NUR 678 EXAM 2 WITH QUESTIONS AND
VERIFIED ANSWERS
Postpartum PsychosisPostpartum
A rare and severe form of depression that occurs in women just after giving birth
and includes delusional thinking and hallucinations p604
Postpartum thyroiditis Objective
thyrotoxicosis phase- sinus tachycardia, stare or lid lag, brisk reflexes, and a firm,
non-tender thyroid.
Transient hypothyroidism phase- delayed reflexes, psychomotor retardation, and
psychological reactions that mimic depression. p600
CH 22The Puerperium
period from delivery until the reproductive organs return to the non-pregnant stage.
Lasts appx 6-8 weeks. p.582
The Immediate puerperium (IP)
first, 24 hours after parturition when acute postanesthetic or post-delivery
complications may occur. p582
Lochia
the postpartum vaginal discharge that typically continues the first 2-3 days
postpartum p. 582
Lochia rubra (IP)
Reddish or red-brown vaginal discharge that occurs immediately after childbirth;
composed mostly of blood. p.582
Breasts (IP)
Lactation begins. colostrum is formed. Engorgement occurs between 24 to 72 hours
post-delivery. p582
,Early puerperium
extends until the first week postpartum (2nd to 7th day). Uterus decreases appx 12
wks size, just above the symphysis pubis. 583
Lochia serosa (EP)
The normal uterine discharge and it occurs days 4 to 10. Contains mostly serous
fluid, decidual tissue, leukocytes, and erythrocytes. Flow decreases. p583
Breast (EP)
breast contains milk about 3 to 5 days postpartum and is bluish-white. p583
Remote puerperium
includes the period required for involution of the genital organs and return of
menses, usually approximately 6 to 8 weeks
Uterus- non-palpable abdominally by 2 weeks postpartum and returns to its normal
size by 6-8 weeks p583
Lochia alba (RP)
creamy white discharge, composed primarily of leukocytes and decidual cells-
begins about day 10 and continues until appx day 35 postpartum.
Breasts (RP)
begin to adapt to the nutritional needs of the baby.; engorgement and mastitis are a
concern. p583
Rh negative mother
If (RhoGAM) was given to the mother postpartum, seroconversion from rubella or
varicella vaccines given prior to discharge should be checked at the postpartum
visit, or 6 to 8 wks after administration. p. 586
Interpregnancy interval (IPI)
,time between pregnancies is appx 18-59 months. Less than 6 months is linked to
increased risks of adverse outcomes. p586
Vaginal canal grading scale
Grade 0- no descent
Grade 1- descent between ischial spine and hymen >1cm above hymen
Grade 2- descent between ischial spine and hymen <1cm above hymen
Grade 3- descent within hymen
Grade 4- descent through the hymen p.588
Postpartum urinary retention
Defined as >6hours without voiding. 2/2 regional anesthesia, prolonged labor,
perineal trauma (damage to the pudendal nerve). Comb
Due to bladder atony p.589
Combination of oral contraception
30-42days postpartum (PP) start for breastfeeding mothers w/o risk of venous
thromboembolism (VTE)
after 42 days PP- for those w/ risk of VTE
21 days PP- if not breastfeeding and no risk for VTE
p. 589
Progestin only contraceptives
progestin only pill (POP), mini-pill (Micronor), Mirena IUD, Nexplanon, and
Depo-Provera.
safe to use when breastfeeding- they do not interfere w/milk production (but may
, w/ initial production of given immediately postpartum).
Best to be given at discharge. p. 589
Progestin IUD
recommended not be inserted until 4 wks to reduce the risk of expulsion and
uterine perforation
barrier methods
Contraceptive methods that physically or chemically obstruct the travel of sperm
toward the ovum. These devices do not alter body processes with drugs or devices
(Lubricated condoms, contraceptive sponge, diaphragms, cervical caps) p.589
lactation amenorrhea method
Name this type of fertility-awareness-based method of contraception*
An infant is; under six months of age, being breastfed every 4 hours during the day
and every 6 hours during the night, receives no supplementary feedings, and
menses has not returned. p589
Clear and stretchy cervical mucus
Strong indicator of return to ovulation and fertility in women who are
breastfeeding. P590
Normal glucose values
Fasting: <100
2 hr GTT: <140
A1c: <5.7
impaired glucose tolerance
Fasting ≥101-125 mg/dL
2 hr GTT≥ 140-199 mg/dL
VERIFIED ANSWERS
Postpartum PsychosisPostpartum
A rare and severe form of depression that occurs in women just after giving birth
and includes delusional thinking and hallucinations p604
Postpartum thyroiditis Objective
thyrotoxicosis phase- sinus tachycardia, stare or lid lag, brisk reflexes, and a firm,
non-tender thyroid.
Transient hypothyroidism phase- delayed reflexes, psychomotor retardation, and
psychological reactions that mimic depression. p600
CH 22The Puerperium
period from delivery until the reproductive organs return to the non-pregnant stage.
Lasts appx 6-8 weeks. p.582
The Immediate puerperium (IP)
first, 24 hours after parturition when acute postanesthetic or post-delivery
complications may occur. p582
Lochia
the postpartum vaginal discharge that typically continues the first 2-3 days
postpartum p. 582
Lochia rubra (IP)
Reddish or red-brown vaginal discharge that occurs immediately after childbirth;
composed mostly of blood. p.582
Breasts (IP)
Lactation begins. colostrum is formed. Engorgement occurs between 24 to 72 hours
post-delivery. p582
,Early puerperium
extends until the first week postpartum (2nd to 7th day). Uterus decreases appx 12
wks size, just above the symphysis pubis. 583
Lochia serosa (EP)
The normal uterine discharge and it occurs days 4 to 10. Contains mostly serous
fluid, decidual tissue, leukocytes, and erythrocytes. Flow decreases. p583
Breast (EP)
breast contains milk about 3 to 5 days postpartum and is bluish-white. p583
Remote puerperium
includes the period required for involution of the genital organs and return of
menses, usually approximately 6 to 8 weeks
Uterus- non-palpable abdominally by 2 weeks postpartum and returns to its normal
size by 6-8 weeks p583
Lochia alba (RP)
creamy white discharge, composed primarily of leukocytes and decidual cells-
begins about day 10 and continues until appx day 35 postpartum.
Breasts (RP)
begin to adapt to the nutritional needs of the baby.; engorgement and mastitis are a
concern. p583
Rh negative mother
If (RhoGAM) was given to the mother postpartum, seroconversion from rubella or
varicella vaccines given prior to discharge should be checked at the postpartum
visit, or 6 to 8 wks after administration. p. 586
Interpregnancy interval (IPI)
,time between pregnancies is appx 18-59 months. Less than 6 months is linked to
increased risks of adverse outcomes. p586
Vaginal canal grading scale
Grade 0- no descent
Grade 1- descent between ischial spine and hymen >1cm above hymen
Grade 2- descent between ischial spine and hymen <1cm above hymen
Grade 3- descent within hymen
Grade 4- descent through the hymen p.588
Postpartum urinary retention
Defined as >6hours without voiding. 2/2 regional anesthesia, prolonged labor,
perineal trauma (damage to the pudendal nerve). Comb
Due to bladder atony p.589
Combination of oral contraception
30-42days postpartum (PP) start for breastfeeding mothers w/o risk of venous
thromboembolism (VTE)
after 42 days PP- for those w/ risk of VTE
21 days PP- if not breastfeeding and no risk for VTE
p. 589
Progestin only contraceptives
progestin only pill (POP), mini-pill (Micronor), Mirena IUD, Nexplanon, and
Depo-Provera.
safe to use when breastfeeding- they do not interfere w/milk production (but may
, w/ initial production of given immediately postpartum).
Best to be given at discharge. p. 589
Progestin IUD
recommended not be inserted until 4 wks to reduce the risk of expulsion and
uterine perforation
barrier methods
Contraceptive methods that physically or chemically obstruct the travel of sperm
toward the ovum. These devices do not alter body processes with drugs or devices
(Lubricated condoms, contraceptive sponge, diaphragms, cervical caps) p.589
lactation amenorrhea method
Name this type of fertility-awareness-based method of contraception*
An infant is; under six months of age, being breastfed every 4 hours during the day
and every 6 hours during the night, receives no supplementary feedings, and
menses has not returned. p589
Clear and stretchy cervical mucus
Strong indicator of return to ovulation and fertility in women who are
breastfeeding. P590
Normal glucose values
Fasting: <100
2 hr GTT: <140
A1c: <5.7
impaired glucose tolerance
Fasting ≥101-125 mg/dL
2 hr GTT≥ 140-199 mg/dL
