breast for feeding |
| engorgement | excessive swelling of the breast and areola brought about by an increase in blood and lymph supply to the breast, which preceds lactation - usually between 3rd and 5th postpartum day - last 24 hours |
| attachment | the bond or emotional and physical connection that develops between an infant and caregiver which tends to endure |
| CenteriningParenting | an innovative model of centering health care in which 5 to 6 mother infatn dyads continue to group care throughout the baby's first year of life - 10 post partum and well baby exams - continued support and transition into motherhood |
| sitz bath | application of moist heat to the perineum; sitting in a tub or basin filled with warm water |
| postpartum hemorrhage (PPH) | excessive bleeding after childbirth; vaginal birth - greater than 500 mL; cesarean birth - greater than 1,000 mL |
| uterine atony | failure of the uterine myometrium to contract and retract following birth that represents the leading cause of early postpartum hemorrhage |
| thrombin | problems with postpartum maternal coagulation |
| disseminated intravascular coagulation (DIC) | hematologic disorder characterized by a pathologic form of clotting that is diffuse and consumes large amounts of clotting factors; causes widespread external or internal bleeding or both |
| hematoma | localized collection of blood in connective or soft tissue under the skin that follows injruy of or laceration to a blood vessel without injury to the overlying tissue - vulva, perineum |
| superficial venous thrombosis | involves the superficial saphenous venous system - formation or presence of a blood clot within the vascular system |
| deep venous thrombosis | may extend from the foot to the ileofemoral region - formation or presence of a blood clot within the vascualr system |
| pulmonary embolism | a complication of deep venous thrombosis that occurs when part of a blood clot dislodges and travels to the pulmonary artery, where it causes vessel occlusion and obstruction of blood flow to the lungs |
| peurperal infection | a bacterial infection that occurs within 28 days after miscarriage, induced abortion or childbirth. One of the leading causes of maternal morbidity or mortality worldwide. |
| Methicillin-resistant Staphylococcus aureus (MRSA) | strain of S. aureus resistant to methicillin (and other batalacctams). Common cause of boils and is resistant to most antibiotics - usually acquired in hospitals - spreads from patient to patient - contaminated hands, clothing, equipment |
Created by:
Blackbeltmom
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