NU170 exam 4 Galen
1. What is involution?: the return of the uterus to a non pregnant state after birth
2. What is subinvolution?: failure of uterus to return to non-pregnant state
3. What is lochia?: the normal discharge from the uterus after childbirth.
4. What is lochia rubra?: Postpartum vaginal discharged consisting of blood - there are small particles of deciduas
and mucus 0-3 days postpartum
5. What is lochia serosa?: Pinkish discharge. Composed of blood and mucus and can last from the 3rd- 10th day
postpartum
6. What is lochia alba?: Mostly mucus. Clear colourless or white and can last from the 10th-21st day
postpartum
7. What happens to the cervix postpartum?: Internal closes, but the external os shape is perma-nently
changed. It remains slightly open and slit like rather than round. Regains muscle tone but never closes
8. What is puerperium?: - Postnatal period
- Period of about 6-8 weeks after childbirth during which the mother's reproductive organs return to their original non-
pregnant condition
9. scant amount of lochia: 2-inch stain (10ml)
10. Light amount of lochia: 4-inch stain (10 to 25ml)
11. moderate amount of lochia: 6-inch stain (25-50ml)
12. Large amount of lochia: Over 6inch stain (50 to 80ml)
13. When does menstrual cycle typically resume after birth?: 5 to 6
,weeks if not breast-feeding
14. What happens to ovulation after giving birth?: Return of ovulation is delayed if breastfeed-ing,
however it can occur at any time after birth
15. What do you check nipples for after birth?: Cracks, wash nipples only with water, mom is
wearing supportive bra
16. Normal blood loss for vaginal delivery: up to 500 mL
17. Normal blood loss for c-section: Up to 1000 mL
18. Why must the patient urinate after birth?: A full bladder can displace the uterus causing
postpartum hemorrhage
19. What happens to hyperpigmentation postpartum?: -hyperpigmentation of areolae and lines
nigra may not regress completely after childbirth
-some will have permanent pigmentation in these areas
-stretch marks may fade but not disappear
, 20. How many wet diapers per day?: 6-8
21. What is pseudomenstruation?: Caused by hormonal withdrawal from mother
22. Cephalohematoma: Swelling caused by bleeding between the osteum and periosteum of the skull. This swelling
does not cross suture lines. Subsides within a few weeks
23. caput succedaneum: Swelling of the soft tissues of the scalp that DOES cross suture lines, subsides within a few
days
24. vernix caseosa: cheesy substance covering the skin of the fetus
25. Lanugo: fine, soft hair, that which covers the body and limbs, greater w preterm babies
26. Port-Wine Stain (Nevus Flammeus): A large, flat, macular patch covering the scalp or face, frequently
along the distribution of cranial nerve V. The color is dark red, bluish, or purplish and intensifies with crying, exertion, or
exposure to heat or cold. The marking consists of mature capillaries. It is present at birth and usually does not fade. The use of
yellow light lasers now makes photoablation of the lesion possible, with minimal adverse ettects.
27. Epstein pearls: Small white cysts found on the gums and at the junction of the soft and hard palates
28. Mongolian spots: bluish purple spots of pigmentation
29. Milia: small raised white spots on nose, chin, and forehead
30. Meconium: first stool of the newborn (greenish-black), passed 8-24 hrs after birth
31. Immunoglobulin G (IgG): Crosses the placenta and provides newborn with passive immunity
Rarely lasts longer than 3 months "I got it from my mom"
32. Immunoglobulin M (IgM): Produced by the newborn, elevated levels suggest newborn has serious
infection " I made it myself "
1. What is involution?: the return of the uterus to a non pregnant state after birth
2. What is subinvolution?: failure of uterus to return to non-pregnant state
3. What is lochia?: the normal discharge from the uterus after childbirth.
4. What is lochia rubra?: Postpartum vaginal discharged consisting of blood - there are small particles of deciduas
and mucus 0-3 days postpartum
5. What is lochia serosa?: Pinkish discharge. Composed of blood and mucus and can last from the 3rd- 10th day
postpartum
6. What is lochia alba?: Mostly mucus. Clear colourless or white and can last from the 10th-21st day
postpartum
7. What happens to the cervix postpartum?: Internal closes, but the external os shape is perma-nently
changed. It remains slightly open and slit like rather than round. Regains muscle tone but never closes
8. What is puerperium?: - Postnatal period
- Period of about 6-8 weeks after childbirth during which the mother's reproductive organs return to their original non-
pregnant condition
9. scant amount of lochia: 2-inch stain (10ml)
10. Light amount of lochia: 4-inch stain (10 to 25ml)
11. moderate amount of lochia: 6-inch stain (25-50ml)
12. Large amount of lochia: Over 6inch stain (50 to 80ml)
13. When does menstrual cycle typically resume after birth?: 5 to 6
,weeks if not breast-feeding
14. What happens to ovulation after giving birth?: Return of ovulation is delayed if breastfeed-ing,
however it can occur at any time after birth
15. What do you check nipples for after birth?: Cracks, wash nipples only with water, mom is
wearing supportive bra
16. Normal blood loss for vaginal delivery: up to 500 mL
17. Normal blood loss for c-section: Up to 1000 mL
18. Why must the patient urinate after birth?: A full bladder can displace the uterus causing
postpartum hemorrhage
19. What happens to hyperpigmentation postpartum?: -hyperpigmentation of areolae and lines
nigra may not regress completely after childbirth
-some will have permanent pigmentation in these areas
-stretch marks may fade but not disappear
, 20. How many wet diapers per day?: 6-8
21. What is pseudomenstruation?: Caused by hormonal withdrawal from mother
22. Cephalohematoma: Swelling caused by bleeding between the osteum and periosteum of the skull. This swelling
does not cross suture lines. Subsides within a few weeks
23. caput succedaneum: Swelling of the soft tissues of the scalp that DOES cross suture lines, subsides within a few
days
24. vernix caseosa: cheesy substance covering the skin of the fetus
25. Lanugo: fine, soft hair, that which covers the body and limbs, greater w preterm babies
26. Port-Wine Stain (Nevus Flammeus): A large, flat, macular patch covering the scalp or face, frequently
along the distribution of cranial nerve V. The color is dark red, bluish, or purplish and intensifies with crying, exertion, or
exposure to heat or cold. The marking consists of mature capillaries. It is present at birth and usually does not fade. The use of
yellow light lasers now makes photoablation of the lesion possible, with minimal adverse ettects.
27. Epstein pearls: Small white cysts found on the gums and at the junction of the soft and hard palates
28. Mongolian spots: bluish purple spots of pigmentation
29. Milia: small raised white spots on nose, chin, and forehead
30. Meconium: first stool of the newborn (greenish-black), passed 8-24 hrs after birth
31. Immunoglobulin G (IgG): Crosses the placenta and provides newborn with passive immunity
Rarely lasts longer than 3 months "I got it from my mom"
32. Immunoglobulin M (IgM): Produced by the newborn, elevated levels suggest newborn has serious
infection " I made it myself "
