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WOMENS HEALTH II (Obstetrics) FINAL EXAM STUDY GUIDE LATEST UPDATED AND VERIFIED.
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WOMENS HEALTH II (Obstetrics) FINAL EXAM STUDY GUIDE LATEST UPDATED AND VERIFIED.
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WOMENS HEALTH II (Obstetrics) FINAL EXAM STUDY GUIDELATEST UPDATED AND VERIFIED.
When does with the delivery of the placenta
pregnancy come and membranes. At this time, the
to a definitive woman begins the physiologic
end? transition to the nonpregnant
state.
Traditionally the lasting 6 weeks:
postpartum
period, or
puerperium,
has been
defined as
An alternative the "fourth trimester," which suggests a
definition of the transition that lasts approximately 3
months.
postpartum
period is
The uterus the first 24 to 48 hours postpartum
involutes by
approximately
50% in
1/
33
,How long does it over 6 to 8 weeks.
take the uterus to
gradually diminish
to the
nonpregnant size?
What is the It takes longer in multiparous women
difference in time than in primiparous women.
for involution of
the uterus of
primiparous
women
compare to
multiparous
women?
During myometrial cell autolysis. The
involution, the result is a marked decrease in the
uterus losses size—rather than the number—
mass secondary of myometrial cells.
to
Approximately myometrial cells, endothelial cells of
90% of the uterine blood vessels, and
macrophages.
excess cellular
protein is
broken down
2/
33
,by proteolytic
enzymes that
are released by
The fundal height approximately 1 centimeter per day.
descends toward
the pelvis at a
rate of
Where would you 1-2 cm below the umbilicus.
expect to palpate
the uterus on
the first and
second day
postpartum?
The uterus approximately 2 weeks postpartum.
returns to its
pre-pregnancy
position in the
pelvis and is
no longer
palpable
abdominally
by
3/
33
, The uterus 6 weeks postpartum.
returns to its
pre-pregnancy
size at
approximately
The puerperium 6 to 8 weeks.
last approximately
What are the The mechanical compression
factors that caused by myometrial
prevent women
contractions is the primary
from
mechanism of hemostasis in the
hemorrhaging
immediate postpartum period. In
after birth? In
addition, a clotting response is
turn, why would
initiated at the time of placental
these same
expulsion that further contributes
factors
to hemostasis.
predispose a
woman to
thromboemboli
c events?
During an increase in platelet activity, a
pregnancy, decrease in fibrinolysis, and an
4/
33
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