Postpartum ATI Questions and Answers 100% Pass

Postpartum ATI Questions and Answers 100% Pass What is the fourth stage of labor? The maternal recovery period starting with the delivery of the placenta and lasts from 1-4 hours. This is when parent-newborn bonding should start to occur. 1) What is the main of of goal during the immediate postpartum period? 2) What are the other goals during this time? 1) Prevent postpartum hemorrhage. 2) Assist in pt's recovery, identify deviations in expected recovery process, provide comfort measures & pharmacologic pain relief as prescribed, provide pt education about newborn and self-care, provide baby-friendly activities to promote infant/family bonding What is the puerperium? The postpartum period; includes physiological and psychological adjustments; begins after delivery of placenta and ends when the body returns to the prepregnant state which takes about 6 weeks. What physiological changes do mom's experience postpartum? Uterine involution (shrinkage), lochia flow, cervical involution, decrease in vaginal distention, alteration in ovarian function and menstruation, cardiovascular/urinary tract/breast/GI tract changes What are the greatest risks during the postpartum period? Hemorrhage, shock, infection What is oxytocin? A hormone released from the pituitary gland that coordinates and strengthens uterine contractions What stimulates the release of endogenous oxytocin from the pituitary gland? Breastfeeding What is pitocin (exogenous oxytocin) administered for? May be administered postpartum to improve the quality of uterine contractions. What prevents excessive bleeding and hemorrhaging postpartum? A firm and contracted uterus What are after pains? Uncomfortable uterine cramping What happens hormonally after the delivery of the placenta? Estrogen, progesterone, and placental enzyme insulinase decrease, thus resulting in decreased blood glucose, estrogen, and progesterone levels. What is decreased estrogen associated with? Breast engorgement, diaphoresis and diuresis of excess extracellular fluid accumulated during pregnancy. Also diminishes vaginal lubrication so local dryness and intercourse discomfot may persist until ovarian function returns and menstruation resumes What is decreased progesterone associated with? Increase in muscle tone throughout the body What is decreased placental enzyme insulinase associated with? Reversal of the diabetogenic effects of pregnancy, which lowers blood glucose levels immediately in the puerpium Is there a difference between lactating and non-lactating women regarding menstruation? Yes, they differ in the timing of the first ovulation and the resumption of menstruation. What are the differences between lactating and non-lactating women regarding prolactin levels? Lactating: serum prolactin levels remain elevated and suppress ovulation. Non-lactating: prolactin declines and reaches the prepregnant level by the third week postpartum What are the differences between lactating and non