Ch 15 postpartum adaptations chapter worksheet

After the nurse provides instructions to a postpartum woman about postpartum blues, which statement would indicate understanding of it? I will "Need to take medication daily to treat the anxiety and sadness." "Call the OB support line only if I start to hear voices." "Contact my doctor if I become dizzy and fell nauseated." "Feel like laughing 1 minute and crying the next minute."

"Feel like laughing 1 minute and crying the next minute."

Prioritize the postpartum mother's needs 4 hours after giving birth by placing a number 1, 2, 3, or 4 in the blank before each need. _________ Learn how to hold and cuddle the infant. _________Watch a baby bath demonstration given by the nurse. _________ Sleep and rest without being disturbed for a few hours. _________ Interaction time (first 30 minutes) with the infant to facilitate bonding

1. Interaction time (first 30 minutes) with the infant to facilitate bonding 2. Sleep and rest without being disturbed for a few hours 3. Learn how to hold and cuddle the infant 4. Watch a baby bath demonstration given by the nurse

The nurse would expect a postpartum woman to demonstrate lochia in which sequence? Rubra, alba, serosa Rubra, serosa, alba Serosa, alba, rubra Alba, rubra, serosa

Rubra, serosa, alba

Postpartum breast engorgement occurs 48 to 72 hours after giving birth. What physiologic change influences breast engorgement? An increase in blood and lymph supply to the breasts An increase in estrogen and progesterone levels Colostrum production increases dramatically. Fluid retention in the breasts due to the intravenous fluids given during labor

An increase in blood and lymph supply to the breasts Engorgement refers to the swelling of the breast tissue as a result of an increase in blood and lymph supply to produce milk for the newborn. Estrogen and progesterone levels decrease, which allows prolactin to stimulate the glands to secrete milk. Their levels are restored when the first menses returns several weeks or months later, depending on the lactation status of the mother. Colostrum is a lemon-colored fluid secreted by both breasts immediately at birth, and within 4 to 5 days postpartum it gradually changes to transitional milk and finally mature milk by 2 weeks. Colostrum production reduces within days after childbirth as transitional and mature milk, thereby not contributing to breast engorgement.

In the taking-in maternal role phase described by Rubin (1984), the nurse would expect the woman's behavior to be characterized as which of the following? Gaining self-confidence Adjusting to her new relationships Being passive and dependent Resuming control over her life

Being passive and dependent According to Reva Rubin, the mother is very passive and is dependent on others to care for her for the first 24 to 48 hours after giving birth. Gaining self-confidence would characterize a mother in the taking-hold phase, during which the mother demonstrates mastery over her own body's functioning and feels more confident in caring for her newborn. Adjustment to relationships does not occur until the third phase, letting go, when the mother begins to separate from the symbiotic relationship she and her newborn enjoyed during pregnancy and birth. Resuming control over her life would denote the second phase of taking hold, during which the mother does resume control over her life and gains self-confidence in her newborn care.

The nurse is explaining to a postpartum woman 48 hours after her giving childbirth that the afterpains she is experiencing can be the result of which of the following? Abdominal cramping is a sign of endometriosis. A small infant weighing less than 8 pounds Pregnancies that were too closely spaced Contractions of the uterus after birth

Contractions of the uterus after birth The direct cause of afterpains is uterine contractions. Mothers experience abdominal pain secondary to contractions, especially when breast-feeding because sucking stimulates the release of oxytocin from the posterior pituitary gland, which causes uterine contractions. There is no association of afterpains with endometriosis. The small size of the newborn wouldn't stretch her uterus, thus would not be a contributing factor to her discomfort now. Pregnancies spaced too close together can contribute to frequent stretching of the uterus, but this is not the cause of afterpains.

Immediately after childbirth in the recovery area, the nurse observes the mother's partner's fascination and interest in the new son. This behavior is often termed: Attachment Engrossment Bonding Temperament

Engrossment

The nurse is assessing Ms. Smith, who gave birth to her first child 5 days ago. What findings by the nurse would be expected? Cream-colored lochia; uterus above the umbilicus Bright-red lochia with clots; uterus 2 fingerbreadths below umbilicus Light pink or brown lochia; uterus 4 to 5 fingerbreadths below umbilicus Yellow, mucousy lochia; uterus at the level of the umbilicus

Light pink or brown lochia; uterus 4 to 5 fingerbreadths below umbilicus The nurse would expect light pink or brown lochia, and the uterus should be four to five fingerbreadths below the umbilicus. Cream-colored lochia wouldn't be seen for about 10 to 14 days after childbirth, thus it wouldn't be observed this early in the postpartum period. The uterus would be involuting downward into the pelvis, thus it would not be above the umbilicus by this timeframe. Bright-red lochia would be observed for up to 3 days postbirth, not 5 days later unless there was a problem. The uterus descends into the pelvis at a rate of 1 cm/day, thus the fundus should be 4 to 5 cm (fingerbreadths) below the umbilicus by now.