Post Partum Physiologic Changes
What is the term for when the uterus returns to a non-pregnant state after birth?
What is Involution
What is the role of the lactation consultant?
What is "Baby Blues"?
What is: Period of joy two days after birth, followed by "blue" period of feelings of unstable emotions (anxiety, sad, overwhelmed) Lasts about a week
What is the difference between contraception and birth control?
Birth Control: device/practice used to decrease risk of conceiving
Name at least one way to prevent postpartum infection through proper education
What is: wiping front to back, proper cleansing of perineal area, washing hands, squeeze bottle filled with warm water or an antiseptic solution, change pad after each void/defecation
What kind of lochia is dark red and consists of mainly blood and decidual and trophoblastic debris?
What is lochia rubra
What phase of postpartum adjustment consits of forward movement of family as a unit: relationship with partner, sexual intimacy, and individual roles?
What is the letting-go phase?
What is the difference between "baby blues" and "post partum depression"?
What is: postpartum depression is more serious and persistent than post partum blues. Includes intense and pervasive sadness with sever and labile mood swings.
what is the two day method of assessing?
What is: cervical secretions
What are symptoms of breast engorgement related to breast feeding?
What is: breasts are distended (swollen), firm, tender, and warm to touch
What is the name of early breastmilk, that is a clear yellow fluid that can be expressed from the breasts within the first few days after birth?
What is colostrum
Name two risk factors for Postpartum Depression?
What is: prenatal anxiety, baby blues, history of depression, life stress, lack of social support, unmarried, intimate partner violence, thyroid imbalance, diabetes, infertility treatment, complicated pregnancy or birth, complications of breastfeeding, unintended pregnancy, low socioeconomic status
nonoxynol-9 (N-9) is an example of a ________ that reduces sperm mobility
What is: Spermicides
What two labs are important to look at postpartum to assess blood loss during birth?
What is: hemoglobin & hematocrit
What 2 hormones rapidly decrease after expulsion of the placenta and is responsible for triggering many anatomical and physiologic changes in postpartum?
Estrogen & Progesterone
What is: taking-in phase, taking-hold phase, letting-go phase
What is one intervention for medical management of post partum depression without psychosis?
What is: Anti-depressant therapy, herbs, dietary supplements, massage, aromatherapy, acupuncture, counseling, support groups
What is a method of protection that provides a barrier for STI's?
What is: Condoms
Name at least one of two most important interventions for preventing excessive bleeding?
What is: maintaining good uterine tone & preventing bladder distention
What is the normal volume of blood loss for:
Vaginal birth?
Cesarean section?
Vaginal: 300-500 mL
C-section: 500-1000 mL
_________ refers to the infant being in tune with the mother's natural rhythms.
What is Biorhythmicity
You are educating a patient on the management of signs of postpartum depression, blues, and psychosis upon discharge. When would you instruct them to call the healthcare provider?
What is: The baby blues continue for more than 2 weeks, Symptoms of depression get worse, Difficulty performing tasks at home or at work, Inability to care for yourself or your baby, Thoughts of harming yourself or your baby
A patient taking oral contraceptives as birth control asks you this question: I missed my birth control pill 10 hours ago, should I take it or skip it?
What is: Take the pill immediately and take the rest of the pack at the usual time
How many extra calories a day do lactating women need after birth?
What is: 450-500 kcal/day