Complete Solutions
couplet care - Answer-nurse educated in both mother and infant care (aka mother-baby
care/ single soom maternity care)
Engorgement - Answer-Swelling of the breast tissue brought about by an increase in
blood and lymph supplied to the breast, occuring as early milk (colostrum) transitions to
mature milk at about 72-96 hours after birth.
fourth stage of labor - Answer-1-2 hours after birth. Crucial time for mother and
newborn. Maternal organs undergo initial readjustment to non-pregnant state and body
functions stabilize. New born transitions from intrauterine to extrauterine exixtance.
EXCELLENT time to begin breast feeding as infant is alert and ready to nurse. Breast
feeding helps with contraction of uterus and prevention of maternal hemorrhage.
Warm line - Answer-help line/ consultation service for families to access - most often for
support of new born and post partum care after hospital discharge.
Resumption of normal bowel function should take: - Answer-two to three (vaginal birth)
or day three to five (cesarean birth) days.
how is the condition of the uterus assessed? - Answer-FUNDUS. The condition of the
uterus is assessed by evaluating the height and consistency of the fundus (the part of
the uterus that can be palpated abdominally). Immediately after delivery, uterine
contractions begin triggering involution. Involution is the process whereby the uterus
and other reproductive organs return to their state prior to pregnancy.
how much should the uterus shrink by each day? - Answer-Every day the fundal height
decreases by approximately the width of one finger (one cm).
Lochia rubra (or cruenta) - Answer-the first discharge, red in color because of the large
amount of blood it contains. It typically lasts no longer than 3 to 5 days after birth.
Lochia serosa - Answer-2nd stage.
is the term for lochia that has thinned and turned brownish or pink in color. It contains
serous exudate,erythrocytes, leukocytes, and cervical mucus. This stage continues until
around the tenth day after delivery. Lochia serosa which persists to some weeks after
birth can indicate late postpartum hemorrhaging, and should be reported to a physician.
Lochia alba (or purulenta) - Answer-3rd
is the name for lochia once it has turned whitish or yellowish-white. It typically lasts from
the second through the third to sixth weeks after delivery. It contains fewer red blood
cells and is mainly made up of leukocytes, epithelial cells, cholesterol, fat, and mucus