Question 1

Which woman is most likely to experience strong afterpains?

Accepted Answer

A)  A woman who experienced oligohydramnios 
B)  A woman who is a gravida 4, para 4-0-0-4 
C)  A woman who is bottle-feeding her infant 
D)  A woman whose infant weighed 5 lbs, 3 ounces 
A)  A woman who experienced oligohydramnios 
B)  A woman who is a gravida 4, para 4-0-0-4 
C)  A woman who is bottle-feeding her infant 
D)  A woman whose infant weighed 5 lbs, 3 ounces

Question 2

With regard to the after birth changes and developments in a woman's cardiovascular system,nurses should be aware that:

Accepted Answer

A)  cardiac output, the 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 birth. 
C)  the lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections. 
D)  a hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth. 
A)  cardiac output, the 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 birth. 
C)  the lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections. 
D)  a hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth.

Question 3

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

Accepted Answer

A)  autolysis. 
B)  subinvolution. 
C)  afterpain. 
D)  diastasis. 
A)  autolysis. 
B)  subinvolution. 
C)  afterpain. 
D)  diastasis.

Question 4

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

Accepted Answer

A)  tell the physician immediately. 
B)  have the laboratory draw blood for reanalysis. 
C)  recognize that this is an acceptable range at this point after birth. 
D)  begin antibiotic therapy immediately. 
A)  tell the physician immediately. 
B)  have the laboratory draw blood for reanalysis. 
C)  recognize that this is an acceptable range at this point after birth. 
D)  begin antibiotic therapy immediately.

Question 5

Which statement by a newly delivered woman indicates that she knows what to expect about her menstrual activity after childbirth?

Accepted Answer

A)  "My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter." 
B)  "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles." 
C)  "I will not have a menstrual cycle for 6 months after childbirth." 
D)  "My first menstrual cycle will be heavier than normal and then will be light for several months after." 
A)  "My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter." 
B)  "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles." 
C)  "I will not have a menstrual cycle for 6 months after childbirth." 
D)  "My first menstrual cycle will be heavier than normal and then will be light for several months after."

Question 6

MATCHING
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 after birth nurse may encounter with the 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 after birth 
D) Hypertension 
E) Hypoventilation 
A) Elevated temperature within the first 24 hours 
B) Rapid pulse 
C) Elevated temperature at 36 hours after birth 
D) Hypertension 
E) Hypoventilation

Question 7

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

Accepted Answer

A)  One centimeter above the umbilicus 
B)  Two centimeters below the umbilicus 
C)  Midway between the umbilicus and the symphysis pubis 
D)  Nonpalpable abdominally 
A)  One centimeter above the umbilicus 
B)  Two centimeters below the umbilicus 
C)  Midway between the umbilicus and the symphysis pubis 
D)  Nonpalpable abdominally

Question 8

Which maternal event is abnormal in the early after birth period?

Accepted Answer

A)  Diuresis and diaphoresis 
B)  Flatulence and constipation 
C)  Extreme hunger and thirst 
D)  Lochial color changes from rubra to alba 
A)  Diuresis and diaphoresis 
B)  Flatulence and constipation 
C)  Extreme hunger and thirst 
D)  Lochial color changes from rubra to alba

Question 9

Several 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 10

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

Accepted Answer

A)  involutionary period because of what happens to the uterus. 
B)  lochia period because of the nature of the vaginal discharge. 
C)  mini-tri period because it lasts only 3 to 6 weeks. 
D)  puerperium, or fourth trimester of pregnancy. 
A)  involutionary period because of what happens to the uterus. 
B)  lochia period because of the nature of the vaginal discharge. 
C)  mini-tri period because it lasts only 3 to 6 weeks. 
D)  puerperium, or fourth trimester of pregnancy.

Question 11

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

Accepted Answer

A)  Estrogen 
B)  Progesterone 
C)  Prolactin 
D)  Human placental lactogen 
A)  Estrogen 
B)  Progesterone 
C)  Prolactin 
D)  Human placental lactogen

Exam 18: Postpartum Physiologic Changes

Which woman is most likely to experience strong afterpains?

With regard to the after birth changes and developments in a woman's cardiovascular system,nurses should be aware that:

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

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

Which statement by a newly delivered woman indicates that she knows what to expect about her menstrual activity after childbirth?

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

Which maternal event is abnormal in the early after birth period?

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

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

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

Assessment and Health Promotion

Reproductive System Concerns

Infertility, contraception, and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High-Risk Pregnancy

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High-Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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