click below
click below
Normal Size Small Size show me how
Postpartum
OB Exam 1
| Term | Definition |
|---|---|
| yellowish white discharge is known as ____ | alba |
| infection of the uterine lining is known as ____ | endometritis |
| the unit of length that is based on the width of a finger is called a ____ | fingerbreath |
| ___ is pertaining to the fundus (top of the uterus) | fundal |
| ____ is the growth process of conception to birth | gestation |
| a solid swelling clotted blood within the tissues is a ____ | hematoma |
| ___ is the vaginal discharge after childbirth | lochia |
| macrosomia is referring to a ____ | large baby |
| infection of the mammary gland is known as _____ | mastitis |
| ___ is having had several pregnancies | multiparity |
| high blood pressure and protein in urine during pregnancy is known as ____ | preelampsia |
| a rapid labor that occurs within less than 3 hours is known as ____ | precipitous |
| ___ is pertaining to childbirth | puerperal |
| inflammation of a vein with clot formation is known as ____ | thrombophlebitis |
| ___ is shrinking of the uterus back to its normal size after childbirth | involution |
| a naturally made tear is known as a ____ | laceration |
| a surgically made tear is known as a ____ | episiotomy |
| PP | postpartum (after delivery) |
| IP | intrapartum (during labor) |
| AP | antepartum (pregnancy) |
| NB | newborn |
| WH | women's health |
| a baby born 37w-41w6d is considered ____ | full term |
| a baby born 20w-36w6d is considered ___ | pre term |
| a baby born 34w-36w6d is considered ___ | late preterm |
| a baby born 42w or more is considered ____ | post term |
| SVD | spontaneous vaginal delivery |
| operative VD/OVD | operative vaginal delivery |
| CS | cesarean section |
| ROM | rupture of membranes |
| AROM | artificial rupture of membranes |
| SROM | spontaneous rupture of membranes |
| AGA | appropriate for gestational age |
| LGA | large for gestational age |
| SGA | small for gestational age |
| dark red blood secreted from the vagina is known as ____ | rubia |
| pinkish brownish discharge secreted from the vagina is known as ____ | serosa |
| normal BP for mom | 90-50/140-90 |
| the average weight of newborns is ____ | 5.5-8.75 lbs (2500-4000g) |
| normal HR for mom | 60-110 |
| normal RR for mom | 12-20 |
| normal temp for mom | < 100.4 |
| normal SpO2 for mom | >95 |
| normal hemoglobin for mom | 10-14 |
| normal hematocrit for mom | 30-42 |
| normal WBC range for mom | 5-25k |
| normal platelets for mom | 150-400k |
| the acronym BUBBLELE stand for ____ | breasts uterus bowel bladder lochia episiotomy/laceration lower extremities emotions |
| RhoGam should be given if ___ | mom is - and the baby is + |
| ___ is the first line drug used to create rhythmic uterine contractions, but also used to prevent or reverse uterine atony/hemorrhage | oxytocin (pitocin) |
| ___ is a second line drug if not contraindicated used to sustain uterine contractions and prevent or reverse uterine atony/hemorrhage | methergine |
| ___ is used to control uterine atony typically after failed attempts to control with oxytocic agents | hemabate |
| ___ is used to prevent and treat uterine atony after failed attempts to control with oxytocic agents | cytotec |
| oxytocin is given via ___ or ____ | IV or IM |
| methergine is given via ___ or ____ | PO or IM |
| hemabate is given via ____ | IM |
| cytotec is given via ____ | rectal route |
| ___ decreases blood loss in surgery and reduces death due to bleeding after trauma when given within 3 hours of birth | TXA |
| TXA is administered via ____ | IV |
| the only PP drug that has no contraindications is ____ | oxytocin |
| patients with ____ should not receive hemabate | asthma |
| patients with ____ should not receive methergine | HTN |
| patients with ___ should not receive cytotec | allergy |
| REEDA is the acronym used to assess episiotomy/lacerations and stands for ____ | redness edema eccomyosis discharge approximation |
| excessive accumulation of amniotic fluid in the uterus is known as _____ | polyhydraminos |
| Rhogam should be given within ____ | 72 hours PP |
| the phase where mom is focused on herself, and reflects on her birth is known as the ____ phase | taking in |
| the phase where mom is focused on the baby is known as the ____ phase | taking hold |
| the phase where mom has completed her transition and is comfortable in her role and label is known as the ____ phase | letting go |
| a foley catheter can be left in for a max of ___ hours after delivery | 8 |
| after giving birth, patients should be on pelvic rest for ___ weeks | 6 |
| women who give birth via the vaginal route should have a QBL ___ | < 500mL |
| women who give birth via c/s route should have a QBL of ___ | < 1000mL |
| LGA baby multiple pregnancies polyhydraminos increases the risk for ____ | uterine atony |
| persistent bleeding with a firm fundus could indicate a ____ | laceration |
| high parity (5+) coagulation disorder uterine overdistention infection placental abnormalities rapid or prolonged labor operative vaginal birth c/s delivery can all increase risk for ____ | PPH |
| the very first intervention during a PPH is ____ | fundal massage |
| c/s delivery prolonged labor (18+ hours with ROM) invasive procedures internal monitors increase the risk for ____ | endometritis |
| fever increased HR/tachycardia chills foul-smelling discharge increased uterine cramping/pain malaise are signs of ____ | endometritis |
| endometritis is treated with ___ | antibiotics pain meds |
| nipple tissue damage due to poor latching oversupply infrequent/missed feedings clogged ducts increase the risk for ____ | mastitis |
| fever increased HR/tachycardia chills erythemic and warm secretions from the breast possible lump/edema pain malaise are all signs of ____ | mastitis |
| mastitis is treated with ____ | antibiotics pain meds, fluids continuous feeding |
| urinary catheter use improper perineal care/hygiene epidural anesthesia overdistention of the bladder operative vaginal delivery increase the risk for | UTIs |
| fever increased HR/tachycardia pain/burning with urination strong-smelling urine are signs of ____ | UTI |
| UTIs are treated with ___ | antibiotics pain meds fluids frequent voiding |
| obesity diabetes prolonged/ROM operative vaginal delivery increase the risk for ____ | wound infections |
| REEDA fever increased HR/tachycardia increased pain foul-smelling fluid are signs of a ____ | wound infection |
| treat wound infections with ____ | antibiotics pain meds fluids dressing changes possible surgery for debridement |
| obesity smoking trauma infection diabetes hypertension renal disease are all risk factors for ___ | DVT |
| dependent edema unilateral leg swelling erythema low-grade fever are signs of ___ | DVT |
| DVTs are treated with ____ | anticoagulation therapy |
| history of VTE known DVT obesity smoking trauma infection diabetes hypertension renal disease increase the risk for ____ | PE |
| mood swings/changes during the first 1-2 weeks PP where the mom is still able to safely care for herself and baby is known as ___ | PP blues (baby blues) |
| significant weight loss insomnia/hypersomnia feeling worthlessness or guilt decreased ability to concentrate/make decisions decreased interest in normal activities impaired ability to take care of self or baby lasts longer than 12 months is ____ | postpartum depression |
| delusions hallucinations disorganized speech grossly disorganized/catatonic behavior a medical emergency is known as ___ | postpartum psychosis |