POSTPARTUM PHYSICAL ADAPTATIONS
The postpartum period, also known as ___________, is the period following the delivery of the placenta and lasting until the reproductive organs return to a nonpregnant state, usually about 6 weeks.
puerperium
The total volume of postpartum lochia is approximately _____ to _____ ml and the process of discharging it may last up to ___ weeks.
200 500 6
Expected blood loss from a vaginal delivery
250-500ml
The WBC may increase to levels as high as __________ cells/mm3
30,000
Dark red blood is termed _________ ________
lochia rubra
_________ _________, which occurs in 25%-50% of women, is noticeable and may frighten the woman. It may occur anytime from 1-30 minutes after delivery and lasts for 2-60 minutes.
Postpartum Shivering
Vaginal folds known as ________ appear after about 4 weeks.
rugae
Expected blood loss from a cesarean delivery
800-1,000
Separation of abdominal wall muscles
diastasis recti
brownish red then lighter color red blood is called ______ _______
lochia serosa
Immediately after the placenta is delivered, estrogen and progesterone levels drop quickly. Oxytocin continues to be released, which causes the uterus to contract and begin shrinking down to a nonpregnant size. This process is called ___________.
Involution
In general, menstruation, which marks the beginning of ovulation, begins in ___ to ____ weeks for bottle-feeding women.
6 12
A ___ to ___% increase in cardiac output occurs immediately after delivery
60-80
Lack of muscle tone which could lead to a PPH
atony
yellowish colored lochia is called ______ ______
lochia alba
The top portion of the uterus is called the _______
fundus
A thin, yellowish fluid that provides nutrition and antibodies to the breastfeeding infant.
colostrum
Secretion and passage of large amounts of urine.
Diuresis
Can displace the uterus and make involution difficult
full bladder
less than 4 inches of lochia on a pad would be considered ___________
light
The uterus continues to descend approximately_______ cm per day
1 (or one fingerbreadth)
Hyperpigmentation of the skin on the face caused by the melanocyte-stimulating hormones.
melasma
The woman may excrete up to _______ml of fluid per day for the first few days.
3,000
A stool softener which may be prescribed to the postpartum patient.
Ducosate
When a pad is saturated with lochia within an hour it is called ________
heavy