NSG 3111 Midterm Exam – Questions With Proper
Solutions
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Terms in this set (289)
Antepartum before birth - from time of conception up until labour
starts
Intrapartum during birth - from start of labour to delivery of
placenta
Postpartum after birth - until approx 6 weeks after birth
Lochia vaginal discharge after childbirth (bloody, uterine
origin)
Postpartum period the interval between birth and return of reproductive
organs to their non-pregnant state (~6 weeks)
,When does postpartum period end When uterus goes back to pre-pregnancy state
Postpartum temperature Slightly elevated in first 24 hours, normal up to 38*C
Temps >38* warrant investigation
What causes elevated temperature in Dehydration, work of labour
the first 24 hours postpartum
Postpartum pulse Elevated for ~1 hour after delivery
Postpartum respiratory rate Within usual pre-pregnancy rate (12-24)
Postpartum blood pressure May see a ~5% increases for the first few days after
childbirth
BUBBLEE Breasts
Uterus
Bowels
Bladder
Lochia
Episiotomy/Laceration/Caesarean Incision
Emotional Status
Postpartum goal for non- Suppression of lactation
breastfeeding mothers Reduce discomfort from engorgement
Discomfort relief for non- Analgesia, ice packs, well fitted bras, cabbage leaves
breastfeeding mothers (first 72hrs)
Involution Process of uterus returning to pre-pregnancy state
after birth
Fundus rounded upper portion of the uterus
, Enhancing factors for involution Effective uterine contractions (suppress bleeding
from placental vessels)
Afterpains Significant cramping pain d/t contractions after
delivery, happens during breastfeeding (d/t increased
oxytocin) - good sign that body is responding to
baby's arrival
Hormone responsible for uterine Oxytocin
contractions
Endometrial regeneration Almost complete after 3 weeks, except for at placenta
site (6-7 weeks)
How is uterine involution assessed? External palpation
1st stage of labour From onset of regular contractions to full 10cm
dilation
Latent and Active stages
Latent phase of 1st stage 0-3cm dilation
Longer/unpredictable
More effacement than dilation
Effacement thinning of the cervix
Active phase of 1st stage 4-10cm
Shorter/more predictable
0.5-1cm/hr
2nd stage of labour Full dilation (10 cm) until birth of baby
Passive and active stages
Passive phase of 2nd stage Letting baby come down passively through force of
contractions
Solutions
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Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (289)
Antepartum before birth - from time of conception up until labour
starts
Intrapartum during birth - from start of labour to delivery of
placenta
Postpartum after birth - until approx 6 weeks after birth
Lochia vaginal discharge after childbirth (bloody, uterine
origin)
Postpartum period the interval between birth and return of reproductive
organs to their non-pregnant state (~6 weeks)
,When does postpartum period end When uterus goes back to pre-pregnancy state
Postpartum temperature Slightly elevated in first 24 hours, normal up to 38*C
Temps >38* warrant investigation
What causes elevated temperature in Dehydration, work of labour
the first 24 hours postpartum
Postpartum pulse Elevated for ~1 hour after delivery
Postpartum respiratory rate Within usual pre-pregnancy rate (12-24)
Postpartum blood pressure May see a ~5% increases for the first few days after
childbirth
BUBBLEE Breasts
Uterus
Bowels
Bladder
Lochia
Episiotomy/Laceration/Caesarean Incision
Emotional Status
Postpartum goal for non- Suppression of lactation
breastfeeding mothers Reduce discomfort from engorgement
Discomfort relief for non- Analgesia, ice packs, well fitted bras, cabbage leaves
breastfeeding mothers (first 72hrs)
Involution Process of uterus returning to pre-pregnancy state
after birth
Fundus rounded upper portion of the uterus
, Enhancing factors for involution Effective uterine contractions (suppress bleeding
from placental vessels)
Afterpains Significant cramping pain d/t contractions after
delivery, happens during breastfeeding (d/t increased
oxytocin) - good sign that body is responding to
baby's arrival
Hormone responsible for uterine Oxytocin
contractions
Endometrial regeneration Almost complete after 3 weeks, except for at placenta
site (6-7 weeks)
How is uterine involution assessed? External palpation
1st stage of labour From onset of regular contractions to full 10cm
dilation
Latent and Active stages
Latent phase of 1st stage 0-3cm dilation
Longer/unpredictable
More effacement than dilation
Effacement thinning of the cervix
Active phase of 1st stage 4-10cm
Shorter/more predictable
0.5-1cm/hr
2nd stage of labour Full dilation (10 cm) until birth of baby
Passive and active stages
Passive phase of 2nd stage Letting baby come down passively through force of
contractions
