Ch 15

Question 1

Length of PP

Answer 1

Takes place from Birth-1 Years old

Question 2

Uterine Involution Def

Answer 2

Shrinking of Uterus

Question 3

What happens in Uterine Involution?

Answer 3

• Retrogressive changes that return the uterus to pre-pregnancy size
• Descends from umbilicus at 1cm/day (Size of 1 Finger)

Question 4

Subinvolution Def

Answer 4

Failure of uterus to return to nonpregnant state results from ineffective uterine ctx due to retained Placental Tissue or an infection

Question 5

What results in a Boggy/Soft Uterus?

Answer 5

No Contractions

Question 6

Severity of Afterpains Increase as __

Answer 6

Number of Pregnancies Increase

Question 7

What will inadequate contractions result in?

Answer 7

Uterine atony, which will cause hemorrhage

Question 8

Lochia Def

Answer 8

Vaginal Discharge that occurs after birth for 4-6 weeks due to involution

Question 9

Lochial Rubra Color

Answer 9

Bright Red for Days 1-3

Question 10

Lochia Serosa Color

Answer 10

Pinkish Brown for Days 4-10

Question 11

Lochia Alba Color

Answer 11

Whiteish Yellow for Days 10-14 or up to 3-6 weeks

Question 12

Why is there Lochial Bleeding?

Answer 12

From a soft/boggy/atomous Uterus due to it not contracting properly

Question 13

Non-Lochial Bleeding is bleeding where?

Answer 13

From any source that is not from the uterus–so lacerations or cervix—so the uterus will be firm

Question 14

What is the first milk also called liquid gold?

Answer 14

Colostrum, it is produced in 1-3 days PP

Question 15

What comes after Colostrum?

Answer 15

Breastmilk comes 4-5 days PP

Question 16

Milk Production results in what potential complication

Answer 16

• Engorgement
• Mastitis

Question 17

Engorgement Def

Answer 17

Distention swelling of Breast Tissue

Question 18

Engorgement Support Interventions

Answer 18

Support includes wearing a tight-fitting bra, apply ice to breast, relieve engorgement with warmth/shower, avoid stimulation of breasts

Question 19

What is the major cause of atony/boggy/soft uterus?

Answer 19

Urinary Retention

Question 20

What part of body does not return to Pre-Pregnancy Size

Answer 20

Feet

Question 21

When does Menstruation and Ovulation return for Nonlactating Women?

Answer 21

Menstruation and Ovulation returns 7-8 weeks PP

Question 22

When does Menstruation and Ovulation return for Lactating Women?

Answer 22

Menstruation and Ovulation will return as the breast milk supply diminishes

Takes about 2-18 Months

Question 23

Why is breastfeeding not a reliable method of contraception?

Answer 23

Because Ovulation may occur before Menstruation

Question 24

VS PP

Answer 24

HR: 60-80
BP: <120/80 or Orthostatic Hypotension
RR: 12-20
Temp: Slight elevation first 24 hours then 100.4 is normal

Question 25

Asian Cultural Considerations

Answer 25

Confinement where they stay home about 40 days practicing Yin/Yang and prevent cold air/spirits from entering

Question 26

Maternal Role Attainment Theory’s 3 Stages

Answer 26

1st: Taking In 2nd: Taking Hold 3rd: Letting Go

Question 27

What is the 1st stage of Maternal Role Attainment

Answer 27

* When pt has the new baby with a new routine and are still recovering * The time immediately after birth when client needs others to meet her needs and relives the birth process * They are dependent on others * They are Overwhelmed

Question 28

What is the 2nd stage of Maternal Role Attainment

Answer 28

* When pt is learning how to navigate the new normal * The time of dependent and independent maternal behavior * They are in-between Overwhelmed and Comfortable

Question 29

What is the 3rd stage of Maternal Role Attainment

Answer 29

* When pt understands and is confident in her role as a mom * The time where they reestablish her relationships with others * They are Comfortable

Question 30

Engrossment Def

Answer 30

The partner’s developing time with the newborn, a time of intense absorption, preoccupation and interest