NR327 / NR 327 Week 5 Edapt (Latest
Update ) Maternal-Child Nursing |
Comprehensive Questions and Answers |
100% Correct | Grade A-Chamberlain
Quiz_________________?
How long does it typically take for a woman who has delivered a baby to return to a pre-
pregnant physical state? -
Answer☑️
6 weeks
Quiz_________________?
Which findings may indicate a deep vein thrombosis (DVT) in a lower extremity in a
postpartum woman? -
Answer☑️
Tenderness
Weak pedal pulse in the affected extremity
Localized warmth
Quiz_________________?
Stage four of labor and delivery, known as the recovery period, begins immediately -
Answer☑️
after delivery of the placenta. Many changes happen in both the mother and the
newborn during this time, and the nurse acts fast to complete many important tasks.
Quiz_________________?
A typical delivery recovery lasts -
Answer☑️
1-2 hours. For the first 6 hours after delivery, the mother is monitored closely. She
needs emotional support and close physical assessment as her mind and body adjust to
significant changes. Her body immediately begins returning to nonpregnant status,
undoing in just 6 weeks the last 9 months' worth of anatomical and physiological
changes.
Quiz_________________?
Breasts
, At the time of delivery, they have enlarged, the nipples have areolas that have darkened
2
and become more pronounced in response to hormonal changes in preparation for
breastfeeding. In supine position, palpate both breasts for engorgement, inspect nipples
for soreness or skin breakdown. Assessment of the breasts also occurs when assisting
with breastfeeding, which includes -
Answer☑️
determining if the woman is producing early milk which is thin, watery and slightly yellow
(colostrum) or if she has begun producing true milk.
Quiz_________________?
Uterus
After delivery, the uterus gets -
Answer☑️
smaller and smaller, receding to the level of the umbilicus and eventually back under
the symphysis pubis. This is called involution.
Quiz_________________?
Natural oxytocin hormone and oxytocin administered intravenously cause -
Answer☑️
contractions that compress blood vessels at the open venous site of placental
attachment on the uterine wall.
Quiz_________________?
The uterine lining is also shed out through the vagina, and this material is called lochia.
In supine position, with the bladder empty, use deep palpation to determine the location
of the firm uterine fundus. It should be midline and somewhere between -
Answer☑️
2 fingerbreadths above, at, or below the umbilicus. Fundal massage should firm up a
boggy uterus and may elicit a flow of lochia. Breastfeeding should also stimulate
contractions. A firm uterus feels like a grapefruit. Upon palpating the abdomen to
assess the uterus, it may be observed that the rectus muscles are not present anteriorly
as in a male or a pre-pregnant woman or male. The large uterus separates these
muscles laterally as pregnancy progresses.
Quiz_________________?
Bladder: Postpartum assessment of bladder status is considered the -
Answer☑️
"new vital sign" to prevent complications associated with retained urine and a full
bladder. This will cause the uterus to deviate, contributing to subinvolution, increasing
the risk of hemorrhage, or contributing to the development of a urinary tract infection.
Monitor for pain with urination that may indicate structural damage, infection, or an
unnoticed laceration. Monitor for difficulty urinating, particularly after an epidural, so that
the bladder does not fill up. Whenever possible, have her empty her own bladder, but
empty the bladder by catheterization if necessary. Women who have had a cesarean
section (C/S) will have an indwelling catheter in place until they can ambulate, and after
removal they may initially have difficulty emptying their bladder.