Postpartum Nursing Final Exam

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What is the purpose of uterine contractions in the postpartum period?

To stimulate vaginal mucosa regeneration

To promote uterine involution

To reduce bleeding by closing off blood vessels (correct)

To help the mother breastfeed

What is the primary focus of postpartum nursing care?

Pain management

Teaching and education (correct)

Wound care

Monitoring for complications

What is a permanent change to the cervix after birth?

It develops a slit os (correct)

It becomes more elastic

It develops a round os

It becomes smaller

What is the timeframe for the uterus to fully involute?

6-10 weeks postpartum Signup and view all the answers

What is a common effect of estrogen on the vaginal mucosa?

Vaginal dryness Signup and view all the answers

What is the reason for the vagina being edematous after birth?

Trauma during delivery Signup and view all the answers

What happens when a full-term baby is exposed to cold?

The baby's glucose stores are depleted due to increased metabolic rate Signup and view all the answers

What is the function of brown adipose tissue in babies?

To promote heat production and transfer Signup and view all the answers

Why do high-risk infants have difficulty with thermoregulation?

They have a higher body surface area-to-mass ratio and limited energy reserves Signup and view all the answers

What is the primary mechanism of heat loss in a wet baby?

Evaporation Signup and view all the answers

What is the term for excessive heat loss leading to hypothermia in babies?

Cold stress Signup and view all the answers

Why is it important to place a baby in a neutral thermal environment?

To prevent heat stress and promote stable body temperature Signup and view all the answers

What is the primary indication of respiratory distress in a newborn?

Nasal flaring and intercostal retractions Signup and view all the answers

What is the significance of a shrill or 'meowing' cry in a newborn?

May indicate a neuro problem Signup and view all the answers

What is the primary difference between accrocyanosis and peri-oral cyanosis?

One is a normal variant, while the other is a sign of distress Signup and view all the answers

What is the appropriate management of Harlequin color change in a newborn?

Flip the baby over to reverse it Signup and view all the answers

What is the significance of jaundice on the chest of a newborn?

It is a sign of a more severe jaundice Signup and view all the answers

What is the appropriate management of Erythema Toxicum in a newborn?

Leave it alone and it will resolve on its own Signup and view all the answers

What is a common route of bacterial entry into the urinary tract?

Through the ascending route from the urethra Signup and view all the answers

Which of the following is a risk factor for developing a UTI?

Having a neurological deficit Signup and view all the answers

What is a common type of bacteria that causes UTIs?

Gram-negative E. coli Signup and view all the answers

What is a functional disorder that can increase the risk of developing a UTI?

Constipation Signup and view all the answers

What is a type of UTI that occurs with the coexisting presence of obstruction?

Complicated UTI Signup and view all the answers

What is a risk factor for developing a UTI in women?

Having a shorter urethra Signup and view all the answers

At what stage of pregnancy is the CBC test performed?

Second trimester Signup and view all the answers

What is the purpose of the one hour glucose challenge test?

To screen for possible gestational diabetes Signup and view all the answers

What is the typical attitude of adolescents towards the pregnancy?

Ambivalent and unsure Signup and view all the answers

What is the purpose of repeating the antibody screen in Rh- mothers?

To identify any potential risks to the baby Signup and view all the answers

What is the typical approach to introducing changes to toddlers and preschoolers during the pregnancy?

Introducing changes gradually and early on Signup and view all the answers

What is the significance of the three hour glucose tolerance test?

It confirms the diagnosis of gestational diabetes Signup and view all the answers