NSG-432 Maternal Physiologic Changes-
Care of PostPartum Family questions
and answers
Involution - correct answer - 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 answer 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 answer Vaginal: 500cc >
C-Section: 1000cc >
Greater than this is considered a hemorrhage
, The Umbilicus - correct answer Is the landmark to measure where the uterus is
Importance of Post Partum care - correct answer Safety of baby and mother
- The first 2 hours are crucial
Post Partum Includes: - correct answer The time between birth and the return of organs to their
prepregnant state
After Pains in Multigravidas - correct answer More noticeable in multigravidas
- It takes longer to stay contracted (Uterus)
- Because it has lost its elasticity
Where the placenta was attached - correct answer There is an open wound
- The uterus will contract to prevent that bleeding
- Will be healed in 6 weeks
Lochia - correct answer 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
Care of PostPartum Family questions
and answers
Involution - correct answer - 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 answer 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 answer Vaginal: 500cc >
C-Section: 1000cc >
Greater than this is considered a hemorrhage
, The Umbilicus - correct answer Is the landmark to measure where the uterus is
Importance of Post Partum care - correct answer Safety of baby and mother
- The first 2 hours are crucial
Post Partum Includes: - correct answer The time between birth and the return of organs to their
prepregnant state
After Pains in Multigravidas - correct answer More noticeable in multigravidas
- It takes longer to stay contracted (Uterus)
- Because it has lost its elasticity
Where the placenta was attached - correct answer There is an open wound
- The uterus will contract to prevent that bleeding
- Will be healed in 6 weeks
Lochia - correct answer 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
