Chapter 21 Maternal Physiological Changes
(Postpartum) || with Accurate answers.
Postpartum period correct answers the interval between the birth of the newborn and the return
of the reproductive organs to their normal nonpregnant state.
Also known as the puerperium or the fourth trimester.
last approx. 6 weeks of pregnancy
Involution correct answers uterus returning to non-pregnant state following birth. process begins
immediately after expulsion of the placenta with contraction of the uterine smooth muscle.
involution progresses rapidly during the first few days - fundus descents 1 to 2cm every 24hrs
hyperplasia correct answers increase in number of muscle cells = contributes to prenatal uterine
growth
hypertrophy correct answers enlargement of the existing cells = contributes to prenatal uterine
growth
autolysis correct answers self-destruction of excess hypertrophied tissue
subinvolution correct answers failure of uterus to return to nonpregnant state.
common causes: retained placental fragments and infection
lochia correct answers postbirth uterine discharge
(rubra --> serosa --> alba)
Kegel exercises correct answers helps strengthen perineal muscles and encourage healing.
recommended after childbirth.
Uterus - contractions correct answers Hemostasis achieved by compression of intramyometrial
blood vessels as uterine muscle contracts.
hormon oxytocin (released from pit gland) strengthens and coordinates uterine contractions =
compresses blood vessels and promotes hemostasis.
we can also admin synthetic oxytocin to promote contraction and prevent bleeding and also
breastfeed.
Uterus - afterpains and lochia correct answers afterpains = uterus feels tender (with uterine
massage, assess firmness); slight cramps
(Postpartum) || with Accurate answers.
Postpartum period correct answers the interval between the birth of the newborn and the return
of the reproductive organs to their normal nonpregnant state.
Also known as the puerperium or the fourth trimester.
last approx. 6 weeks of pregnancy
Involution correct answers uterus returning to non-pregnant state following birth. process begins
immediately after expulsion of the placenta with contraction of the uterine smooth muscle.
involution progresses rapidly during the first few days - fundus descents 1 to 2cm every 24hrs
hyperplasia correct answers increase in number of muscle cells = contributes to prenatal uterine
growth
hypertrophy correct answers enlargement of the existing cells = contributes to prenatal uterine
growth
autolysis correct answers self-destruction of excess hypertrophied tissue
subinvolution correct answers failure of uterus to return to nonpregnant state.
common causes: retained placental fragments and infection
lochia correct answers postbirth uterine discharge
(rubra --> serosa --> alba)
Kegel exercises correct answers helps strengthen perineal muscles and encourage healing.
recommended after childbirth.
Uterus - contractions correct answers Hemostasis achieved by compression of intramyometrial
blood vessels as uterine muscle contracts.
hormon oxytocin (released from pit gland) strengthens and coordinates uterine contractions =
compresses blood vessels and promotes hemostasis.
we can also admin synthetic oxytocin to promote contraction and prevent bleeding and also
breastfeed.
Uterus - afterpains and lochia correct answers afterpains = uterus feels tender (with uterine
massage, assess firmness); slight cramps
