Exam 20: Maternal Physiologic Changes

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The process in which the uterus returns to a nonpregnant state after birth is known as ____________________.

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Involution

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

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D

With regard to the postpartum uterus,nurses should be aware that:

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B

Clotting factors and fibrinogen levels normally are decreased during pregnancy and remain low in the immediate puerperium. This hypocoagulable state increases the risk of thromboembolism,especially after cesarean birth.

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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:

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Changes in the maternal immune system during the postpartum period account for the profuse diaphoresis that new mothers experience.

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

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The nurse caring for the postpartum woman understands that breast engorgement is caused by:

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Which description of postpartum restoration or healing times is accurate?

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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?

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

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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:

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

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A woman gave birth to a 7-pound,6-ounce infant girl 1 hour ago. The birth was vaginal,and the estimated blood loss (EBL) was approximately 1500 ml. When assessing the woman's vital signs,the nurse would be concerned to see:

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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:

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

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Which woman is most likely to experience strong afterpains?

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

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

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Postbirth uterine/vaginal discharge,called lochia:

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