Nursing Care of a Postpartal Patient

Question 1

Maternal Concerns and Feelings

Answer 1

Feeling Overlooked or Forgotten
Disillusionment
Postpartal Blues

Question 2

Center of Attention

Answer 2

Feeling Overlooked

Question 3

Does not meet their expectation for their baby

Answer 3

Disillusionment

Question 4

Overwhelming sadness

Answer 4

Postpartal Blues

Question 5

Burst into easily or feel let down and irritable

Answer 5

Postpartal Blues

Question 6

Involution of the uterus involves two process:

Answer 6

1. Placenta was implanted
2. Organ reduced to its approximate pregestational size

Question 7

Uterus weighs about
______________ – immediately after birth
______________ – 1 week postpartum
____________ – 6 weeks postpartum

Answer 7

1,000 grams; 500 grams; 50 grams

Question 8

A significant amount of lochia despite a firm fundus may indicate a ____________ in the birth canal, which should be addressed immediately.

Answer 8

laceration

Question 9

Foul-smelling lochia typically indicates an _________________ and needs to be addressed as soon as possible.

Answer 9

infection

Question 10

ochia should progress from _________ to ____________ to ____. Any changes in this progression could be considered abnormal and should be reported.

Answer 10

rubra; serosa; alba

Question 11

Lochia rubra is present on days _____, lochia serosa on days _________, and lochia alba on days ______

Answer 11

1–3; 4–10; 11–21

Question 12

Contraction of the cervix toward prepregnant state begins.

__ days, the external os has narrowed to the size of the pencil opening

Answer 12

7

Question 13

Pregnancy hormones begin to decrease as soon as the ______________ is no longer present.

Answer 13

placenta

Question 14

Patients should void a minimum of ___________ per void

Answer 14

150 mL

Question 15

Signs and symptoms of a urinary tract infection (UTI), including

Answer 15

frequent urination, bladder spasm, cloudy urine,
persistent urge to urinate, and pain with urination

Question 16

Diuresis is evident between ___________ days after birth

Answer 16

second and fifth

Question 17

The bowel is assessed for:

Answer 17

Bowel sounds
Return of bowel function (3 days PP)
Flatus
Color and consistency of stool

Question 18

Striae gravidarum – fade to pale white after

Answer 18

3 – 6 months

Question 19

Chloasma and linea nigra – barely detectable within

Answer 19

6 weeks