NR 327- Maternal-Child- Wk 5 Questions with 100% Correct Answers

Chapter 17: Postpartum Physiologic Adaptations Involution of Uterus Correct Answer contraction of muscle - controls bleeding from site of placental attachment - decreases size of uterus catabolism-converting cells into simpler compounds - reduction in cell size - byproducts are excreted in urine regeneration of uterine epithelium - first layer: decidua - basal layer - endometrial layer Descent of Uterine Fundus Correct Answer assess uterine fundal height subinvolution can cause PPH document in relation to umbilicus - after delivery: at umbilicus - 2 days post: few centimeters under umbilicus After Pains Correct Answer cramp-like pains due to contractions of uterus after childbirth, last 2-3 days etiology - more acute for multiparas, more sever w/ overdistention - more severe during breastfeeding caused by release of oxytocin nursing considerations - analgesic, medicate before breastfeeding - enhance comfort and relaxation to facilitate letdown of milk Lochia Correct Answer vaginal discharge after childbirth changes in amount: - scant(2.5 cm), light (2.5-10cm), moderate (10-15cm), or heavy changes in color - lochia rubra: first 3 days, bright red - lochia serosa: 4 to 10 days, light pink - lochia alba: after day 10, straw-like Cervix Changes Correct Answer dilated, edematous, and bruised small tears or lacerations may be present rapid healing takes place Vagina Changes Correct Answer greatly stretched, walls appear edematous