Exam (elaborations)
CH 17: Postpartum Physiological Adaptations Detailed Questions and Expert Answers
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- University Of California - San Francisco
CH 17: Postpartum Physiological Adaptations Detailed Questions and Expert Answers
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CH 17: Postpartum Physiological AdaptationsDetailed Questions and Expert Answers
What is the main goal during the immediate postpartum period? - ANS To prevent
postpartum hemorrhage
How long is the postpartum period, also known as the puerperium? - ANS around
6 weeks
What are the greatest risks during the postpartum period? - ANS hemorrhage,
shock, and infection
Oxytocin, a hormone released from the pituitary gland, coordinates and
strengthens uterine contractions.
What are two ways to receive oxytocin? - ANS ◯ Breastfeeding stimulates the
release of endogenous oxytocin from the pituitary gland.
◯ Exogenous oxytocin can be administered postpartum to improve the quality of
the uterine contractions.
What state should the uterus be in to prevent excessive bleeding and
hemorrhage? - ANS A firm and contracted uterus
Uncomfortable uterine cramping is referred to as? - ANS Afterpains
,postpartum physical assessment should include assessing the client's *BUBBLE*
What does it stand for? - ANS ● B: Breasts
● U: Uterus (fundal height, uterine placement, and consistency)
● B: Bowel and GI function
● B: Bladder function
● L: Lochia (color, odor, consistency, and amount [COCA])
● E: Episiotomy (edema, ecchymosis, approximation)
When & why is *RhoGAM* given? - ANS -Rho(D) immune globulin is administered
within *72 hr to women who are Rh-negative and gave birth to infants who are Rh-
positive*
-To prevent sensitization in future pregnancies
What does the *Kleihauer-Betke test* determine? - ANS *The Kleihauer-Betke test
determines the amount of fetal blood in maternal circulation if a large
fetomaternal transfusion is suspected.
*If 15 mL or more of fetal blood is detected, the mother should receive an
increased Rho(D) immune globulin dose.
What do postpartum women typically experience during the first 2 hours after
birth? - ANS *Postpartum chill*
, This is a normal occurrence unless accompanied by an elevated temperature.
● Provide warm blankets and fluids.
● Assure client that these chills are a self-limiting, common occurrence that will
last only a short while.
Fundal height - ANS ● *Immediately after delivery*
-fundus should be firm; at *level w/ umbilicus*.
●At *12 hr postpartum*
-the fundus is *1 cm above the umbilicus*.
● *Every 24 hr*
-the fundus will*descend 1 to 2 cm*.
●It should be halfway between the symphysis pubis and the umbilicus by the sixth
postpartum day.
● *After 2 weeks*
-the uterus should *lie within the true pelvis and should not be palpable*
How often should a nurse should assess the fundal height, uterine placement, and
uterine consistency? - ANS At least every 8 hr after the recovery period has ended.
How to locate the Fundus? - ANS Cup one hand just above the symphysis pubis to
support the lower segment of the uterus, and with the other hand, palpate the
abdomen to locate the fundus.
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