N4341 - Exam 3 (OB - Hoolapa/Welch) |\ |\ |\ |\ |\ |\ |\
questions with answers |\ |\
Define involution |\
What is it's opposite?
|\ |\ |\
clamping/shrinking of uterus |\ |\
opposite: subvolution (bad! at risk for PPH)|\ |\ |\ |\ |\ |\
Discuss the progress expected during involution (4)
|\ |\ |\ |\ |\ |\
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?
|\ |\ |\ |\ |\ |\ |\ |\
9-10 days after delivery
|\ |\ |\
Define FF U-2 |\ |\
fundus firm and 2 fingers below umbilicus
|\ |\ |\ |\ |\ |\
(opposite of fetal station) |\ |\ |\
Increased risk of subvolution (5) |\ |\ |\ |\
long labor |\
full bladder
|\
overdistended uterus (multipara OR hydramnios) |\ |\ |\ |\
Define the different types of lochia and when they are expected
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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? |\ |\
multi
Normal EBL for c/s vs vag |\ |\ |\ |\ |\
c/s: 1000 mL|\ |\
vag: 500 mL |\ |\
After delivery, the cervix has a permanent appearance of what?
|\ |\ |\ |\ |\ |\ |\ |\ |\
When does os close? |\ |\ |\
"fish mouth" appearance
|\ |\
os closes over 2 weeks
|\ |\ |\ |\
When is vagina expected to return to normal size after delivery?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Discuss vaginal mucosa |\ |\
normal size: 6-8 weeks |\ |\ |\
↓ mucosa ∵ ↓estrogen from lactation
|\ |\ |\ |\ |\
What would you expect of estrogen levels after delivery?
|\ |\ |\ |\ |\ |\ |\ |\
progesterone?
prolactin?
↓ estrogen = LOTS of sweating/peeing (lose 5lbs)
|\ |\ |\ |\ |\ |\ |\
↓ progesterone
|\
↑ prolactin
|\
When does ovulation begin in non-breastfeeding moms?
|\ |\ |\ |\ |\ |\ |\
Menses? |\
Ovulation in breastfeeding moms? |\ |\ |\
ovulation: 27 days |\ |\
menses: 6-12 weeks |\ |\
*can get pregnant before menses*
|\ |\ |\ |\
BF moms: 6 months
|\ |\ |\
questions with answers |\ |\
Define involution |\
What is it's opposite?
|\ |\ |\
clamping/shrinking of uterus |\ |\
opposite: subvolution (bad! at risk for PPH)|\ |\ |\ |\ |\ |\
Discuss the progress expected during involution (4)
|\ |\ |\ |\ |\ |\
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?
|\ |\ |\ |\ |\ |\ |\ |\
9-10 days after delivery
|\ |\ |\
Define FF U-2 |\ |\
fundus firm and 2 fingers below umbilicus
|\ |\ |\ |\ |\ |\
(opposite of fetal station) |\ |\ |\
Increased risk of subvolution (5) |\ |\ |\ |\
long labor |\
full bladder
|\
overdistended uterus (multipara OR hydramnios) |\ |\ |\ |\
Define the different types of lochia and when they are expected
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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? |\ |\
multi
Normal EBL for c/s vs vag |\ |\ |\ |\ |\
c/s: 1000 mL|\ |\
vag: 500 mL |\ |\
After delivery, the cervix has a permanent appearance of what?
|\ |\ |\ |\ |\ |\ |\ |\ |\
When does os close? |\ |\ |\
"fish mouth" appearance
|\ |\
os closes over 2 weeks
|\ |\ |\ |\
When is vagina expected to return to normal size after delivery?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Discuss vaginal mucosa |\ |\
normal size: 6-8 weeks |\ |\ |\
↓ mucosa ∵ ↓estrogen from lactation
|\ |\ |\ |\ |\
What would you expect of estrogen levels after delivery?
|\ |\ |\ |\ |\ |\ |\ |\
progesterone?
prolactin?
↓ estrogen = LOTS of sweating/peeing (lose 5lbs)
|\ |\ |\ |\ |\ |\ |\
↓ progesterone
|\
↑ prolactin
|\
When does ovulation begin in non-breastfeeding moms?
|\ |\ |\ |\ |\ |\ |\
Menses? |\
Ovulation in breastfeeding moms? |\ |\ |\
ovulation: 27 days |\ |\
menses: 6-12 weeks |\ |\
*can get pregnant before menses*
|\ |\ |\ |\
BF moms: 6 months
|\ |\ |\
