13 Questions
During which period does the puerperium refer to?
The six week period after delivery
How is uterine involution assessed?
By measuring the fundus by fingerbreadths (FB)
What position should be advised to promote the return of the uterus to its normal position?
Prone knee-chest position
When should the fundus be 2 fingerbreadths (FB) below the umbilicus in the postpartum period?
On postpartum day 2 (PPD 2)
During which phase of postpartum care does the mother express independence concerning child care?
Taking-Hold Phase
What could be a reason for overwhelming feelings of sadness in the postpartum period?
All of the above
Which factor is NOT necessarily a sign of postpartum infection?
Decrease in body temperature during the first 24 hours PP
When does the immediate weight loss occur postpartum?
Within the first 2-3 days PP
What characterizes the Taking in Phase of postpartum care?
Passive behavior and reliance on others for care
Which of the following is not necessarily a sign of postpartum infection?
Bradycardia (heart rate 50-70 bpm) for 6-8 days PP
During which phase of postpartum care does the mother express independence concerning child care?
Taking-Hold Phase
What characterizes the Taking in Phase of postpartum care?
Reliance on others to care for herself and her newborn
What could be a reason for overwhelming feelings of sadness in the postpartum period?
Hormonal changes
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.
Test your knowledge on the postpartum period and the physiologic changes that occur in the reproductive system. This quiz covers topics like involution of reproductive organs and nursing care for the mother and baby.
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