physiologic changes and assessment during the postpartum period - sherpath

Which teaching elements are appropriate to include in the plan of care for the postpartum patient with a third-degree laceration? Select all that apply. A. Recommend a high-fiber diet. B. Apply heat to the area four times per day for the first week. C. Give enemas as needed to prevent constipation. D. Apply cold to the area for the first 12 hours as needed. E. Recommend stool softeners.

A, D, E

Which findings are concerning when assessing a third-degree laceration of a postpartum woman? Select all that apply. A. Edema B. A fleshy odor C. Absence of ecchymosis D. Small hemorrhoid at anus E. Stitches that are not well approximated

A, E

Which statements by the patient indicate a need for additional teaching regarding the need for contraception postdelivery? Select all that apply. A. "Because I am breastfeeding, I don't need to worry about contraception." B. "I will need to consider what contraception to use before I resume having sex." C. "I may be ovulating before my monthly period resumes." D. "Breastfeeding may delay my period, but I can still ovulate." E. "I can wait for my period to resume before using contraception."

A, E

Which effects can a full bladder have on the uterus in the postpartum period? Select all that apply. A. Displaces the uterus B. Increases uterine tone C. Promotes a boggy uterus D. Inhibits uterine involution E. Increases uterine involution

A, C, D

Which nursing questions are appropriate for a patient 9 days postpartum who feels tired and still has vaginal discharge? Select all that apply. A. "What color is your lochia?" B. "Is your lochia red?" C. "Is there an odor to your lochia?" D. "When did your lochia turn clear?" E. "How often are you changing your peripads?"

A, C, E

Which findings are consistent with subinvolution for a woman 24 hours postpartum? Select all that apply. A. Excessive blood loss B. Foul odor from lochia C. A fundus 2U above the umbilicus D. Decreased milk production E. Lacerations of the birth canal F. Increased contraction of the uterus

A, B, C

Which physiologic process in the postpartum period is associated with the hormone prolactin? A. Milk ejection B. Milk production C. Uterine involution D> Excretion of excess plasma volume

B

Which assessment findings suggest excessive blood loss requiring immediate intervention for a postpartum patient who had a cesarean delivery? Select all that apply. A. Firm fundus, midline B. Heart rate of 120 beats/min C. Blood pressure of 80/40 mm Hg D. Urinary output of 20 mL/hour E. Abdominal distension and severe pain

B, C, D, E

Which nursing findings are concerning when assessing the breasts and nipples of a postpartum woman? Select all that apply. A. Nipples are pink with intact skin. B. Nipples are pink with a blister line. C. Breasts are symmetric. D. Breasts are red and firm. E. Breasts are soft and nontender.

B, D

Which statements explain how plasma volume returns to baseline after delivery? Select all that apply. A. Increased oxytocin secretion accelerates fluid depletion. B. Profuse sweating aids in decreasing plasma volume levels. C. Sodium retention aids in the diaphoresis of excess plasma volume. D. Increased urinary output promotes the excretion of excess plasma volume. E. Decreased aldosterone hormone levels promote diuresis of excess plasma volume.

B, D, E

Which factors put a patient at risk for postpartum complications? Select all that apply. A. Primigravida B. B-positive blood type C. Prolonged rupture of membranes D. 30-hour long labor E. Third-degree perineal laceration and moderate edema

C, D, E

Which nursing finding requires intervention when assessing a postpartum woman who delivered by cesarean birth? A. A small amount of lochia B. Foley catheter output of 200 mL/hour C. Abdominal dressing with a small amount of serosanguinous drainage D. Distended abdomen with no bowel sounds auscultated

D