Postpartum
Lochia day 6
What is lochia serosa?
Baseline
What is 110-160?
From the beginning of one contraction to the beginning of the next contraction
What is contraction frequency?
Screams at husband "You did this to me!" 9 cm dilated.
What is the first stage, active phase -transition?
Allows newborn to fit through maternal pelvis
What are sutures?
What is a 1st degree perineal laceration?
Provides accurate appraisal of fetal-well being during labor membrane. Must be ruptured, cervix dilated at least 2 cm, applied by qualified personnel.
What is Internal Fetal Monitoring?
Deceleration that lines up with contraction on the monitor
What is an early Deceleration? Cause: head compression
Contractions 3-4 minutes apart, cervix dilated to 6 cm.
What is the first stage, active phase?
Three parts of the umbilical cord.
What are two arteries and one vein?
When the return of the uterus to the pre-pregnancy state is impaired.
What is subinvolution?
2 or more accelerations of FHR in 20 min period lasting 15 sec; increase of 15 bpm above baseline.
What is a reassuring non-stress test (NST)?
Deceleration with gradual decrease occurring later in the contraction or after the contraction. occurring later Occurs later in contraction; usually at peak/apex; bad; caused by uteroplacental insufficiency.
What is a late deceleration?
Infant lying skin to skin, connected with umbilical cord. Uterus becomes globular, there is a gush of blood and umbilical cord lengthens.
What is the third stage?
For safety: Should always be present in the bassinet with the baby.
What is a bulb syringe?
Typical duration of postpartum blues.
What is 1-2 weeks?
Braxton Hicks contractions, bloody show and lightening
What are signs of premonitory signs that labor will begin soon?
Umbilical Cord involvement
What are variable decelerations?
Placenta delivered 40 minutes ago.
What is the 4th stage?
Normal neonatal respiratory rate.
What is 30-60?
Risk factors for postpartum depression.
What are: history of mental illness (anxiety, depression, bipolar disease, prior postpartum depression), primiparous, ambivalence about pregnancy, family hx of psychiatric disorders, lack of stable social support, poor self-image, drug use, and stress?
Monitors frequency and duration of contractions by means of pressure-sensing device applied to maternal abdomen
What is a tocotransducer?
Interventions for Late Decelerations
What are LIONS? -- L: Left side, I: IV fluids, O: Oxygen supplementation (Administer 10 L O2via non-rebreather mask) N: Notify physician S: Stop Pitocin, or Medications to stop contractions/hyperstimulation if indicated.
2 cm dilated, mild contractions 10-20 minutes apart.
What is the first Stage, latent phase?
Normal neonatal temperature
What is 36.5 to 37.5 Celsius or 97.7–99.5°F ?