Postpartum Nursing Care Overview: Genitourinary, Musculoskeletal, Integumentary and Endocrine Changes
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Questions and Answers

What is the normal heart rate range for a postpartum mother?

  • 100-110 BPM
  • 50-70 BPM (correct)
  • 80-90 BPM
  • 120-130 BPM

    • How can you assess if a postpartum mother has hemorrhaged?

  • Check the perineum for odors in lochia (correct)
  • Check the baby's vital signs
  • Assess the extremities for edema
  • Assess peripheral pulses

    • What is one way to prevent deep vein thrombosis (DVT) in a postpartum mother?

  • Encourage standing for long periods
  • Increase fluid intake
  • Avoid checking peripheral pulses
  • Inspect superficial vessels (correct)

    • What is the reason for assessing the extremities and pedal pulses of a postpartum mother?

    <p>To evaluate for deep vein thrombosis (DVT)</p> Signup and view all the answers

    What is the normal voiding amount for a postpartum mother?

    <p>300 mL</p> Signup and view all the answers

    What term is used to describe the return of reproductive organs to their non-pregnant state and function 6 weeks after delivery?

    <p>Involution</p> Signup and view all the answers

    Which condition is characterized by a delayed return of the uterus to normal size and functioning, along with the discharge of lochia?

    <p>Subinvolution</p> Signup and view all the answers

    What clinical sign may indicate subinvolution in postpartum mothers?

    <p>Excessive lochia with clots</p> Signup and view all the answers

    Which factor can lead to subinvolution in the postpartum period?

    <p>Retained placental fragments in the uterus</p> Signup and view all the answers

    What is the most common cause of excessive lochia in postpartum mothers?

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

    What is the first priority in managing postpartum hemorrhage?

    <p>Gently massaging the uterus</p> Signup and view all the answers

    Which drug should be avoided if the patient has high blood pressure during postpartum hemorrhage management?

    <p>Methergine (Methylergonovine)</p> Signup and view all the answers

    Which medication for postpartum hemorrhage management requires rectal administration?

    <p>Hemabate (Carboprost)</p> Signup and view all the answers

    What is a distinguishing feature of hematoma related to postpartum hemorrhage?

    <p>Collection of blood in tissues</p> Signup and view all the answers

    Which medication used for postpartum hemorrhage management can cause adverse effects like uterine rupture and anaphylaxis?

    <p>Hemabate (Carboprost)</p> Signup and view all the answers

    What is a common manifestation of Placenta Previa?

    <p>Bright red bleeding (always visible)</p> Signup and view all the answers

    Which factor is associated with Placenta Abruptio?

    <p>Physical trauma (abdominal trauma; MVC, fall, domestic abuse)</p> Signup and view all the answers

    What are common manifestations of Placenta Abruptio?

    <p>Dark red bleeding and painful</p> Signup and view all the answers

    Which type of hemorrhage is characterized by progressive late decelerations in fetal heart rate?

    <p>Postpartum Hemorrhage</p> Signup and view all the answers

    Which condition is often accompanied by a hard board-like abdomen and high uterine baseline tone?

    <p>Postpartum Hemorrhage</p> Signup and view all the answers

    Which clinical manifestation is characteristic of late hemorrhage in postpartum hemorrhage?

    <p>Falling BP, still tachycardic</p> Signup and view all the answers

    Which condition is associated with DIC (disseminated intravascular coagulation) in obstetrics?

    <p>Placenta previa</p> Signup and view all the answers

    What is a common sign of perinatal infections according to the text?

    <p>Bleeding gums</p> Signup and view all the answers

    What aspect is assessed under the 'Partners' category when evaluating STI’s & HIV Risk Behaviors?

    <p>Sexual behavior practices</p> Signup and view all the answers

    What is a distinguishing feature between placenta previa and placenta abruptio based on clinical manifestations?

    <p>Presence of pain</p> Signup and view all the answers

    What is a key characteristic of postpartum depression?

    <p>Emotional instability and feelings of sadness</p> Signup and view all the answers

    Which factor can contribute to an increase in afterpains for postpartum mothers?

    <p>Lactation</p> Signup and view all the answers

    What is a common symptom associated with postpartum psychosis?

    <p>Delusions or hallucinations</p> Signup and view all the answers

    Which phase of maternal postpartum adjustment involves dependency on others for basic needs?

    <p>Taking in</p> Signup and view all the answers

    What can lead to postpartum hemorrhage?

    <p>Trauma during delivery</p> Signup and view all the answers

    Which factor is NOT associated with an increased risk of developing preeclampsia?

    <p>Interpregnancy interval &lt; 7 years</p> Signup and view all the answers

    What is the pathophysiological mechanism contributing to decreased placental perfusion in preeclampsia?

    <p>Increased arterial vessel wall thickness in the uterus</p> Signup and view all the answers

    Which condition is characterized by hemolysis, elevated liver enzymes, and low platelets?

    <p><strong>HELLP Syndrome</strong></p> Signup and view all the answers

    What is the primary management strategy for mild preeclampsia?

    <p><strong>Magnesium Sulfate Therapy</strong></p> Signup and view all the answers

    Which factor does NOT contribute to the pathophysiology of placental ischemia in preeclampsia?

    <p><strong>Increased placental blood flow</strong></p> Signup and view all the answers

    What is the antidote for Magnesium Sulfate toxicity in the management of preeclampsia?

    <p><strong>Calcium Gluconate</strong></p> Signup and view all the answers

    Which condition results in the release of a substance toxic to endothelial cells, leading to endothelial cell dysfunction in preeclampsia?

    <p><strong>Antiphospholipid antibody syndrome</strong></p> Signup and view all the answers

    Which laboratory finding is characteristic of HELLP Syndrome?

    <p><strong>Elevated liver enzymes</strong></p> Signup and view all the answers

    What is a key nursing intervention for a patient with mild preeclampsia?

    <p>Monitoring urine output, protein levels, and specific gravity.</p> Signup and view all the answers

    What is a significant risk factor for developing preeclampsia?

    <p>Being of African descent.</p> Signup and view all the answers

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