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68WM6 Postpartum

Postpartum Nursing and Meds

what are the 3 processes of involution muscle contraction, catabolism, epithelial regeneration
how much should the fundus descend per day postpartum 1 cm
fundus should be back in the pelvic cavity by what day postpartum? day 10
theses mothers are more likely to experience intense afterpains multiparas who breastfeed
red discharge postpartum lochia rubra
pink/brown discharge postpartum lochia serosa
white/cream/yellow discharge postpartum lochia alba
why is urinary retention commonly a problem in postpartum women decreased urge to void and pain from birth trauma
breastfeeding can delay the onset of these two natural processes postpartum ovulation and menstration
normal WBC level in a postpartum woman 14000-16000
how long does it take for menses to resume in nonbreastfeeding women? 7-9 weeks
how long does it take for menses to resume in breastfeeding women? 12-18 months
how much weight does a woman usually lose during childbirth? 10-12 lbs
how much weight does a woman usually lose during involution of the uterus 5-8 lbs
are tachy or bradydysrhythmias common pospartum? bradydysrhythmias due to increased intravascular volume
this technique can be used to stimulate uterine contractions fundal massage
priority assessments following C section Respiratory, GI, and wound assessments
to prevent pneumonia following a C section what should be done turning coughing, deep breathing and early ambulation
to prevent lactation in a woman who does not intend to breastfeed what interventions are approbriate snug bra, avoid nipple stimulation
these nursing interventions can be used to prevent abdominal distension pelvic lifts, no carbonated beverages, avoiding use of straws, and ambulation
initial attraction between parents and child bonding
development of enduring and loving relationship between parents and child attachment
normal progression of maternall touch fingertipping->enfolding->consoling
this phase focuses on the mother's own needs, the mother is passive and dependent on others for instruction in care of child and recounts birth experience taking in phase
in this phase the mother becomes focused on the needs of the infant and becomes independent and is ready to learn taking hold
in this phase the parents relinquish their previous lifestyle to embrace new role as parents letting go
in this stage parents prepare for birth anticipitory
this stage begins at birth and is when parents get acquaited with child formal
in this stage parents respond to cues from infant rather than nursing staff regarding care informal
in this stage parents feel comfortable with their new role as parents personal
some potential family impacts of childbirth postpartum blues, father feeling left out, jealousy of siblings
predisposing factors for postpartum hemorrhage precipitous labor, oxytocin use, vaccum/forceps use, large baby, uterine overdistension
how is uterine atony treated massage, voiding, oxytocin
signs and symptoms of subinvolution prolonged lochial discharge, excessive or irregular bleeding, pelvic/back pain, fatigue, malaise
drug of choice for DVT during pregnancy heparin
things to monitor for in a patient on anticoagulant therapy bruising, petechiae, bleeding
why is vaginal infection risk higher postpartum altered vaginal pH, lochia, necrosis of endometrium
to prevent postpartum UTI, these interventions are appropriate increased oral fluid intake, void every 2-3 hours, good hygeine
the different types of postpartum psychological conditions blues, depression, psychosis
these factors stimulate the infants respiratory center during birth and result in the first breath hypoxia, decreased pH, increased CO2, cool air
reduces the surface tension in the alveoli and allows them to stay partially open surfactant
what happens to fetal lung fluid during and after birth pushed into the interstitial spaces and absorbed into circulation
decresed tension in pulmonary vessels and increased tension of perhipeheral vessels results in functional closure of these two shunts shortla after birth ductus arteriosus and foramen ovale
this shunt becomes inactive when the umbilical cord is clamped ductus venosus
how do newborns generate heat? increased activity, brown fat (nonshivering thermogenesis)
greenish black first stools meconium
seedy mustard colored stools milk stools
yellow brown stools less frequent than milk stools formula stools
what causes pathologic jaundice? excessive hemolysis following birth
this jaundice may result from enzymes in breast milk breast milk jaundice
this immune globulin crosses the placenta easily IgG
this immune globulin is present in breastmilk IgA
this immune globulin is produced by the infant IgM
deep sleep, little response to stimuli quiet sleep
sleep in which the infant is moving and respirations become more irregular active sleep
stage between infant sleeping and waking drowsy
in this stage the infant is awake and interested in stimuli quiet alert
in this stage the infant becomes fussy but is not actively crying active alert
this stage is initiated when needs expressed during the active alert phase are not met and the infant becomes difficult to console crying
initial assessments on newborns focus on what? cardiorespiratory status, thermoregulation, physical anomalies
what does a CV assessment include on an infant airway, color, heart sounds, pulses, and blood pressure
what temperature location is preferred for infants? axillary
localized swelling of the head that crosses the suture lines caput succedaneum
bleeding between periosteum and bone that does NOT cross the suture lines cephalohematoma
normal change of head shape occuring during birth molding
s/s of infant hypoglycemia jitteriness, poor muscle tone, respiratory distress, high pitched cry, diaphoresis, decreased temperature, weak suck, lethargy, irritability seizures, coma, DEATH
how soon after birth should an infant pass the first stool? 12-48 hours
how soon after birth should an infant void? 12-24 hours
after first two days, how many wet diapers per day indicated adequate hydration and good kidney function 6
all newborns get these two medications prophylactically vitamin K and erythromycin opthalmic
rich in protein, vitamins and minerals and immune globulins, precedes milk colostrum
less protein and immunoglobins than colostrum and preceds mathur milk. rich in lactose, fat, and calories transitional milk
less rich milk that appears after transitional milk mature milk
why is breast milk superior to formula easier to digest, helps to establish immunity and intestinal flora
triggers letdown reflex and the release of oxytocin and prolactin suckling
how often and how much breastfeeding is appropriate for an infant every 2-3 hours for 10-15 minutes per breast
how do preterm infants differ from term infants in their physical appearance? frail, weak, thin, limp extremeties, poor muscle tone, and red skin
what is the cause of respiratory distress in preterm infants? lack of surfactant, undeveloped cough reflex, small air passages, weak muscles
why are preterm infants more prone to water loss? thin skin, immature kidneys
how to postterm infants differ from term in their physical appearance skin folds, peeling, minimal vernix and lanugo, meconium staining, worried expression
what are postmature infants at risk for? polycythemia, meconium aspiration, hypoglycemia, poor temperature regulation
in this growth restriction, the whole body is small symmetric
in this growth restriction, the body is small and frail making the head appear disproportionately large assymmetric
what are Large for gestational age infants at increased risk for? fractures, nerve damage, cephalohematoma, hypoglycemia, polycythemia
narrowing near ductus arteriosus coarction of aorta
narrowing of aortic valve aortic stenosis
narrowing of pulmonic valve pulmonic stenosis
ventricular septal defect, pulmonic stenosis, overriding aorta, and right ventricular hypertrophy tetralogy of fallot
tricuspid valve fails to develop resulting in no communication betwee the right atrium and ventricle tricuspid atresia
no communication between systemic and pulmonary circulation unless the foramen ovale remains patent or if there is a cooexisting atrial or ventricular septal defect transposition of great vessels
pulmonary and systemic circulation mixed into one commen vessel that is connected to both ventricles, usually occurs along with a ventricular septal defect truncus arteriosus
underdevelopment of the left side of heart with right ventricle doing work of both ventricles, usually occurs with atrial septal defect or a patent foramen ovale hypoplastic left heart syndrome
imbalance of production and absorption of CSF caused by either impaired absorption or ventricular obstruction hydrocephalus
developmental dysplasia characterized by shallow, oblique acetabular roof without displacement of proximal femur acetabular dysplsia
developmental dysplasia in which the hip is incompletely dislocated with flattening of the socket subluxation
developmental dysplasia in which the hip is dislocated wtih an elongated and taut ligamentum tres dislocation
used to maintain hip in safe position witht he proximal femur centered in the acetabulum pavlik harness
congenital clubfoot; inversion talipes varus
congenital clubfoot, eversion talipes valgus
congenital clubfoot, plantar flexion talipes equinus
congenital clubfoot, dorsiflexion talipes calcaneus
most common form of congenital clubfoot talipes equanovarus (inverted and plantar flexion combined)
term for malformation of spinal canal and/or cord myelodysplasia
incomplete closing of the spinal column spina bifida
spina bifida that is not visible externally spina bifida occulta
spina bifida with an external saclike protrusion spina bifida cystica
spina bifida cystica that contains only meninges and CSF meningocele
spina bifida cystic that contains nerves in addition to meninges and CSF myelomeningocele
spina bifida greatly increases the risk of having an allergy to this substance latex
skull defect through which tissues protrude cranioischesis
brain totally exposed or extruded exencephally
brain degenerates to spingiform mass due to exencephaly anencephaly
herniation of brain and meninges encephalocele
extra copy of one chromosome trisomy
single chromosome missing monosomy
body canno process phenylalanine consumed in food phenylketonuria
treatment for phenylketonuria diet restriction
what does IDM stand for infant of diabetic mother
postpartum medication for rH negative mothers Rhogam
after receiving this vaccination one should avoid pregnancy for a minimum of 28 days Rubella
medications given to promote cervical ripening prostaglandins, misoprostol (cytotec), and magnesium sulfate
medication given to stimulate uterine contraction oxytocin
for cheldren of Hepatitis B positive mothers Hep B vaccine, Hep B Immunoglobulin
trisomy 21 down's syndrome
monosomy x turner's syndrome
Created by: ewoff85