Chapter 17

Question 1

Function of oxytocin

Answer 1

Stimulates uterine contractions to help prevent hemorrhage and bleed

Question 2

An increase/decrease of which placental hormone is associated with breast engorgement, diaphoresis, vaginal secretions?

Answer 2

Estrogen

Question 3

An increase/decrease of which placental hormone is associated with increased muscle tone?

Answer 3

Progesterone

Question 4

An increase/decrease of which placental hormone is associated with a decrease in blood sugar?

Answer 4

Placenta enzyme

Question 5

What hormones would you expect to increase in breastfeeding woman?

Answer 5

Prolactin

Oxytocin

Question 6

Ovulation can suppressed

up to ______ in breastfeeding women

Answer 6

6 mos

Question 7

Ovulation can start as early as _______ for mom-breastfeeding women

Answer 7

1-3 months

Question 8

Postpartum chill is normal in first 2 hrs after giving birth unless accompanied by a fever. True/False

Answer 8

True

Question 9

Common laboratory and diagnostic tests postpartum

Answer 9

Hgb, Hct, WBCs, Platelets

Rho D
Kleihaur Betke rest

Question 10

An Rh- mother should be as administered Rho (D) within ______

Answer 10

72h

Question 11

Fundal height, uterine placement, & consistency should be assessed every

Answer 11

8h

Question 12

Clients are advised to void every

Answer 12

2-3 hrs to prevent uterine displacement and atony

Question 13

Oxytoxics such as ______________, ____________, ______________, _____________, & __________ can be given IM or IV after delivery to help with uterine involution.

Answer 13

Oxytocin, mistoprosol, methylergonovine, ergonovine, carboprost

Question 14

Perineum care:

ice packs can be applied for the first _________ to reduce edema and provide an anesthetic effect

Answer 14

24-48h

Question 15

Perineal Care:

Sitz baths can be done at least ______ at a temperature between _________C (________F)

Answer 15

Two times a day

38-40 C or 100 - 104 F

Question 16

Perineal care:

Explain how to cleanse the perineal area

Answer 16

Squeeze bottle w/ warm water and antiseptic sol. to perineal area after each void

Blot, not white

use topical antiseptic cream/spray (benzocaine) sparingly

Question 17

Analgesics such as _________ can be taken for pain and discomfort

Answer 17

Acetaminophen, ibuprofen, codeine, hydrocodone

Question 18

When is colostrum produced?

Answer 18

During pregnancy and for 2-3 days after birth

Question 19

Cracked nipples is an indication of _________and can be accompanied by __________

Answer 19

Mastitis

Flu-like symptoms

Question 20

Best prevention for sore nipples

Answer 20

Proper latching

Question 21

Blood loss during childbirth in an uncomplicated pregnancy is about _________mL and ________mL for a cesarean birth.

Answer 21

300-500 mL (10%)

500-1000 mL (15-30%)

Question 22

Hypovolemic shock occurs as a result to normal blood loss from vaginal or cesarean birth. True/False

Answer 22

False

Question 23

What can you expect to see with the clients Hct levels after delivery?

Answer 23

Moderate decrease for about 3-4 days than increase by week 8

Question 24

You can expect WBC levels to be around _________ after delivery

Answer 24

20,000-25,000

Question 25

What can you expect to see with the clients coagulation and fibrinogen levels after delivery?

Answer 25

Increase and remains elevated for 2-3 weeks

Question 26

Hypercoagulability predisposes the postpartum client to

Answer 26

Thrombus formation

Question 27

Orthostatic hypotension can occur w/in the first 48 hrs postpartum. True/False

Answer 27

True

Question 28

A clients temperature can elevate to _______C (______F) as a result of dehydration after labor during first 24h and should return to normal after 24h

Answer 28

38 | 100.4

Question 29

Signs of venous thrombosis includes:

Answer 29

Redness, swelling, calf pain, warmth

Question 30

Nursing interventions to prevent venous stasis and thrombosis

Answer 30

Ambulate Antiembolism stockings (remove when ambulatory) Meds as prescribe

Question 31

You can expect bowel | elimination and movement to be delayed up to _________

Answer 31

2-3 days

Question 32

What can you advise client to do to promote bowel elimination/movement?

Answer 32

Increase fluids and fiber intake Ambulate Stool softeners as prescribed (docusate sodium)

Question 33

Enemas & suppositories are contraindicated for clients w/ 3rd to 4th degree perineal lacerations. True/False

Answer 33

True

Question 34

Excessive urine >3,000mL/day is a normal finding in the first 2-3 days. True/False

Answer 34

True

Question 35

A distended bladder can result to

Answer 35

Urinary retention and uterine displacement and atony

Question 36

Evidence of a distended bladder includes:

Answer 36

Fundal height above umbilicus or baseline level Fundus displaced midline Bladder bulges above symphysis pubis Excessive lo his Tenderness over bladder

Question 37

Frequent voiding of ___________ is indicative of urinary retention w/overflow

Answer 37

<150 mL

Question 38

Patient is encouraged to void every

Answer 38

2-3 h

Question 39

What diastasis recti? Will this require surgery?

Answer 39

Separation of abdominal muscle from 2cm to 4cm No, will reserve within 6 weeks

Question 40

A client with a titer of <1:8 for rubella is administered a SubQ injection of MMR vaccine to protect against _________

Answer 40

Subsequent fetal malformations

Question 41

Clients to receive live vaccines such as rubella and varicella should be advised NOT to:

Answer 41

Get pregnant for 1 month