Lowdermilk Chapter 20 Physiologic
Changes
1. A woman gave birth to an infant boy 10 hours ago. Where does the nurse expect to locate
this womans 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 - answers✔✔A (The fundus descends approximately 1 to 2 cm 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
d.
Retained placental fragments and infection - answers✔✔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.
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 - answers✔✔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?
a.
Lochia rubra
b.
Lochia sangra
Changes
1. A woman gave birth to an infant boy 10 hours ago. Where does the nurse expect to locate
this womans 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 - answers✔✔A (The fundus descends approximately 1 to 2 cm 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
d.
Retained placental fragments and infection - answers✔✔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.
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 - answers✔✔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?
a.
Lochia rubra
b.
Lochia sangra
