NUR 406 Exam 16
- the time period after birth to 6 weeks postpartum consisting of rapid phys- ical and
psychological changes
Answer fourth trimester
- rapid reduction of uterus to non-pregnant state that takes approximately 6 weeks
the reason we do fundal checks is to assess this Answer involution
- Where would you expect to find the fundus immediately after delivery of the placenta?
Answer Midline and halfway between symphysis pubic and umbilicus
- Where would you expect to find the fundus immediately after delivery of the placenta?
Answer Midline at level with the umbilicus
- 12 hours after delivery, you would expect the fundus to be midline and decreasing by each
day.
Answer
- fingerbreadth
- What are the two main causes of the fundus being higher than expected and/or shifted to one
side?
Answer Full bladder; PPH
- Lochia--vaginal discharge that occurs after birth
--dark red that occurs for the first 2-3 days 1 / 4
--pinkish that occurs from 3rd to 10th day
--white and occurs from 10th day to 6 weeks PP
Answer rubra; seroa; alba
- After delivery, the cervix, vaginal, and perineum may be .
Answer bruised
- For non-breastfeeding moms, menstruation can occur weeks
after delivery.
Answer 7-12
- lack of return of period in breastfeeding moms that can be used as a birth control if
Answer the baby is fully/nearly fully breastfed, baby does not go more than 4 hours for a day feeding or 6 hours for night feedings, mom's monthly periods have not returned, and the baby is under 6 months of age
Answer lactation amenorrhea
- Hunger and thirst is common after birth, but the may be
slug- gish due to progesterone, decreased abd muscle tone, and evacuation during labor.Therefore, constipation and hemorrhoids are common.
Answer bowels
- Women with C-section are permitted to be on a diet after
deliv- ery, but this diet should not be advanced until present.
Answer Clear liquid; BS
- Moms are at risk for after delivery due to changes to the bladder
surrounding pregnancy/delivery. 2 / 4
Answer urinary retention
- If an epidural is administered during labor, neural bladder function may be inhibited.
Therefore, pts may need to be cathed if no void in hours or bladder is noted.
Answer 8; distention
- normal physical finding in which the body rids itself of 2,000-3,000 urine in the first 12-24
hours after delivery
Answer puerperal diuresis
- Temperature may go up to in the first 24 hours after delivery. This is
normal. Otherwise women should be afebrile.
Answer 100.4
- is normal for women to experience in the first 48 hours after birth, in addition to
transient rises in SBP/DBP for first few days.
However, hypotension may be a sign of hypovolemia secondary to PPH.
Answer orthostatic hypotension; late
- (50-70 bpm) is common in the first 6-10 days after birth due to physiologic
reasons. But (>100 bpm) is uncommon and may be r/t hypovolemia, infection, fear, or pain.
Answer Bradycardia; tachycardia
- is difficult to interpret the first 48 hours after birth. A Hgb decreas- ing by more
than g/dL and/or Hct decreasing by more than % compared to baseline could indicate significant blood loss. 3 / 4
Answer H&H; 1.5; 4
- Pregnancy-associated activation of coagulation factors may continue after birth, which
increases the risk for .
Answer VTE
- Nonpathologic usually occurs, that may obscure a dx of infec- tion.
Answer leukocytosis
- Failure of a woman to have puerperal diuresis can lead to , beca
Answer Pulmonary edema
- There is an increased need for consumption in early postpartum due
to mild anemia, lactation, and psychological factors.
Answer oxygen
- are common in the PP due to fluid shifts, stress, PIH, and/or CSF leaks from
epidurals.
Answer Headaches
- There should be a lb weight loss immediately at birth and an additional
lb loss during early PP due to diuresis. Therefore, women should return to pre-pregnancy weight by 6-8 weeks after birth if she only gained the recommended amount for her baseline weight.
Answer
10-12; 5
- condition that occurs immediately after birth due to an unknown cause, that is not
worrisome as long as a fever doesn't accompany it
Answer
- / 4