Questions and Correct Answers |
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What is the fourth stage of labor? - 🧠 ANSWER ✔✔The maternal recovery
period starting with the delivery of the placenta and lasts from 1-4 hours.
This is when parent-newborn bonding should start to occur.
1) What is the main of of goal during the immediate postpartum period?
2) What are the other goals during this time? - 🧠 ANSWER ✔✔1) Prevent
postpartum hemorrhage.
,2) Assist in pt's recovery, identify deviations in expected recovery process,
provide comfort measures & pharmacologic pain relief as prescribed,
provide pt education about newborn and self-care, provide baby-friendly
activities to promote infant/family bonding
What is the puerperium? - 🧠 ANSWER ✔✔The postpartum period; includes
physiological and psychological adjustments; begins after delivery of
placenta and ends when the body returns to the prepregnant state which
takes about 6 weeks.
What physiological changes do mom's experience postpartum? - 🧠
ANSWER ✔✔Uterine involution (shrinkage), lochia flow, cervical involution,
decrease in vaginal distention, alteration in ovarian function and
menstruation, cardiovascular/urinary tract/breast/GI tract changes
What are the greatest risks during the postpartum period? - 🧠 ANSWER
✔✔Hemorrhage, shock, infection
What is oxytocin? - 🧠 ANSWER ✔✔A hormone released from the pituitary
gland that coordinates and strengthens uterine contractions
What stimulates the release of endogenous oxytocin from the pituitary
gland? - 🧠 ANSWER ✔✔Breastfeeding
,What is pitocin (exogenous oxytocin) administered for? - 🧠 ANSWER
✔✔May be administered postpartum to improve the quality of uterine
contractions.
What prevents excessive bleeding and hemorrhaging postpartum? - 🧠
ANSWER ✔✔A firm and contracted uterus
What are after pains? - 🧠 ANSWER ✔✔Uncomfortable uterine cramping
What happens hormonally after the delivery of the placenta? - 🧠 ANSWER
✔✔Estrogen, progesterone, and placental enzyme insulinase decrease,
thus resulting in decreased blood glucose, estrogen, and progesterone
levels.
What is decreased estrogen associated with? - 🧠 ANSWER ✔✔Breast
engorgement, diaphoresis and diuresis of excess extracellular fluid
accumulated during pregnancy. Also diminishes vaginal lubrication so local
dryness and intercourse discomfot may persist until ovarian function
returns and menstruation resumes
What is decreased progesterone associated with? - 🧠 ANSWER
✔✔Increase in muscle tone throughout the body
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, What is decreased placental enzyme insulinase associated with? - 🧠
ANSWER ✔✔Reversal of the diabetogenic effects of pregnancy, which
lowers blood glucose levels immediately in the puerpium
Is there a difference between lactating and non-lactating women regarding
menstruation? - 🧠 ANSWER ✔✔Yes, they differ in the timing of the first
ovulation and the resumption of menstruation.
What are the differences between lactating and non-lactating women
regarding prolactin levels? - 🧠 ANSWER ✔✔Lactating: serum prolactin
levels remain elevated and suppress ovulation.
Non-lactating: prolactin declines and reaches the prepregnant level by the
third week postpartum
What are the differences between lactating and non-lactating women
regarding the return of ovulation? - 🧠 ANSWER ✔✔Lactating: the return of
ovulation is influenced by breastfeeding frequency, the length of each
feeding and the use of supplementation
Non-lactating: ovulation occurs 27-75 days after birth