Chapter 18 Study Guide

Question 1

Discuss Peripads

Answer 1

Saturation of peripad within 15-30 min could indicate a hemorrhage. The peripads can be weighed.

Question 2

How do you assess postpartum bleeding?

Answer 2

Weighing peripads.

Question 3

Flexing the foot toward the body to observe for calf pain is called:

Answer 3

Homan’s sign.

Question 4

What type of lochia should a person have up to 3 days after delivery?

Answer 4

Rubra

Question 5

What type of lochia should a person have 4-10 days after delivery?

Answer 5

Serosa

Question 6

What type of lochia should a person ahve 10-17 days after delivery?

Answer 6

Alba

Question 7

Immediately after delivery, should the fundus be firm or boggy?

Answer 7

Firm. Boggy could be a sign of overdistension.

Question 8

A preoccupation with self-reviews would be what phase?

Answer 8

Taking-In

Question 9

Beginning to gain self confidence would be what phase?

Answer 9

Taking-hold

Question 10

Role Attainment is seen in which phase?

Answer 10

Letting-go

Question 11

A loss of muscle tone is called:

Answer 11

Atony

Question 12

Is there a difference in healing time between primiparas and multiparas?

Answer 12

no.

Question 13

Describe weight loss post-delivery

Answer 13

12-15 lbs after delivery, 5 lbs first week, 10 lbs next 6 weeks.

Question 14

What are 4 attachment behaviors between mother/baby

Answer 14

Crying, sucking, smiling, clinging

Question 15

In which phase does a mother resume control over her life?

Answer 15

Taking-hold phase

Question 16

In which phase does maternal role attainment occur?

Answer 16

Letting-go

Question 17

In which phase does relationship adjustment occur?

Answer 17

Letting-go phase

Question 18

In which phase does a mother begin to gain self confidence?

Answer 18

Taking-hold phase

Question 19

In which phase does a mother compare the child with a “fantasy child”?

Answer 19

taking-in phase

Question 20

What period is considered to be the early post partum phase?

Answer 20

Second day after birth to the end of the first week.

Question 21

Are frequent vaginal exams a risk factor for a uti in the post partum period?

Answer 21

yes

Question 22

12 hours after delivery you find that the client’s fundus is midline and located approximately 1 cm below the level of the umbilicus. Is this normal?

Answer 22

yes.

Question 23

How do you know a straight cath is indicated in a pp client?

Answer 23

palpable bladder

Question 24

How can you encourage a client who is constipated and hesitant to defecate because of a fourth degree laceration?

Answer 24

Encourage sitz bath.

Question 25

What are 3 benefits of mother baby nursing?

Answer 25

• fostering breastfeeding
• promoting the mother’s self-care capabilities
• decreasing incidence of cross-infection

Question 26

What are 2 signs of pp hemorrhage

Answer 26

• perineal laceration
• uterine atony
• retained placenta

Question 27

How do you suppress lactation?

Answer 27

• binding breasts with support bra

- applying ice packs to the breasts