Safe Maternity Pediatric Nursing By Care Palmer Coats –Test BANK Maternity & Pediatric Nursing 4th Edition.

Safe Maternity Pediatric Nursing By Care Palmer Coats –Test BANK Maternity & Pediatric Nursing 4th Edition. Games and activities By lw _______ refers to the uterine contractions felt after birth - CORRECT ANSWERSAfterpains This is the uterus shrinking back down to normal size ______, or swelling of the breast tissue, occurs usually 2 to 4 days after birth - CORRECT ANSWERS-Engorgement It usually occurs as the breast milk comes in A client who is breastfeeding her newborn tells the nurse, I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now? Which response by the nurse would be most appropriate? A) Your uterus is still shrinking in size; that's why you're feeling this pain. B) Let me check your vaginal discharge just to make sure everything is fine. C) Your body is responding to the events of labor, just like after a tough workout. D) The baby's sucking releases a hormone that causes the uterus to contract - CORRECT ANSWERS-D The woman is describing afterpains, which are usually stronger during breast-feeding because oxytocin released by the sucking reflex strengthens uterine contractions. Afterpains are associated with uterine involution, but the woman's description strongly correlates with the hormonal events of breast-feeding. All women experience afterpains, but they are more acute in multiparous women secondary to repeated stretching of the uterine muscles. A group of students are reviewing the process of breast milk production. The students demonstrate understanding when they identify which hormone as responsible for milk let-down? A) Prolactin B) Estrogen C) Progesterone D) Oxytocin - CORRECT ANSWERS-D Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin) Oxytocin is released from the posterior pituitary to promote milk let-down. Prolactin levels increase at term with a decrease in estrogen and progesterone; estrogen and progesterone levels decrease after the placenta is delivered. Prolactin is released from the anterior pituitary gland and initiates milk production. A mother choosing to breastfeed or lactate requires an additional ______ calories per day. - CORRECT ANSWERS-500 A multipara client develops thrombophlebitis after delivery. Which of the following would alert the nurse to the need for immediate intervention? A) Dyspnea, diaphoresis, hypotension, and chest pain B) Dyspnea, bradycardia, hypertension, and confusion C) Weakness, anorexia, change in the level of consciousness, and coma D) Pallor, tachycardia, seizures, and jaundice - CORRECT ANSWERS-A Sudden unexplained shortness of breath and complaints of chest pain along with diaphoresis and hypotension su