Module 3 Practice Questions Flashcards
A patient has a 500 mL estimated blood loss with her birth. What would you expect her hemoglobin to drop (how many point(s)) postpartally?
1
At 4 days postpartum where should you feel the uterine fundus?
4 below umbilicus
Healing at the placental site takes about
6 weeks
Swelling and increased vascularity of the vagina will be decreased by
3-4 weeks
Lochia that is whitish-yellow and contains leukocytes and decidual cells is called
Alba
What is the estimated blood loss (EBL) for a patient with an admission hematocrit of 34% and 30% at 36 hours postpartum?
1000ml
Which platelet count is considered abnormal during the postpartum period.
130
187
295
335
410
130
Right after birth the maternal cardiovascular system instability is due to what factors?
blood loss
autotranfusion of fluid from losing placenta
extracellular fluid
T/F: It is common for women right after giving birth to feel a full bladder and void.
False
What might be a causative factor in PP mood disorders?
Endocrine changes in the postpartum period
Approximately how much weight do women lose with the birth?
10-12 lb
T/F: An elevated WBC count after birth indicates infection in the mom.
False
Postpartum blues occur in approximately what percentage of women?
75%
A postpartum mom should call with which of the following symptoms?
Temp 100.1
Passing a quarter size clot
No bowel movement for 2 days
Saturating a peripad each hour
Saturating a peripad each hour
What are acceptable methods of managing constipation?
docusate sodium
high fiber diet
increasing fluids
increasing fruits/vegetables
A 2-week postpartum mom calls complaining of continuing to urinate in large quantities. You reassure her about the normal fluid loss after birth, but reinforce that this should be lessening over the next ____ or she should be evaluated.
Week
When can intercourse be resumed postpartally?
When both partners are ready and bleeding has diminished and sutures are healed
T/F: Postpartum pain may not be felt as strong as pain felt antenatally due to estrogen and oxytocin secretion.
False
Women are better able to cope with pain if they are:
prepared antenatally for possible pain postpartally
given a variety of methods to relieve the pain (pharmacologic as well as non-pharmacologic)
Measurement of diastasis recti occurs in
fingerbreadths
T/F: The Tdap vaccine should be given postpartally even if it was given antenatally.
False
Ideal timing for giving RhoGam is
within 72 hours, up to 14 days
T/F: It is important to assess for costovertebral angle tenderness (CVAT) at the postpartum visit as the postpartum woman is at increased risk for UTI.
True
Which of the following should be done at the 2 week postpartum visit? (choose all that apply)
vital signs
breast exam on breastfeeding women
perineal exam on everyone
depression screening
diastasis recti
vital signs
breast exam on breastfeeding women
depression screening
