N4341 - EXAM 3 (OB - HOOLAPA/WELCH) SOLVED
CORRECTLY QUESTIONS & ANSWERS!!
Define involution
What is it's opposite? Answer - clamping/shrinking of uterus
opposite: subvolution (bad! at risk for PPH)
Discuss the progress expected during involution (4) Answer - returns to 16w
size immediately after delivery
descends 1-2 cm q 24 H
6d = halfway btw symphysis & umbilicus
9d = no longer palpable
During postpartum, when is the fundus no longer palpable? Answer - 9-10
days after delivery
Define FF U-2 Answer - fundus firm and 2 fingers below umbilicus
(opposite of fetal station)
Increased risk of subvolution (5) Answer - long labor
full bladder
overdistended uterus (multipara OR hydramnios)
Define the different types of lochia and when they are expected Answer -
rubra: red & bloody, birth to 4 days
, serosa: pink/brown, day 4 - day 22
alba: whitish, can last 6 weeks or longer (typical 10-14 days)
Who would you expect to have more bleeding after delivery; multi or
primipara? Answer - multi
Normal EBL for c/s vs vag Answer - c/s: 1000 mL
vag: 500 mL
After delivery, the cervix has a permanent appearance of what?
When does os close? Answer - "fish mouth" appearance
os closes over 2 weeks
When is vagina expected to return to normal size after delivery?
Discuss vaginal mucosa Answer - normal size: 6-8 weeks
↓ mucosa ∵ ↓estrogen from lactation
What would you expect of estrogen levels after delivery?
progesterone?
prolactin? Answer - ↓ estrogen = LOTS of sweating/peeing (lose 5lbs)
↓ progesterone
↑ prolactin
When does ovulation begin in non-breastfeeding moms?
Menses?
Ovulation in breastfeeding moms? Answer - ovulation: 27 days
menses: 6-12 weeks
CORRECTLY QUESTIONS & ANSWERS!!
Define involution
What is it's opposite? Answer - clamping/shrinking of uterus
opposite: subvolution (bad! at risk for PPH)
Discuss the progress expected during involution (4) Answer - returns to 16w
size immediately after delivery
descends 1-2 cm q 24 H
6d = halfway btw symphysis & umbilicus
9d = no longer palpable
During postpartum, when is the fundus no longer palpable? Answer - 9-10
days after delivery
Define FF U-2 Answer - fundus firm and 2 fingers below umbilicus
(opposite of fetal station)
Increased risk of subvolution (5) Answer - long labor
full bladder
overdistended uterus (multipara OR hydramnios)
Define the different types of lochia and when they are expected Answer -
rubra: red & bloody, birth to 4 days
, serosa: pink/brown, day 4 - day 22
alba: whitish, can last 6 weeks or longer (typical 10-14 days)
Who would you expect to have more bleeding after delivery; multi or
primipara? Answer - multi
Normal EBL for c/s vs vag Answer - c/s: 1000 mL
vag: 500 mL
After delivery, the cervix has a permanent appearance of what?
When does os close? Answer - "fish mouth" appearance
os closes over 2 weeks
When is vagina expected to return to normal size after delivery?
Discuss vaginal mucosa Answer - normal size: 6-8 weeks
↓ mucosa ∵ ↓estrogen from lactation
What would you expect of estrogen levels after delivery?
progesterone?
prolactin? Answer - ↓ estrogen = LOTS of sweating/peeing (lose 5lbs)
↓ progesterone
↑ prolactin
When does ovulation begin in non-breastfeeding moms?
Menses?
Ovulation in breastfeeding moms? Answer - ovulation: 27 days
menses: 6-12 weeks
