NM717 postpartum questions with correct answers

breastfeeding frequency Answer 8-10x/day with 10min of swallowing per side lactation physiology Answer sucking or baby's cry mechanoreceptors spinal cord hypothalmus oxytocin neuro in posterior pituitary gland oxytocin released myoepithelial cells contract hypothalmus anterior pituitary gland prolactin inhibitory neuron turns off prolactin released lactogenisis (milk production) increased prolactin in postpartum Answer suppresses estrogen PP Thyroiditis: Answer fatigue, insomnia, constipation, depression, ect. Hyper (1-4 mo PP) tx with betablockers; then hypo (4-8 mo PP) tx with synthroid GDM management postpartum Answer re-screen 6 weeks PP; continue FS for 1 week PP non-breastfeeding women: Answer Prolactin levels fall after engorgement Hormonal shift to stimulate ovulation begin 3-4w PP First menses 6-8 w PP, 70% by 12w postpartum Rhogam Answer w/in 72 hours of birth breast abcess Answer u/s, refer for surgical lancing, cx abscess fluid, pump and dump on the affected side