Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
1. 1. A woman gave birth to A (The fundus descends approximately 1 to 2 cm
an in- fant boy 10 hours every 24 hours. Within 12 hours after delivery the
ago. Where does the nurse fundus may be approximately 1 cm above the
expect to locate this
umbilicus. By the sixth post- partum week the fundus
womans fundus?
is normally halfway between the symphysis pubis
a. and the umbilicus. The fundus should be easily
palpated using the maternal umbilicus as a reference
1 centimeter above the point.)
umbili- cus
b.
2 centimeters below the
umbili- cus
c.
Midway between the
umbilicus and the
symphysis pubis
d.
Nonpalpable abdominally
2. 2. What are the most D (Subinvolution is the failure of the uterus to return
common causes for to
subinvolution of the a nonpregnant state. The most common causes of
uterus? subin- volution are retained placental fragments and
infection. Subinvolution may be caused by an
a. infection and result in hemorrhage. Multiple
gestations may cause uterine atony,
resulting in postpartum hemorrhaging. Uterine
tetany and hemorrhage and in-
Postpartum
1/
38
, Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
fectio overproduction of oxytocin do not cause
n subinvolution.)
b.
2/
38
, Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
Multiple gestation and d.
postpar- tum hemorrhage
c.
Uterine tetany and
overproduc- tion of
oxytocin
d.
Retained placental
fragments and infection
3. 3. Which client is most
likely to experience strong
and uncom- fortable
afterpains?
a.
A woman who experienced
oligohydramnios
b.
A woman who is a gravida
4, para 4-0-0-4
c.
A woman who is bottle-
feeding her infant
3/
38
, Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
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/
38
Exam Guide.
1. 1. A woman gave birth to A (The fundus descends approximately 1 to 2 cm
an in- fant boy 10 hours every 24 hours. Within 12 hours after delivery the
ago. Where does the nurse fundus may be approximately 1 cm above the
expect to locate this
umbilicus. By the sixth post- partum week the fundus
womans fundus?
is normally halfway between the symphysis pubis
a. and the umbilicus. The fundus should be easily
palpated using the maternal umbilicus as a reference
1 centimeter above the point.)
umbili- cus
b.
2 centimeters below the
umbili- cus
c.
Midway between the
umbilicus and the
symphysis pubis
d.
Nonpalpable abdominally
2. 2. What are the most D (Subinvolution is the failure of the uterus to return
common causes for to
subinvolution of the a nonpregnant state. The most common causes of
uterus? subin- volution are retained placental fragments and
infection. Subinvolution may be caused by an
a. infection and result in hemorrhage. Multiple
gestations may cause uterine atony,
resulting in postpartum hemorrhaging. Uterine
tetany and hemorrhage and in-
Postpartum
1/
38
, Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
fectio overproduction of oxytocin do not cause
n subinvolution.)
b.
2/
38
, Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
Multiple gestation and d.
postpar- tum hemorrhage
c.
Uterine tetany and
overproduc- tion of
oxytocin
d.
Retained placental
fragments and infection
3. 3. Which client is most
likely to experience strong
and uncom- fortable
afterpains?
a.
A woman who experienced
oligohydramnios
b.
A woman who is a gravida
4, para 4-0-0-4
c.
A woman who is bottle-
feeding her infant
3/
38
, Lowdermilk Chapter 20: Postpartum Physiologic Changes
Exam Guide.
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/
38
