4. The Family After Birth

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What does a fundus that is 3 cm above the umbilicus indicate in a postpartum assessment?

Favorable condition for breastfeeding

Possible uterine atony (correct)

Normal uterine involution

Signs of infection

Which of the following would be the most appropriate nursing intervention for a patient who is 4 hours postpartum with a boggy fundus?

Administer prescribed oxytocin if indicated (correct)

Encourage the patient to ambulate quickly

Increase the patient's oral fluid intake immediately

Place the patient in a supine position and encourage deep breathing

What are typical findings associated with lochia rubra during the early postpartum period?

Moderate to heavy bright red bleeding (correct)

Clear and odorless drainage

Light pink discharge with a foul odor

Scant yellowish discharge

In a postpartum assessment 24 hours after birth, which of the following findings would not be expected?

Breasts distended and hard with flat nipples Signup and view all the answers

Postoperative monitoring for a cesarean section should include which of the following?

Checking the abdominal dressing and incision site Signup and view all the answers

What is a vital step in providing emotional support for a postoperative cesarean delivery patient?

Providing education about the procedure and recovery Signup and view all the answers

What would be an appropriate action to take when assessing a postpartum fundus during a routine check?

Ensure that the patient is in a supine position for accurate assessment Signup and view all the answers

Which of the following interventions is essential for preventing respiratory complications in a cesarean section patient?

Encouraging deep breathing, coughing, and early ambulation Signup and view all the answers

What is the primary nursing response during the Taking-In phase of Rubin's psychological adaptation?

Provide opportunities for rest and nutrition Signup and view all the answers

Which assessment finding indicates appropriate management of lochia in the postpartum period?

Serosanguineous discharge becoming lighter over time Signup and view all the answers

What is an essential nursing intervention after a cesarean section to promote recovery?

Provide pain management and assess the incision Signup and view all the answers

How can nurses best provide emotional support to postpartum families during the Letting-Go phase?

By allowing the parents to grieve their previous lifestyle Signup and view all the answers

What is the best approach for conducting a fundal assessment postpartum?

Performing assessment with the mother flat on her back Signup and view all the answers

Which characteristic is indicative of postpartum blues?

Rapid mood changes and tearfulness Signup and view all the answers

During the Taking-Hold phase, what should the nurse focus on to support the mother?

Support her in taking initiative in newborn care Signup and view all the answers

What should a nurse monitor for in a mother experiencing postpartum depression?

Lack of interest in her newborn and daily activities Signup and view all the answers

Which of the following is the primary focus of family-centered care for postpartum patients?

Providing care that integrates family structure and community resources Signup and view all the answers

What reflects a successful transition to the Letting-Go phase for new parents?

Acceptance of the real child over fantasy expectations Signup and view all the answers

What is the correct procedure for conducting a fundal assessment postpartum?

Ensure the uterus is midline and firm. Signup and view all the answers

Which characteristic of lochia would be considered abnormal and require further evaluation?

Foul-smelling discharge during the first week postpartum. Signup and view all the answers

What is an important nursing intervention for a patient who has undergone a cesarean section?

Assess the incision site for signs of infection regularly. Signup and view all the answers

Which of the following would best provide emotional support for a postpartum family?

Offering reassurance and discussing feelings about the birth experience. Signup and view all the answers

After delivery, how should the nurse assess the perineum for lacerations or episiotomies?

Use the REEDA acronym while observing in the Sims’ position. Signup and view all the answers

What is the typical timeline for the return of menstruation for a nonlactating mother after childbirth?

5 weeks postpartum. Signup and view all the answers

Which of the following methods can help alleviate afterpains in postpartum mothers?

Providing mild analgesics as needed. Signup and view all the answers

How should the nurse educate a breastfeeding mother about managing engorgement?

Instruct on the use of ice packs and cold cabbage leaves. Signup and view all the answers

What is a crucial assessment point for a nurse monitoring a postpartum patient’s cardiovascular status?

Evaluate for signs of orthostatic hypotension. Signup and view all the answers

Which factor is significant in assessing the risk for thrombus formation in postpartum patients?

Obesity and delayed ambulation post-delivery. Signup and view all the answers

What does the term 'lochia' refer to in the postpartum period?

Vaginal discharge following childbirth Signup and view all the answers

Which assessment technique is primarily used to evaluate uterine involution postpartum?

Measurement of fundal height Signup and view all the answers

What is a primary nursing intervention following a Cesarean section to promote recovery?

Encouraging deep breathing exercises Signup and view all the answers

What type of emotional support is vital for postpartum families during the early days after delivery?

Active listening and validation of feelings Signup and view all the answers

In the postpartum period, which lochia classification indicates that the discharge is predominantly red?

Rubra Signup and view all the answers

What is the purpose of providing anticipatory guidance in the postpartum setting?

To help families understand expected changes and adapt Signup and view all the answers

Which statement about fundal assessment postpartum is TRUE?

The fundal height should decrease steadily over the first week postpartum. Signup and view all the answers

Which of the following is a common emotional response during the postpartum period?

Transient mood swings and vulnerability Signup and view all the answers

What is an appropriate intervention for managing lochia in a postpartum patient?

Monitoring pad saturation and reporting changes Signup and view all the answers

How does Rubin’s theory of psychological changes help in planning parent teaching postpartum?

It identifies optimal times for teaching based on emotional stages. Signup and view all the answers

What is a key consideration for engaging with siblings in the context of a new baby's arrival?

The age gap between siblings Signup and view all the answers

Which phase in the four phases of adjustment for fathers involves personal expectations and confronting reality?

Expectations phase Signup and view all the answers

What nursing intervention can enhance bonding between family members and a newborn?

Providing unlimited visiting privileges Signup and view all the answers

What stage of the grief process is characterized by feelings of anger?

Anger Signup and view all the answers

In the context of postpartum emotional support, what should families prioritize to cope effectively with the new dynamics introduced by a newborn?

Setting priorities and identifying their own needs Signup and view all the answers

Match the following postpartum assessment components with their descriptions:

Breast = Assess for firmness and engorgement Uterus = Midline or near level of umbilicus Lochia = Uterine discharge following childbirth Perineum = Assessed for REEDA: redness, edema, ecchymosis, discharge, approximation Signup and view all the answers

Match the types of lochia with their characteristics:

Lochia Rubra = Bright or dark red discharge, first 1-3 days postpartum Lochia Serosa = Pink to brown discharge, postpartum days 3-10 Lochia Alba = Yellow to white discharge, may last up to 21 days postpartum Abnormal Lochia = Foul-smelling or green-tinged discharge, bright red after 3rd day postpartum Signup and view all the answers

Match the factors affecting postpartum recovery with their populations:

Adolescents = Need significant teaching regarding parenting skills Single women = May lack support system Mothers of multiples = Infants more likely to need intensive care after birth Low-income families = May experience additional financial strain Signup and view all the answers

Match the postpartum complications with their nursing interventions:

Boggy Uterus = Massage until firm and observe for bleeding Uterine Displacement = Encourage emptying the bladder Cardiovascular complications = Early and regular ambulation Perineal discomfort = Recommend ice, topical medications, and sitz baths Signup and view all the answers

Match the emotional phases of postpartum with their characteristics:

Taking-In Phase = Focus on mother’s needs and husband’s assistance Taking-Hold Phase = Increased interest in baby and more independent behavior Letting-Go Phase = Adjustment to new family dynamics Postpartum Blues = Transient feelings of sadness and emotional changes Signup and view all the answers