Notes in 15 Puerperium

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Status	Last Update	Fields
Published	07/30/2024	Return to non-pregnant state after delivery: 4{{c1::-6}} weeks
Published	07/30/2024	CBA. PhasesCervical ripeningA. Phase 1B. Phase 2C. Phase 3D. Phase 4{{c1::B}}
Published	07/30/2024	CBA. PhasesActive laborA. Phase 1B. Phase 2C. Phase 3D. Phase 4{{c1::C}}
Published	07/30/2024	CBA. PhasesUterine involutionA. Phase 1B. Phase 2C. Phase 3D. Phase 4{{c1::D}}
Published	07/30/2024	4th Trimester follows {{c1::12}} weeks following childbirth
Published	07/30/2024	Hospital stay during is {{c1::48}} hours following uncomplicated vaginal delivery
Published	07/30/2024	Hospital stay during is {{c1::96}} hours following uncomplicated cesarean delivery
Published	07/30/2024	Episiotomies heal in {{c1::1-2}} weeks
Published	07/30/2024	Involution of uterus begins {{c1::2}} days after delivery
Published	07/30/2024	A non-pregnant uterus is approximately {{c1::≤ 100}} grams
Published	07/30/2024	After delivery, uterus descended into true pelvis by {{c1::10-12th}} day
Published	07/30/2024	Weeks required for complete uterine involution {{c1::4 Weeks}}
Published	07/30/2024	Directly after delivery, the uterus is {{c1::1000}} grams
Published	07/30/2024	One week after delivery, the uterus is {{c1::500}} grams
Published	07/30/2024	How many weeks would it take before the uterus return to pre-pregnant size?{{c1::8 Weeks}}
Published	07/30/2024	Complete extrusion of the placental site takes up to {{c1::6}} weeks
Published	07/30/2024	Vaginal Rugae reappears at {{c1::3rd}} week
Published	07/30/2024	What are Myrtiform caruncles?{{c1::Scarred form or remnant of the lacerated hymenal ring}}
Published	07/30/2024	Right after the delivery, make sure that the uterus is well contracted and expect it to be at the level of {{c1::umbilicus}}
Published	07/30/2024	QC. Fish-mouth opening1. nulligravida2. primagravida{{c1::B}}
Published	07/30/2024	Those who have given birth, external os of cervix is {{c1::tellate}} shaped
Published	07/30/2024	Decidua {{c1::basalis::functionalis or basalis}} is NOT SLOUGHED OFF and retained
Published	07/30/2024	Intermittent, crampy lower abdominal pain experienced after delivery{{c1::Afterpains}}
Published	07/30/2024	VR1. Oxytocin 2. Afterpains{{c1::A}}
Published	07/30/2024	VR1. Newborn suckling2. Oxytocin release{{c1::A}}
Published	07/30/2024	Uterine contractions occur to limit {{c1::blood loss}}
Published	07/30/2024	Myometrium tries to squeeze the {{c1::spiral}} arteries to prevent postpartum hemorrhage
Published	07/30/2024	Two comon uterotonics given during 3rd stage of labor to limit blood loss{{c1::Oxytocin Methylergonovine}}
Published	07/30/2024	Composition of lochia {{c1::Erythrocytes DeciduaEpithelial cellsBacteria}}
Published	07/30/2024	How long does lochia occur?{{c1::24-36 days}}
Published	07/30/2024	CBA. Types of lochiaDark red bloodA. Lochia RubraB. Lochia SerosaC. Lochia AlbaD. Foul-Smelling Lochia{{c1::A}}
Published	07/30/2024	CBA. Types of lochiaPinkinsh-brownish dischargeA. Lochia RubraB. Lochia SerosaC. Lochia AlbaD. Foul-Smelling Lochia{{c1::B}}
Published	07/30/2024	CBA. Types of lochiaWhite or yellowish white dischargeA. Lochia RubraB. Lochia SerosaC. Lochia AlbaD. Foul-Smelling Lochia{{c1::C}}
Published	07/30/2024	CBA. Types of lochiaA mixture of leukocytes and reduced fluid contentA. Lochia RubraB. Lochia SerosaC. Lochia AlbaD. Foul-Smelling Lochia{{c…
Published	07/30/2024	CBA. Types of lochiaConsidered abnormal dischargeA. Lochia RubraB. Lochia SerosaC. Lochia AlbaD. Foul-Smelling Lochia{{c1::D}}
Published	07/30/2024	CBA. Types of lochiaDue to infectionA. Lochia RubraB. Lochia SerosaC. Lochia AlbaD. Foul-Smelling Lochia{{c1::D}}
Published	07/30/2024	Reproductive changes during Puerperium Vagina{{c5::Rugae apperanaceDminish size of outlet}}Hymen {{c4::Small tags remnant (Caruncle myrtifor…
Published	07/30/2024	Placental involution not simply absorption in situ but also an {{c1::exfoliation}} process
Published	07/30/2024	Prolongation of lochial discharge or bleeding{{c1::Subinvolution}}
Published	07/30/2024	Treatment for placental involution site with retained placental fragments{{c1::Perform curettage or remove the placental fragments}}
Published	07/30/2024	Treatment for placental involution with infection {{c1::Azithromycin or Doxycycline for mild infections 500 mg}}
Published	07/30/2024	Volume of late postpartum hemorrhage during vaginal delivery{{c1::500ml}}
Published	07/30/2024	Volume of late postpartum hemorrhage during abdominal delivery{{c1::1000mL}}
Published	07/30/2024	Most common cause of late postpartum hemorrhage{{c1::Retained placental fragments}}
Published	07/30/2024	This is a crude way of checking whether the patient has coagulopathy{{c1::Clot observation test}}
Published	07/30/2024	Monitor Vital signs of patient every {{c1::15}} mins after the 1st hour of delivery
Published	07/30/2024	Monitor Vital signs of patient every {{c1::30}} mins after the 2nd hour of delivery
Published	07/30/2024	Signs to look for when px has bleeding problems Heart Rate{{c2::Tachycardia }}Blood pressure {{c2::Hypotension }}Dermatologic&nbsp…
Published	07/30/2024	If a patient has done cesarean delivery she has to be kept on NPO for {{c1::48}} hrs. because of the effect of the anesthesia
Published	07/30/2024	Patient has to void by herself without catheterization {{c1::4}} hours after the delivery
Published	07/30/2024	Class of antimicrobials to give to px infection if hypersensitive to penicillins {{c1::Cephalosporins}}
Published	07/30/2024	Class of antimicrobials to give to px infection if hypersensitive to penicillins and cephalosporins{{c1::Macrolides}}
Published	07/30/2024	If patient did not respond to mefenamic acid, proceed to use {{c1::ibuprofen}}
Published	07/30/2024	If the patient has an allergy to NSAIDs, you can give {{c1::Paracetamol}}
Published	07/30/2024	Familiarize immediate hospital care{{c1::}}
Published	07/30/2024	Pregnancy-induced glomerular hyperfiltration persists but returns to pre-pregnancy baseline by {{c1::2}} weeks
Published	07/30/2024	Dilated ureters and renal pelvis return to pre-pregnant state by {{c1::2-8}} weeks postpartum
Published	07/30/2024	Postpartum diuresis cause {{c1::2-3}} kg rapid weight loss
Published	07/30/2024	Most common bladder pathology in postpartum {{c1::Bladder trauma}}
Published	07/30/2024	Acute urinary retention secondary to {{c1::narcotic analgesia}}
Published	07/30/2024	VR1. Puerperium 2. Increased bladder capacity{{c1::A}}
Published	07/30/2024	Acute urinary retention is more common with {{c1::narcotic analgesia::drug class}}
Published	07/30/2024	T or FAfter delivery, the patient should be able to void spontaneously{{c1::True}}
Published	07/30/2024	Urinary retention occur during the first {{c1::24}} hrs due to edema of vulva and urethra
Published	07/30/2024	Management of urinary retenion {{c1::Catheter for at least 24 hours}}
Published	07/30/2024	Overdistenion effect on uterus{{c1::Preventing contraction which is essential in controlling postpartum bleeding}}
Published	07/30/2024	Weeks required for abdominal wall to heal from Cesarean delivery {{c1::6 weeks}}
Published	07/30/2024	Episiotomy is expected to heal by {{c1::3}} weeks
Published	07/30/2024	Marked separation of the rectus abdominis{{c1::Diastasis recti}}
Published	07/30/2024	Treatment for diastasis recti {{c1::Abdominal girdleSurgery}}
Published	07/30/2024	Materials to use for cleaning perineum{{c1::Water and mild soap}}
Published	07/30/2024	Perineum pain managementFirst 24 hours{{c2::Ice packs}}First 5-7 days{{c1::Analgesic drugs - Mefenamic acid}}
Published	07/30/2024	Hypercoagulability can occur up to {{c1::12}} weeks postpartum
Published	07/30/2024	WBCs can be increased up to {{c1::30,000/uL::amount}} with predominance of granulocytes
Published	07/30/2024	Coaguble state related pathologies that can occur during puerperium {{c1::DVTPulmonary emboli}}
Published	07/30/2024	Hematological changes during puerperium RBCs{{c3::Hgb and Hct fluctuate}}WBCs{{c2::LeukocytosisLymphopeniaEosinopenia}}Platelets{{c1::Markedly in…
Published	07/30/2024	QC. Prolactin1. Milk secretion by cuboidal cells2. Milk letdown by myoepithelial cells{{c1::A}}
Published	07/30/2024	QC. Oxytocin1. Milk secretion by cuboidal cells2. Milk letdown by myoepithelial cells{{c1::B}}
Published	07/30/2024	T or FThe breast size does not correlate with the amount of breastmilk that will be produced{{c1::True}}
Published	07/30/2024	Stress {{c1::decreases::Decrease or No effect}} milk production
Published	07/30/2024	Mature Mammary Gland {{c1::Myoepithelial cells}} surround each {{c2::alveoli}} within {{c3::lobes}} of the gland that drain into {{c4::lactiferou…
Published	07/30/2024	Help mothers initiate breastfeeding within {{c1::1}} hour of birth
Published	07/30/2024	Human milk contains {{c1::IgA::IgA or IgG}} that serve as protection for the infant
Published	07/30/2024	Virus agents which is a major cause of infant gastroenteritis{{c1::Rotavirus}}
Published	07/30/2024	Good to Know Benefits of Breastfeeding to the Mother {{c1::Lower risk of breast and reproductive cancerDecreased postpartum weight retentionPromo…
Published	07/30/2024	The vitamin that is not found in mature milk is Vitamin {{c1::K}}
Published	07/30/2024	QC. Rich in immunological components1. Colostrum2. Mature milk {{c1::A}}
Published	07/30/2024	QC. Contains more minerals and amino acids1. Colostrum2. Mature milk {{c1::A}}
Published	07/30/2024	QC. Less sugar and fat1. Colostrum2. Mature milk {{c1::A}}
Published	07/30/2024	QC. Influenced by material diet and newborn needs1. Colostrum2. Mature milk {{c1::B}}
Published	07/30/2024	QC. 4 to 6 weeks postpartum1. Colostrum2. Mature milk {{c1::B}}
Published	07/30/2024	QC. 2nd postpartum day – 2 weeks1. Colostrum2. Mature milk {{c1::A}}
Published	07/30/2024	QC. High water and nutrients1. Foremilk2. Hindmilk {{c1::A}}
Published	07/30/2024	QC. Rich in fats and calories1. Foremilk2. Hindmilk {{c1::B}}
Published	07/30/2024	Whey is a milk serum that contains high levels of {{c1::Interleukin-6::Interleukin}}
Published	07/30/2024	The ideal whey-casein ratio is {{c1::60:40}}, idea for absorption
Published	07/30/2024	Cow’s milk whey-casein ratio{{c1::20:80}}
Published	07/30/2024	Serotonin function on mammary glands{{c1::Milk production}}
Published	07/30/2024	VR1. After delivery 2. Progesterone {{c1::B}}
Published	07/30/2024	VR. Puerperium1. Progesterone withdrawal2. Milk lactose production{{c1::A}}
Published	07/30/2024	VR1. Puerperium 2. PTH secretion {{c1::B}}
Published	07/30/2024	T or FPlasma prolactin levels fall after delivery{{c1::True}}
Published	07/30/2024	Affected hormone in px with Sheehan Syndrome {{c1::Women do not lactate caused by decreased prolactin}}
Published	07/30/2024	VR1. Dopamine secretion 2. Prolactin secretion {{c1::B}}
Published	07/30/2024	Cells targeted by oxytocin at mammary glands for milk letdown {{c1::Myoepithelial cells}}
Published	07/30/2024	Milk contains {{c1::both T and B::T or B}} lymphocytes
Published	07/30/2024	Absolutely contraindicated cytotoxic drugs{{c1::CyclophosphamideCyclosporineDoxorubicinMethotrexateMycophenolate}}
Published	07/30/2024	Adverse effect of cytotoxic drugs that pass through breastfeeding milk {{c1::Immune suppressionNeutropenia}}
Published	07/30/2024	Breastfeeding prevent enteric disease caused by {{c1::E. coli}}
Published	07/30/2024	Dermatologic disease that is reduced from breast milk{{c1::Atopic dermatitis}}
Published	07/30/2024	Breastfeeding cause {{c1::0.5}} kg per week weight loss in first {{c2::3}} months postpartum
Published	07/30/2024	Proper care of breast before and after nursin {{c1::Washing th the areola with water and mild soap}}
Published	07/30/2024	Possible cause of nipple fissure during nursing{{c1::Poor latching of neonate}}
Published	07/30/2024	Possible complication of nipple fissure{{c1::Infection from pyogenic bacteria}}
Published	07/30/2024	Recommended management for fissured nipples{{c1::Topical lanolinNipple shield for 24 hoursWash areola with mild soap and waterPut cold compress}}
Published	07/30/2024	T or FEven with severe nipple fissures, breast should be emptied witha  pump until lesions are healed{{c1::True}}
Published	07/30/2024	T or FMother with HIV must not practice breastfeeding {{c1::True}}
Published	07/30/2024	T or FMother being treated for TB for past 2 weeks can breastfeed {{c1::True}}
Published	07/30/2024	T or FInfant with galactosemia must not be breastfed{{c1::True}}
Published	07/30/2024	T or FMother with HBV can still give breast milk to neonateFalse - {{c1::contraindication}}
Published	07/30/2024	What must be the infant condition to allow HBV + mother to give breast milk?{{c1::If Hepatitis B Immune Globulin is given to the newborns of affected …
Published	07/30/2024	T or FMother with CMV infection must not give breastmilk to neonate{{c1::False - can still provide}}
Published	07/30/2024	Viral infections that can allow breastfeeding for mothers{{c1::CMB HBV (infant w/ HBV Ig)HCVHSVCOVID}}
Published	07/30/2024	Common problem in women who do not breastfeed {{c1::Breast engorgement with pain}}
Published	07/30/2024	Breast pathology to rule out with mothers that have breast engorgement {{c1::Mastitis}}
Published	07/30/2024	Management of Breast Engorgement {{c1::AnalgesicsCool packsWarm compress}}
Published	07/30/2024	Signs and symptoms associated with Breast Engorgement {{c1::Breast pain Fever}}
Published	07/30/2024	T or FComorbidities such as hypertension, diabetes mellitus, and cardiac problems are NOT a contraindication for breastfeeding{{c1::True}}
Published	07/30/2024	Probable bacterial agent for mastitis{{c1::S. aureus}}
Published	07/30/2024	Recommended drug for Mastitis infection management {{c1::Dicloxacillin 500 mg orally 4 times daily}}
Published	07/30/2024	Management for inverted nipples to allow breastfeeding{{c1::Breast pump}}
Published	07/30/2024	T or FPolymastia has No obstetrical significance{{c1::True}}
Published	07/30/2024	Obstructed milk duct that forms a fluctuant mass{{c1::Galactocele}}
Published	07/30/2024	Complete lack of mammary secretion{{c1::Agalactia}}
Published	07/30/2024	Suspect for breast abscess when there is failure of defervescence within {{c1::48-72}} hours
Published	07/30/2024	VR1. Prolactin2. GnRH{{c1::B}}
Published	07/30/2024	How can breastfeeding serve as articifical contraceptive?{{c1::Suckling from neonate stimulate prolactin secretion - inhibiting GnRH}}
Published	07/30/2024	Exclusive breastfeeding means the mother has to empty her breasts every {{c1::2-3}} hrs even during the night and early morning
Published	07/30/2024	If not exclusively breastfeeding, ovulation and menstruation resumes after {{c1::6-8}} weeks
Published	07/30/2024	Sexual contact can be resumed after {{c1::6-8}} weeks when everything is back to normal
Published	07/30/2024	EXCLUSIVE breastfeeding mothers will have their menses {{c1::2nd - 18th}} month after delivery
Published	07/30/2024	Return of ovulation for women who do not exclusively breastfeed{{c1::5-11 weeks (mean of 7 weeks)}}
Published	07/30/2024	Vital signs monitored every 15 mins 2 hrs after delivery {{c1::Blood pressureRespiratory ratePulse rate}}
Published	07/30/2024	Temperature of mother is monitored every {{c1::4}} hours for the first 8 hrs post delivery
Published	07/30/2024	Temperature of mother is monitored every {{c1::8}} hours after 8 hrs post delivery
Published	07/30/2024	Symptoms associated with hypoestrogenism after removal of placenta{{c1::Hot flushes at night Migraines }}
Published	07/30/2024	Benefit of early ambulation {{c1::Lower incidence of DVT and Pulmonary embolism}}
Published	07/30/2024	T or FIf the patient is okay, awake, stable, it is advisable for her to walk around{{c1::True}}
Published	07/30/2024	Postpartum patients can eat {{c1::2}} hours after uncomplicated labor
Published	07/30/2024	Ferric sulfate can be continued for at least {{c1::3}} MONTHS after delivery
Published	07/30/2024	During vaginal washing, go from {{c1::anterior to posterior::Anterior-Posterior OR Posterior-Anterior}} approach to prevent complication
Published	07/30/2024	Check for possible {{c1::hematoma}} on the perineal area of severe pain exist even days after delivery
Published	07/30/2024	Treatment of perineal edema due to prolonged 2nd stage of labor First 24 hours {{c2::Cool pack }}After 24 hours{{c1::Warm sitz bath}}
Published	07/30/2024	Hemorrhoidal {{c1::veins::Arteries or Veins}} are often congested at term
Published	07/30/2024	Managemtn of hemorrhoids{{c1::SurgeryTopical anestheticsWarm soaksStool softening agents}}
Published	07/30/2024	Mothers who underwent uncomplicated vaginal delivery should be able to spontaneously void after {{c1::6-8}} HOURS
Published	07/30/2024	For patients with severe urine retention: leave the catheter for at least {{c1::24}} hours
Published	07/30/2024	Complication associated with catheterization to mothers who have difficulty in voiding {{c1::bacteriuria}}
Published	07/30/2024	QC. Risk factor for urinary retention 1. Normal vaginal delivery 2. Cesarean delivery {{c1::B}}
Published	07/30/2024	Peak post delivery day of postpartum blues {{c1::4th-5th postpartum day}}
Published	07/30/2024	Postpartum blues usually normalize after {{c1::10}} days post delivery
Published	07/30/2024	Predominant mood in postpartum "Emotional letdown"{{c1::Happiness}}
Published	07/30/2024	CBA. ImmunizationChoose which is safe to give to pregnant px near deliveryA. Diptheria vaccineB. Tetanus vaccineC. Pertussis vaccineD. Rubella vaccine…
Published	07/30/2024	Uncomplicated delivery: Discharge {{c1::24-48}} hours after delivery
Published	07/30/2024	Uncomplicated cesarean section: Discharge {{c1::≤ 96}} hours after delivery
Published	07/30/2024	Episiotomy wound is expected to heal by {{c1::3}} weeks
Published	07/30/2024	80% of women who worked during pregnancy resume work {{c1::1 year::duration}} after delivery
Published	07/30/2024	Recommendation of postpartum visit: Between {{c1::4-6}} weeks
Published	07/30/2024	Max duration of lactational amenorrhea method as contraceptive {{c1::6 months}}
Published	07/30/2024	QC. Contraceptive that reduce breast milk 1. Progestin2. Estrogen-Progestin{{c1::B}}
Status	Last Update	Fields