Postpartum Care and Physiologic Changes Quiz

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Questions and Answers

During which period does the puerperium refer to?

  • The second trimester of pregnancy
  • The six week period after delivery (correct)
  • The first trimester of pregnancy
  • The third trimester of pregnancy

How is uterine involution assessed?

  • By counting the number of contractions
  • By measuring the fundus by fingerbreadths (FB) (correct)
  • By measuring the length of the umbilical cord
  • By estimating the weight of the baby

What position should be advised to promote the return of the uterus to its normal position?

  • Sitting upright
  • Standing upright
  • Lying flat on the back
  • Prone knee-chest position (correct)

When should the fundus be 2 fingerbreadths (FB) below the umbilicus in the postpartum period?

<p>On postpartum day 2 (PPD 2) (A)</p> Signup and view all the answers

During which phase of postpartum care does the mother express independence concerning child care?

<p>Taking-Hold Phase (A)</p> Signup and view all the answers

What could be a reason for overwhelming feelings of sadness in the postpartum period?

<p>All of the above (D)</p> Signup and view all the answers

Which factor is NOT necessarily a sign of postpartum infection?

<p>Decrease in body temperature during the first 24 hours PP (A)</p> Signup and view all the answers

When does the immediate weight loss occur postpartum?

<p>Within the first 2-3 days PP (D)</p> Signup and view all the answers

What characterizes the Taking in Phase of postpartum care?

<p>Passive behavior and reliance on others for care (A)</p> Signup and view all the answers

Which of the following is not necessarily a sign of postpartum infection?

<p>Bradycardia (heart rate 50-70 bpm) for 6-8 days PP (A)</p> Signup and view all the answers

During which phase of postpartum care does the mother express independence concerning child care?

<p>Taking-Hold Phase (A)</p> Signup and view all the answers

What characterizes the Taking in Phase of postpartum care?

<p>Reliance on others to care for herself and her newborn (D)</p> Signup and view all the answers

What could be a reason for overwhelming feelings of sadness in the postpartum period?

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

Flashcards

Puerperium duration

The six-week period after childbirth.

Uterine involution assessment

Fundal height is measured in fingerbreadths (FB).

Postpartum uterine return position

Prone knee-chest position.

Fundal height (PPD 2)

2 fingerbreadths below the umbilicus on postpartum day 2.

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Taking-Hold Phase

Phase when the mother shows independence in childcare.

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Postpartum sadness reason

Hormonal changes are a potential cause.

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Postpartum infection sign (not)

Decreased body temperature (during the first 24 hours).

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Immediate postpartum weight loss

Occurs within the first 2-3 days postpartum.

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Taking-In Phase

Passive behavior; relying on others for care.

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Postpartum infection sign (not)

Bradycardia (slow heart rate) for 6-8 days.

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Taking-Hold Phase

Phase when the mother starts to take on independence.

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Taking-In Phase - behavior

The mother relies on others to care for herself and her newborn.

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Postpartum sadness causes

Potential causes include hormonal fluctuations and more.

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Study Notes

Puerperium Period

  • The puerperium refers to the period immediately after childbirth, typically lasting around 6 weeks.

Uterine Involution

  • Uterine involution is assessed by checking the fundus (the top part of the uterus) and its position in relation to the umbilicus (belly button).

Promoting Uterine Return

  • Women should be advised to adopt a position that promotes the return of the uterus to its normal position, such as lying on their side or back.

Fundus Position

  • The fundus should be 2 fingerbreadths (FB) below the umbilicus in the postpartum period, ideally within 7-10 days.

Phases of Postpartum Care

  • In the Taking-Holding Phase (0-3 days), the mother is often passive and dependent on others for child care.
  • In the Letting-Go Phase (3-10 days), the mother expresses independence concerning child care.

Postpartum Blues

  • Overwhelming feelings of sadness in the postpartum period can be caused by hormonal changes, fatigue, or emotional adjustments to motherhood.

Signs of Postpartum Infection

  • The absence of lochia (vaginal discharge) is NOT necessarily a sign of postpartum infection.
  • Fever, tachycardia, and malodorous lochia are potential signs of postpartum infection.

Immediate Weight Loss

  • Immediate weight loss occurs postpartum due to the loss of pregnancy-related weight, including the baby, placenta, and amniotic fluid.

Postpartum Care Phases

  • The Taking in Phase is characterized by the mother being passive and dependent on others for child care (0-3 days).
  • During the Taking-Hold Phase (3-10 days), the mother begins to take on more responsibility for child care.

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