QUESTIONS AND ANSWERS WITH FULL RATIONALES |
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Postpartal diaphoresis - correct answer -increased sweating that occurs after birth, especially at
night for the first 2-3 days to rid the body of fluid retained during pregnancy
afterpains - correct answer -Uncomfortable uterine cramping that occurs during the early
postpartum period as a result of periodic relaxation and vigorous contractions.
prolactin - correct answer -lactogenic hormone secreted by the pituitary gland of lactating
women
oxytocin - correct answer -pituitary hormone that is responsible for uterine contractions and
suppression of ovulation
involution - correct answer -Return of the uterus to a nonpregnant state after birth
4th trimester (perperium) - correct answer -terms used interchangeably with postpartum to
refer to the period of recovery after childbirth when reproductive organs return to their
nonpregnant state
lasts approx. 6 weeks though this can vary from woman to woman
lochia - correct answer -postbirth uterine discharge or flow
,engorgement - correct answer -term that describes distended, firm, tender, and warm breasts
during the postpartum period (warmth stimulates)
subinvolution - correct answer -failure of the uterus to return to a non-pregnant state
most common causes for subinvolution - correct answer -placental fragments and infection
dyspareunia - correct answer -coital discomfort or pain with intercourse
couplet care - correct answer -nursing care management approach in which one nurse cares for
both the mother and infant
Also called rooming in or mother-baby care
uterine atony - correct answer -failure of the uterine muscle to contract firmly
most frequent cause of excessive bleeding following childbirth
rhogam - correct answer -blood product that is administered to an Rh- mom who gave birth to
Rh+ baby to protect future pregnancies
It is administered at 28 weeks of gestation and again within 72 hours after birth
attachment - correct answer -process by which a parent comes to love and accept the child and
child comes to love and accept a parent; bonding
en face - correct answer -position used for mutual gazing in which the parent's face and the
infant's face is approx. 8 inches apart and are on the same plane
transition to parenthood - correct answer -period from the decision to conceive through the
first few months after the birth of a baby during which the mother and father undergo changes
, pink period - correct answer -Period surrounding the first day or two of birth, characterized by
heightened joy and feelings of well-being.
blue period - correct answer -period following birth that is characterized by emotional lability,
depression a let-down feeling, restlessness, fatigue, insomnia, anxiety, sadness, and anger.
Lability peaks round the fifth day postpartum and subsides by the tenth day
uterus (contractions post partum) - correct answer -want contractions in post partum period to
stop bleeding preventing hemorrhage
uterine descent - correct answer -1 hour into recovery should be at umbilicus- UU, midline, and
firm
should lower 1-2cm every 24hours after birth- U1, U2,...
After 2 weeks uterus is no longer palpable
After 6 weeks uterus is in pre-pregnancy state
lochia rubra - correct answer -3-4 days after birth
lochia serosa - correct answer -Pinkish/brown, serosanguineous. Lasts day 4-10 postpartum
lochia alba - correct answer -Yellowish, white cream color. Lasts approx. 11 days-6 weeks
postpartum
uterine discharge (postpartum) - correct answer -lochia- rubra, serosa, alba
*Should never go backwards!*
cervix (postpartum) - correct answer -soft immediately after birth