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WVU NSG 310 Exam 3 Postpartum Questions and Answers
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WVU NSG 310 Exam 3 Postpartum Questions and Answers
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WVU NSG 310 Exam 3 PostpartumQuestions and Answers
What is involution? - Answer-when the uterus transitions from a pregnant to a non-
pregnant state
What is lochia? - Answer-post-birth uterine discharge
What is ruby lochia and how long should it last? - Answer-*redish
*lasts 1-3 days
What is serosa lochia and how long should it last? - Answer-*brownish pink
*5-7 days
What is alba lochia and how long should it last? - Answer-*white or yellow
*1-3 weeks
What are the different amounts of bleeding? - Answer-*scant: less tha 2.5 cm
*light: 2.5-10.0 cm
*moderate: more than 10cm
*heavy: one pad saturated within 1-2 hrs
*excessive: 1 pad saturated within 15 minutes
What are manifestations of abnormal lochia? - Answer-*frank red blood: indicates
vaginal or cervical tear
*large clots and excessive blood: hemorrhage
*continued flow beyond the normal time: fever, pain, ad abdominal tenderness
(endometritis)
What is someone has persistent lochia ruby in the early postpartum period? - Answer-
this could be indicative of placental fragments
When does menses return if you're non lactating? - Answer-4-8 weeks
When does menses return when you're lactating? - Answer-8 wk-14 months
What is prolactin? - Answer-promotes milk production
What is oxytocin? - Answer-let down reflex of milk
How much blood loss is normal for a vaginal delivery? - Answer-300-500 cc
How much blood loss is normal for a C-section? - Answer-500-1000 cc
, What happens to estrogen and progesterone during the first week postpartum? -
Answer-DECREASE
During the first week postpartum a mother will experience diuresis and diaphoresis.
What are these things? - Answer-*increased urine excretion
*perspiration
What happens to the cardiovascular system within the first hour and following weeks
postpartum? - Answer-*pulse, stroke volume, and CO increase the first hour
*then they decrease by 8-10 weeks
*BP stays consistent
A mother has a temperature of 38.0 C 1 hr after birth. Is this a normal finding? - Answer-
Yes! This is due to dehydration after labor and may occur up to 24 hrs
How are labs effected within the first week postpartum? - Answer-*Hct: drops
moderately for 3-4 days
*WBC: elevated levels are pretty common for 4-7 days
What do we want to check for with the renal system postpartum? - Answer-*urinary
retention: this could cause uterine atony, leading to hemorrhage
*if they have less than 150ml within 2-3 hrs, this is an issue
What do we want to watch for with the GI tract postpartum? - Answer-CONSTIPATION;
this could lead to hemorrhoids
What musculoskeletal effects would a mom have postpartum? - Answer-*generalized
discomfort
*muscle tone is restored due to the removal of progesterone effect following delivery of
the placenta
What is diastasis? - Answer-*separation of the rectus muscle 2-4 cm that usually
resolves within 6 weeks
*jelly like
Placenta hormones are decreased after pregnancy. What endocrine effects does this
have on a mom who is postpartum? - Answer-*decreased insulin's: insulin needs
decrease immediately after birth
*decreased progesterone: increase in muscle tone
*decreased estrogen: vaginal dryness until menstruation resumes
Where are the sources of infection postpartum and what are s/sx a mom can
experience? - Answer-*uterus, bladder, breast
*severe pain, chills, foul lochia, fever, dehydration
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