Chapter 15

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13 Terms

1

Puerperium period

Behind after the delivery of the placenta and lasts six weeks.

The fourth semester

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2

Involution three steps

  1. Contraction of muscle fibers to reduce those stretched

  2. Catabolism which shrinks individual myometrial cells

  3. Regeneratation of uterine epithelium from the lower layer of the decidua. After layers sloughed off

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3

Lochia. What is this

Vaginal discharge that occurs after birth and continues for approximately 4-8 weeks. From involution

It is bright red blood

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4

lochia rubra

Deep red mixture of mucous, tissue, and blood that occurs for the first 3-4 days after birth

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5

Lochia serosa is the second stage

Pinkish brown and is expelled 3-10 days postpartum contains leukocytes

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6

Lochia alba

Is the final stage. White or light brown. 10-24 days and lasts 3-6 weeks

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7

Uterine atony is caused by

Frequent voiding of small amounts less than 150 ml

Urinary retention

Suggest same thing

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8

Reva Rubin phases

three phases

Taking in

Taking hold

Letting go

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9

Taking in phase

Immediate after birth and first 24-48 hours after birth.

Mothers assume passive role for basic needs

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10

Taking hold phase

second phase of maternal adaption.

Starts on second - third day

Concerned with health and newborn

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11

Letting go phase

Maternal adaptation. Establishes relationships with other people. More confidence.

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12

At 1 week the uterus shrinks by

6 weeks it is

50% and weighs 500 grams

Normal at six weeks

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13

During the first 12 hours postpartum. The fungus is

Located at the level at the umbilicus

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