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PN 3003 SESSION 7 EXAM- WITH QUESTIONS AND VERIFIED ANSWERS
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PN 3003 SESSION 7 EXAM- WITH QUESTIONS ANDVERIFIED ANSWERS 2024-2025
What occurs during the physiologic adaptation of the uterus during
postpartum?
- Uterine contraction and involution
- Uterus should involute 1 finger-breadth per day (Measuring fundal height)
How soon can ovulation occur postpartum?
- 3 weeks post delivery
Can you conceive if you are not menstruating?
Yes (ovulation can occur 3 weeks postpartum)
What causes a higher risk for blood clots postpartum?
- High plasma fibrinogen levels
- Other coagulation factos
Is it normal for the pulse to be slow in the 1st week after delivery?
Yes & blood pressure should NOT be elevated
Is it expected for the abdomen to be soft and sagging in the immediate
postpartum period?
Yes (don't confuse for the uterus)
What are normal finds in the urinary system in the immediate postpartum
period?
- Transient glycosuria, proteinuria, and ketonuria
What are normal changes in the integumentary system postpartum?
- Copious diaphoresis (first few days)
- Striae (stretch marks found on abdomen and breast)
How long does it take to return to pre-pregnant weight?
6 months
How much weight is lost due to the baby, placenta and amniotic fluid
postpartum
12-14 pounds
How much weight is lost due to fluid loss from diaphoresis and urinary
excretion in early postpartum?
5-15 pounds
How long does postpartum blues last for?
2 - 3 days (temporary condition) (transitory phase)
Contributing factors of postpartum blues?
, - Decrease in estrogen and progesterone
- Decrease in endorphins
- Too much activity
- Fatigue
- Disturbed sleep patterns
- Discomfort
- Anemia
- Thyroid gland dysfunction
- Low serum levels of free tryptophan
What is the nurse's role in postpartum care?
- Initial physical assessment in first hour following delivery
- Complete postpartum physical assessment (B.U.B.B.L.E.H)
- Maternal-newborn bonding
- Maternal emotional status
Postpartum care after cesarean birth includes?
- Monitor lungs (respiratory depression, correct IV rate & flow)
- Monitor pain
- Monitor incision site
- Assess bowels (LBM, bowel sounds, etc)& urinary system (s&s of thrombus
formation, lochia (hemorrhage), infection)
- DVT's
What is included in pt. teaching for mothers discharge?
- Breast care
- Fundal massage
- Perineum and vaginal care
- Pain management
- Nutrition
- Constipation
- Proper rest
What are the top 3 causes of maternal mortality after a cesarean?
- Anesthesia complications
- Postpartum infection
- Thromboembolism
(APT)
What is considered as the fourth trimester of pregnancy?
Post partum
Factors that place the postpartum woman at risk
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