NSG-432 Maternal Physiologic Changes- Care of
PostPartum Family(with Errorless answers)
Involution correct answers - Uterus contraction after placenta is out
- Return of the uterus to a non-pregnant state after birth
- End of third stage, fundus is midline & 2 cm BELOW the umbilicus, weight approximately
1000 gm
- Within 12 hours the fundus is ABOVE 1 cm above the umbilicus
- The Pitocin given helps the uterus contract (prevent hemorrhage) When there is a decrease of
the Pitocin it will relax and rise back up
- In 24 hours, uterus size of 20 week gestation - Returns to umbilical level
Sub-Involution correct answers The uterus is prevented from staying contraction
- Failure of the uterus to return to pre-pregnancy state
Cause:
1. Retained placenta fragments
2. Infection: Causes edema so it can't contract
Post-Partum Hemorrhage correct answers Vaginal: 500cc >
C-Section: 1000cc >
Greater than this is considered a hemorrhage
The Umbilicus correct answers Is the landmark to measure where the uterus is
Importance of Post Partum care correct answers Safety of baby and mother
- The first 2 hours are crucial
Post Partum Includes: correct answers The time between birth and the return of organs to their
prepregnant state
After Pains in Multigravidas correct answers More noticeable in multigravidas
- It takes longer to stay contracted (Uterus)
- Because it has lost its elasticity
Where the placenta was attached correct answers There is an open wound
, - The uterus will contract to prevent that bleeding
- Will be healed in 6 weeks
Lochia correct answers Drainage from the placenta wound- where it was attached
- Does NOT clot
- Looks like blood but there are no clots in the fluid
- Should NOT have an odor- may be a sign of infection if it does
Time of Lochia correct answers Rubra: 1-3 days
- Bright red
- May be heavy in the first 24 hours
Serosa: Day 4-14 days
- More pink/yellow color
Alba: 6-8 weeks
- White vaginal discharge
Fundal Check correct answers - Important to do in the first 2 hours
- Sees if the uterus is staying contracted to prevent PP Hemorrhage
- 15 min x 4 = 1 hour
- 30 min x 2 = 2nd hour
Completes the 2 hour check
Bakri Balloon correct answers Can hold 500 cc and applies pressure, keep the uterus open
- Like a fully cath
- Helps to control bleeding (PP Hemorrhage)
- Stays in 24 hours
The Cervix correct answers - The cervix is soft immediately after birth
- Within 12-18 hours post partum, it shortens and firms
- 2 fingers may be inserted into cervix for 4-6 days
PostPartum Family(with Errorless answers)
Involution correct answers - Uterus contraction after placenta is out
- Return of the uterus to a non-pregnant state after birth
- End of third stage, fundus is midline & 2 cm BELOW the umbilicus, weight approximately
1000 gm
- Within 12 hours the fundus is ABOVE 1 cm above the umbilicus
- The Pitocin given helps the uterus contract (prevent hemorrhage) When there is a decrease of
the Pitocin it will relax and rise back up
- In 24 hours, uterus size of 20 week gestation - Returns to umbilical level
Sub-Involution correct answers The uterus is prevented from staying contraction
- Failure of the uterus to return to pre-pregnancy state
Cause:
1. Retained placenta fragments
2. Infection: Causes edema so it can't contract
Post-Partum Hemorrhage correct answers Vaginal: 500cc >
C-Section: 1000cc >
Greater than this is considered a hemorrhage
The Umbilicus correct answers Is the landmark to measure where the uterus is
Importance of Post Partum care correct answers Safety of baby and mother
- The first 2 hours are crucial
Post Partum Includes: correct answers The time between birth and the return of organs to their
prepregnant state
After Pains in Multigravidas correct answers More noticeable in multigravidas
- It takes longer to stay contracted (Uterus)
- Because it has lost its elasticity
Where the placenta was attached correct answers There is an open wound
, - The uterus will contract to prevent that bleeding
- Will be healed in 6 weeks
Lochia correct answers Drainage from the placenta wound- where it was attached
- Does NOT clot
- Looks like blood but there are no clots in the fluid
- Should NOT have an odor- may be a sign of infection if it does
Time of Lochia correct answers Rubra: 1-3 days
- Bright red
- May be heavy in the first 24 hours
Serosa: Day 4-14 days
- More pink/yellow color
Alba: 6-8 weeks
- White vaginal discharge
Fundal Check correct answers - Important to do in the first 2 hours
- Sees if the uterus is staying contracted to prevent PP Hemorrhage
- 15 min x 4 = 1 hour
- 30 min x 2 = 2nd hour
Completes the 2 hour check
Bakri Balloon correct answers Can hold 500 cc and applies pressure, keep the uterus open
- Like a fully cath
- Helps to control bleeding (PP Hemorrhage)
- Stays in 24 hours
The Cervix correct answers - The cervix is soft immediately after birth
- Within 12-18 hours post partum, it shortens and firms
- 2 fingers may be inserted into cervix for 4-6 days
