Childbearing Family Nursing: Postpartum Care Quiz

<p>Uterine atony (B)</p> Signup and view all the answers

<p>Involution can be influenced positively by increased estrogen levels. (A)</p> Signup and view all the answers

<p>Elevation of mood and over activity (B)</p> Signup and view all the answers

<p>80% (A)</p> Signup and view all the answers

<p>Taking-in phase (A)</p> Signup and view all the answers

<p>Learning about newborn care (D)</p> Signup and view all the answers

<p>It (C)</p> Signup and view all the answers

<p>Copying the own mother's behaviors (D)</p> Signup and view all the answers

<p>En face position (B)</p> Signup and view all the answers

<p>2-10 days (B)</p> Signup and view all the answers

<p>Being passive and following instructions (D)</p> Signup and view all the answers

<p>Decreased oestrogen &amp; progesterone levels (D)</p> Signup and view all the answers

<p>13% - 19% (D)</p> Signup and view all the answers

<p>Mood swings and fatigue (D)</p> Signup and view all the answers

<p>Altered mood and anxiety (C)</p> Signup and view all the answers

<p>1-2 weeks (B)</p> Signup and view all the answers

<p>0.1% - 0.5% (C)</p> Signup and view all the answers

<p>Anxiety and irritability (A)</p> Signup and view all the answers

<p>50-70 bpm (B)</p> Signup and view all the answers

<p>300-500 ml (A)</p> Signup and view all the answers

<p>Expands by 40% (D)</p> Signup and view all the answers

<p>Within 4-6 weeks (A)</p> Signup and view all the answers

<p>Increased platelet count (D)</p> Signup and view all the answers

<p>Drops in estrogen (B)</p> Signup and view all the answers

<p>500-1000 ml (D)</p> Signup and view all the answers

<p>6-12 weeks (A)</p> Signup and view all the answers

<p>Decrease in progesterone levels (C)</p> Signup and view all the answers

<p>Venous congestion and milk accumulation (D)</p> Signup and view all the answers

<p>Within 48-72 hours after childbirth (D)</p> Signup and view all the answers

<p>Promotes the development of lobules and alveoli (D)</p> Signup and view all the answers

<p>Drop in prolactin levels (A)</p> Signup and view all the answers

<p>They fall rapidly and should not be detectable by 10 days (C)</p> Signup and view all the answers

<p>Hard and painful, warm to touch (C)</p> Signup and view all the answers

<p>Both oestrogen and progesterone levels drop significantly (C)</p> Signup and view all the answers

<p>Separation of rectus abdominis muscles (C)</p> Signup and view all the answers

<p>Fatigue and muscle ache (B)</p> Signup and view all the answers

<p>Permanent coarse or bristly hair remains (D)</p> Signup and view all the answers

<p>Sudden release of pressure on pelvic nerves (D)</p> Signup and view all the answers

<p>Mildly impaired during pregnancy, then rebounds slowly (C)</p> Signup and view all the answers

<p>Adjustment to a new family role (A)</p> Signup and view all the answers

<p>May persist in up to 30% of women (C)</p> Signup and view all the answers

<p>3-4 months after birth (B)</p> Signup and view all the answers

The process of the uterus returning to its non-pregnant state after childbirth.

The height of the uterus above the pubic bone after delivery. It decreases 1 cm daily for about 10 days.

A relaxed, non-contracted uterus after delivery, which may lead to hemorrhaging.

Risk of bleeding from the uterus immediately following childbirth is high until involution is complete.

hormonal changes – withdrawal of placental hormones and decreased levels of estrogen and progesterone while Oxytocin levels increase.

The heart's apex, which moves to a higher position during pregnancy, returns to its normal position at the 5th rib after childbirth.

A woman's heart rate usually drops to a normal range of 50-70 beats per minute within the first 6-10 days after birth.

The blood volume increases by about 40% during pregnancy, allowing for blood loss during childbirth.

Average blood loss during vaginal birth is 300-500 ml, which is about 10% of the total blood volume.

Average blood loss during a C-section is higher at 500-1000 ml, which is 15-30% of the total blood volume.

Immediately after delivery, blood volume decreases due to diuresis (increased urine production) and diaphoresis (sweating).

After childbirth, levels of red blood cells and hemoglobin increase initially before returning to normal pre-pregnancy levels within 4-6 weeks.

The tendency to clot easily persists in the early postpartum period.

Breasts are made up of glandular, adipose, and connective tissues. Each breast has 15-20 lobes radiating from the nipple, each containing a lactiferous duct, mammary gland lobule, and alveoli.

Alveoli are responsible for producing milk. During pregnancy, estrogen stimulates duct growth, and progesterone promotes lobule and alveoli development, but suppresses milk production until after birth.

After the placenta is delivered, progesterone levels drop, triggering the release of prolactin, which stimulates milk production.

Breasts become smoother, larger, and the pigmentation lightens. If breastfeeding doesn't occur, prolactin levels decrease, and breasts return to their pre-pregnant state.

Lactating mothers experience fullness due to venous congestion and milk accumulation (days 3-5). This typically lasts 24 hours if feeding well and breasts remain soft for the baby to suckle.

Engorgement is a painful, hard, and warm breast condition. It occurs when feeds are delayed (48-72 hours) and resolves with breastfeeding.

Estrogen and progesterone levels decrease significantly after delivery, reaching non-pregnancy levels by day 7 postpartum.

Human chorionic gonadotropin (hCG) declines rapidly after delivery, and neither hCG nor BhCG should be detectable by day 10.

Separation of the rectus abdominis muscles during pregnancy, which may persist after birth.

A hanging or pendulous abdomen that can occur following childbirth due to weakened abdominal muscles.

Pain and discomfort in muscles and pelvic joints during the postpartum period due to exertion during labor and hormonal changes.

Darkening of the skin, especially on the face, that can persist after pregnancy.

Temporary hair loss that can occur in the first few months after childbirth due to hormonal fluctuations.

Excessive sweating, particularly at night, in the first few weeks after birth.

The immune system is mildly suppressed during pregnancy but gradually returns to normal after childbirth.

Emotional and psychological changes experienced by women after childbirth as they adjust to their new roles and identities.

When the mother holds the baby so their faces are at the same vertical level, allowing for direct eye contact.

The process where a mother recognizes and connects with her baby's unique features, fostering attachment.

A mild and temporary mood change experienced by many women after childbirth, characterized by sadness, anxiety, and tearfulness.

A more serious and persistent mood disorder after childbirth, causing significant distress and impacting daily life.

A rare but serious mental illness after childbirth, involving delusions, hallucinations, and severe mood swings.

Baby blues are temporary and mild, while PND is more severe and persistent.

The study of the prevalence and distribution of postpartum blues, depression, and psychosis in different populations.

The first stage of maternal role attainment, lasting 1-2 days after delivery. Women are focused on themselves and their basic needs, relying on others for support.

The second stage of maternal role attainment, starting around day 2 and lasting several weeks. Women begin focusing on the needs of their baby and actively participate in caregiving.

The final stage of maternal role attainment, characterized by interdependence between mother and baby. Women have adjusted to their new role and feel confident in their parenting.

The 'pinks' refer to the phase in the first 24-48 hours after delivery where some women experience elevated mood, excitement, overactivity, and difficulty sleeping.

The BAM model replaces the term 'maternal role attainment' with 'becoming a mother' to emphasize the gradual and ongoing process of transitioning into motherhood.

The anticipatory stage in the 'Becoming a Mother' model begins during pregnancy, where the woman envisions and prepares for motherhood, often drawing inspiration from her own mother's experiences.