Maternal Changes Ch. 20-21
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The return of the uterus to a nonpregnant state is called __________
How many weeks after birth should the uterus not be palpable?
Subinvolution is the failure for the uterus to return to its nonpregnant state, which are mainly caused by what two factors?
- Retained placentral fragments
In order for the uterus to start contracting, mothers are encouraged to _______ to stimulate ________ to be released.
Periodic relaxation and vigorous contractions that cause cramping are called _______
**tends to be more odorous
- 2-6 weeks after birth
The cervix will never go back to a circle but will always have a ________ shape
When does the vaginal mucosa return to function?
When ovarian function begins
What is the introitus?
Opening to the vagina
What encourages healing in the pelvic muscular support?
How long does it take to regain tone?
How many weeks until the mom's abdomen returns nearly to its prepregnant state?
- 6 weeks
- **depending on fatty tissue, previous tone and exercise
If a woman is breastfeeding is it okay to engage in unprotected sex?
- NO, breastfeeding is not a means of birth control
- **Use birth control pills
Why does a mom tend to not have a bowel movement for 2-3 days after childbirth?
- Pain meds cause constipation
- **Give colace if after 2 days
Why do mom's tend to diurese and diaphorese within the first 2 days?
Because of decreased estrogen, venous pressure and ridding of excess fluids
What 3 changes protect the mom from hemorrhaging?
- No more uteroplacental circulation
- Loss of placental function that vasodilates
- Mobilizing stored water when blood is loss at birth
Within how many hours after birth should Rh immune globulin be administered to a Rh negative mother?
Within 72 hours
What is the main cause of excessive bleeding in the mom?
Uterine atonement (or a boggy uterus)
What intervention best helps maintain uterine tone?
What interventions should be encouraged if the mother decides to not breastfeed?
(To prevent milk engorgement)
- Wear a tight fitting bra
- Avoid heat
- Avoid breast stimulation
After how many weeks is it okay for a couple to resume sexual activity?
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