Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
1. A woman gave birth to an infant boy 10 hours ago. Where does
the nurse expect to locate this woman’s fundus?
a.
1 centimeter above the umbilicus
b.
2 centimeters below the umbilicus
c.
Midway between the umbilicus and the symphysis pubis
d.
Nonpalpable abdominally - - -
correct answer ✅A (The fundus descends approximately 1 to 2 cm
,Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
every 24 hours. Within 12 hours after delivery the fundus may be
approximately 1 cm above the umbilicus. By the sixth postpartum
week the fundus is normally halfway between the symphysis pubis
and the umbilicus. The fundus should be easily palpated using the
maternal umbilicus as a reference point.)
2. What are the most common causes for subinvolution of the
uterus?
a.
Postpartum hemorrhage and infection
b.
Multiple gestation and postpartum hemorrhage
c.
Uterine tetany and overproduction of oxytocin
,Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
d.
Retained placental fragments and infection - - -
correct answer ✅D (Subinvolution is the failure of the uterus to
return to a nonpregnant state. The most common causes of
subinvolution are retained placental fragments and infection.
Subinvolution may be caused by an infection and result in
hemorrhage. Multiple gestations may cause uterine atony, resulting
in postpartum hemorrhaging. Uterine tetany and overproduction of
oxytocin do not cause subinvolution.)
3. Which client is most likely to experience strong and
uncomfortable afterpains?
a.
A woman who experienced oligohydramnios
b.
, Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
A woman who is a gravida 4, para 4-0-0-4
c.
A woman who is bottle-feeding her infant
d.
A woman whose infant weighed 5 pounds, 3 ounces - - -
correct answer ✅B (Afterpains are more common in multiparous
women. In a woman who experienced polyhydramnios, afterpains
are more noticeable because the uterus was greatly distended.
Breastfeeding may cause the afterpains to intensify. In a woman
who delivered a large infant, afterpains are more noticeable
because the uterus was greatly distended.)
4. A woman gave birth to a healthy infant boy 5 days ago. What
type of lochia does the nurse expect to find when evaluating this
client?
Physiologic Changes Exam Questions And
Answers Latest Update
1. A woman gave birth to an infant boy 10 hours ago. Where does
the nurse expect to locate this woman’s fundus?
a.
1 centimeter above the umbilicus
b.
2 centimeters below the umbilicus
c.
Midway between the umbilicus and the symphysis pubis
d.
Nonpalpable abdominally - - -
correct answer ✅A (The fundus descends approximately 1 to 2 cm
,Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
every 24 hours. Within 12 hours after delivery the fundus may be
approximately 1 cm above the umbilicus. By the sixth postpartum
week the fundus is normally halfway between the symphysis pubis
and the umbilicus. The fundus should be easily palpated using the
maternal umbilicus as a reference point.)
2. What are the most common causes for subinvolution of the
uterus?
a.
Postpartum hemorrhage and infection
b.
Multiple gestation and postpartum hemorrhage
c.
Uterine tetany and overproduction of oxytocin
,Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
d.
Retained placental fragments and infection - - -
correct answer ✅D (Subinvolution is the failure of the uterus to
return to a nonpregnant state. The most common causes of
subinvolution are retained placental fragments and infection.
Subinvolution may be caused by an infection and result in
hemorrhage. Multiple gestations may cause uterine atony, resulting
in postpartum hemorrhaging. Uterine tetany and overproduction of
oxytocin do not cause subinvolution.)
3. Which client is most likely to experience strong and
uncomfortable afterpains?
a.
A woman who experienced oligohydramnios
b.
, Lowdermilk Chapter 20: Postpartum
Physiologic Changes Exam Questions And
Answers Latest Update
A woman who is a gravida 4, para 4-0-0-4
c.
A woman who is bottle-feeding her infant
d.
A woman whose infant weighed 5 pounds, 3 ounces - - -
correct answer ✅B (Afterpains are more common in multiparous
women. In a woman who experienced polyhydramnios, afterpains
are more noticeable because the uterus was greatly distended.
Breastfeeding may cause the afterpains to intensify. In a woman
who delivered a large infant, afterpains are more noticeable
because the uterus was greatly distended.)
4. A woman gave birth to a healthy infant boy 5 days ago. What
type of lochia does the nurse expect to find when evaluating this
client?
