Postpartum Body Changes

Postpartum Body Changes Related

Review Postpartum Body Changes related questions and content

A postpartum patient asks, “Will these stretch marks ever go away?” Which is the nurse’s best response?

  • A. “No, never.”
  • B. “Yes, eventually.”
  • C. “They will fade to silvery lines but won’t disappear completely.”
  • D. “They will continue to fade and should be gone by your 6-week checkup.”
Correct Answer: C

Rationale: The correct answer is C: “They will fade to silvery lines but won’t disappear completely.” This response is the best because it provides a realistic expectation to the patient. Stretch marks may lighten over time but typically do not completely disappear. Choice A is incorrect as it provides a definitive and discouraging answer. Choice B is vague and does not offer a clear timeframe. Choice D is incorrect as it gives an overly optimistic timeline that may not be realistic for most individuals. Overall, choice C is the most accurate and supportive response for the patient's query.

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A client, who had no prenatal care, delivers a 10-lb 10-oz baby boy whose serum glucose result 1 hour after delivery was 20 mg/dL. Based on these data, which of the following tests should the mother have at her 6-week postpartum checkup?

  • A. Glucose tolerance test.
  • B. Indirect Coombs' test.
  • C. Blood urea nitrogen (BUN).
  • D. Complete blood count (CBC).
Correct Answer: A

Rationale: Glucose testing is indicated for gestational diabetes.

A client is 10 minutes postpartum from a forceps delivery of a 4,500-gram neonate with a cleft lip. The physician performed a right mediolateral episiotomy during the delivery. The client is at risk for each of the following nursing diagnoses. Which of the diagnoses is highest priority at this time?

  • A. Ineffective breastfeeding.
  • B. Fluid volume deficit.
  • C. Infection.
  • D. Pain.
Correct Answer: D

Rationale: Pain management is critical post-episiotomy.

A client's vital signs and reflexes were normal throughout pregnancy, labor, and delivery. Four hours after delivery the client's vitals are 98.6°F, P 72, R 20, BP 150/100, and her reflexes are 4+. She has an intravenous infusion running with 20 units of Pitocin (oxytocin) added. Which of the following actions by the nurse is appropriate?

  • A. Nothing, because the results are normal.
  • B. Notify the obstetrician of the findings.
  • C. Discontinue the intravenous immediately.
  • D. Reassess the client after fifteen minutes.
Correct Answer: B

Rationale: Elevated blood pressure requires medical evaluation.

A woman, 26 weeks' gestation, has just delivered a fetal demise. Which of the following nursing actions is appropriate at this time?

  • A. Remind the mother that she will be able to have another baby in the future.
  • B. Dress the baby in a tee shirt and swaddle the baby in a receiving blanket.
  • C. Ask the woman if she would like the doctor to prescribe a sedative for her.
  • D. Remove the baby from the delivery room as quickly as possible.
Correct Answer: B

Rationale: Providing dignity to the baby is important.

To check for the presence of Epstein's pearls, the nurse should assess which part of the neonate's body?

  • A. Feet.
  • B. Hands.
  • C. Back.
  • D. Mouth.
Correct Answer: D

Rationale: Epstein's pearls are small white nodules found on the gums or palate.

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