Question 1

Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Accepted Answer

A)  Moderate bright red lochial flow 
B)  Breasts firm and tender 
C)  Fundus below the symphysis and nonpalpable 
D)  Episiotomy slightly red and puffy 
A)  Moderate bright red lochial flow 
B)  Breasts firm and tender 
C)  Fundus below the symphysis and nonpalpable 
D)  Episiotomy slightly red and puffy

Question 2

The physiologic changes that occur during the reversal of the processes of pregnancy are distinctive; however, they are normal. To provide care during this recovery period, the nurse must synthesize knowledge regarding anticipated maternal changes and deviations from normal. Match the vital signs finding that the postpartum nurse may encounter with its probable cause.

-Excessive use of oxytocin

Accepted Answer

A) Elevated temperature within the first 24 hours 
B) Rapid pulse 
C) Elevated temperature at 36 hours postpartum 
D) Hypertension 
E) Hypoventilation 
A) Elevated temperature within the first 24 hours 
B) Rapid pulse 
C) Elevated temperature at 36 hours postpartum 
D) Hypertension 
E) Hypoventilation

Question 3

Several delivery changes in the integumentary system that appear during pregnancy disappear after birth,although not always completely.What change is almost certain to be completely reversed?

Accepted Answer

A)  Nail brittleness 
B)  Darker pigmentation of the areolae and linea nigra 
C)  Striae gravidarum on the breasts, abdomen, and thighs 
D)  Spider nevi 
A)  Nail brittleness 
B)  Darker pigmentation of the areolae and linea nigra 
C)  Striae gravidarum on the breasts, abdomen, and thighs 
D)  Spider nevi

Question 4

The nurse should be cognizant of which postpartum physiologic alteration?

Accepted Answer

A)  Cardiac output, pulse rate, and stroke volume all return to prepregnancy normal values within a few hours of childbirth. 
B)  Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth. 
C)  Lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections. 
D)  Hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth. 
A)  Cardiac output, pulse rate, and stroke volume all return to prepregnancy normal values within a few hours of childbirth. 
B)  Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth. 
C)  Lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections. 
D)  Hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth.

Question 5

Which statement regarding the postpartum uterus is correct?

Accepted Answer

A)  At the end of the third stage of labor, the postpartum uterus weighs approximately 500 
B)  After 2 weeks postpartum, it should be abdominally nonpalpable. 
C)  After 2 weeks postpartum, it weighs 100 g. 
D)  Postpartum uterus returns to its original (prepregnancy) size by 6 weeks postpartum. 
A)  At the end of the third stage of labor, the postpartum uterus weighs approximately 500 
B)  After 2 weeks postpartum, it should be abdominally nonpalpable. 
C)  After 2 weeks postpartum, it weighs 100 g. 
D)  Postpartum uterus returns to its original (prepregnancy) size by 6 weeks postpartum.

Question 6

The breast-feeding mother should be taught to expect which changes to the condition of the breasts?
(Select all that apply).

Accepted Answer

A)  Breast tenderness is likely to persist for approximately 1 week after the start of lactation. 
B)  As lactation is established, a mass may form that can be distinguished from cancer by its positional shift from day to day. 
C)  In nonlactating mothers, colostrum is present for the first few days after childbirth. 
D)  If suckling is never begun or is discontinued, then lactation ceases within a few days to a week. 
E)  Little change occurs to the breasts in the first 48 hours. 
A)  Breast tenderness is likely to persist for approximately 1 week after the start of lactation. 
B)  As lactation is established, a mass may form that can be distinguished from cancer by its positional shift from day to day. 
C)  In nonlactating mothers, colostrum is present for the first few days after childbirth. 
D)  If suckling is never begun or is discontinued, then lactation ceases within a few days to a week. 
E)  Little change occurs to the breasts in the first 48 hours.

Exam 20: Postpartum Physiologic Changes

Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Several delivery changes in the integumentary system that appear during pregnancy disappear after birth,although not always completely.What change is almost certain to be completely reversed?

The nurse should be cognizant of which postpartum physiologic alteration?

Which statement regarding the postpartum uterus is correct?

The breast-feeding mother should be taught to expect which changes to the condition of the breasts? (Select all that apply).

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, Bereavement, and Grief

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