Exam 18: Maternal Physiologic Changes

Which condition,not uncommon in pregnancy,is likely to require careful medical assessment during the puerperium?

Which finding 12 hours after birth requires further assessment?

The interval between the birth of the newborn and the return of the reproductive organs to their normal nonpregnant state is called the:

Which description of postpartum restoration or healing times is accurate?

If the patient's white blood cell (WBC)count is 25,000/mm on her second postpartum day,the nurse should:

Two days ago a woman gave birth to a full-term infant.Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis.One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is:

With regard to afterbirth pains,nurses should be aware that these pains are:

Postbirth uterine/vaginal discharge,called lochia:

A postpartum patient asks,"Will these stretch marks go away?" The nurse's best response is:

With regard to postpartum ovarian function,nurses should be aware that:

Which woman is most likely to experience strong afterpains?

Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?

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. Please match the vital signs finding that the postpartum nurse may encounter with the probable cause: -Hypovolemia resulting from hemorrhage

The self-destruction of excess hypertrophied tissue in the uterus is called:

A woman gave birth to an infant boy 10 hours ago.Where would the nurse expect to locate this woman's fundus?

Childbirth may result in injuries to the vagina and uterus.Pelvic floor exercises also known as Kegel exercises will help to strengthen the perineal muscles and encourage healing.The nurse knows that the client understands the correct process for completing these conditioning exercises when she reports:

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. Please match the vital signs finding that the postpartum nurse may encounter with the probable cause: -Unusually high epidural or spinal block

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. Please match the vital signs finding that the postpartum nurse may encounter with the probable cause: -Excessive use of oxytocin

As relates to the condition and reconditioning of the urinary system after childbirth,nurses should be aware that:

A woman gave birth to a 7-pound,3-ounce infant boy 2 hours ago.The nurse determines that the woman's bladder is distended because her fundus is now 3 cm above the umbilicus and to the right of the midline.In the immediate postpartum period,the most serious consequence likely to occur from bladder distention is: