Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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An example of binding in during the postpartum period is a

  • A. new mother telling her friends all about her labor and birth experienc
  • B. father looking at his newborn and stating that he “looks like I did when I was a baby.”
  • C. mother reporting increasing anxiety during the postpartum period because she feels like she is without support.
  • D. mother wanting some time alone so that she can catch up on needed sleep.
Correct Answer: A

Rationale: The correct answer is A because it demonstrates the concept of binding, which refers to the process of forming a strong emotional attachment between a parent and their newborn. In this scenario, the new mother is sharing personal details about her labor and birth experience with her friends, showcasing her emotional connection and bonding with her baby. This act of sharing personal experiences and feelings with others reflects the deep emotional bond that the mother is forming with her child.

Choices B, C, and D are incorrect because they do not directly demonstrate the concept of binding. Choice B focuses on the father's observation of the baby's physical resemblance to himself, which is not directly related to the emotional bonding process. Choice C discusses the mother's anxiety due to lack of support, which is a common issue during the postpartum period but does not specifically illustrate the concept of binding. Choice D mentions the mother's need for alone time to catch up on sleep, which is a practical aspect of postpartum care but does not address the

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Postpartal overdistention of the bladder and urinary retention can lead to which complication?

  • A. Fever and increased blood pressure
  • B. Postpartum hemorrhage and eclampsia
  • C. Urinary tract infection and uterine rupture
  • D. Postpartum hemorrhage and urinary tract infection
Correct Answer: C

Rationale: Rationale: Postpartal overdistention of the bladder and urinary retention can lead to urinary tract infection and uterine rupture. When the bladder is overdistended, it can cause urinary stasis, leading to bacterial growth and increasing the risk of urinary tract infections. Additionally, the pressure from the distended bladder can impede uterine contractions, potentially causing uterine rupture. Fever and increased blood pressure (Choice A) are not direct complications of bladder overdistention. Postpartum hemorrhage and eclampsia (Choice B) are not typically associated with bladder overdistention. Postpartum hemorrhage and urinary tract infection (Choice D) are not as directly related to the complications of bladder overdistention as urinary tract infection and uterine rupture are.

Which measure is optimal in order to prevent abdominal distention following a cesarean birth?

  • A. Rectal suppositories
  • B. Carbonated beverages
  • C. Early and frequent ambulation
  • D. Tightening and relaxing abdominal muscles
Correct Answer: C

Rationale: The correct answer is C: Early and frequent ambulation. This measure is optimal to prevent abdominal distention following a cesarean birth because it helps promote bowel motility and gas expulsion. Ambulation stimulates peristalsis, preventing gas accumulation and reducing the risk of distention. Rectal suppositories (A) may help with constipation but do not address the root cause of distention. Carbonated beverages (B) can exacerbate bloating and gas production. Tightening and relaxing abdominal muscles (D) may provide some relief but are not as effective as promoting ambulation for preventing abdominal distention.

A nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. Which of the following outcomes indicates that the medication is effective?

  • A. Blood pressure 120/80.
  • B. Pulse rate 80 bpm and regular.
  • C. Fundus firm at umbilicus.
  • D. Increase in prothrombin time.
Correct Answer: C

Rationale: Methergine causes uterine contraction.

A serum electrolyte report for a client, 1 day post-cesarean delivery for eclampsia, has just been received by the nurse. The client is receiving 5% dextrose in 1/2 normal saline IV at 125 mL/hr and magnesium sulfate 2 G/hr IV via infusion pump. Which of the following values should the nurse report to the surgeon?

  • A. Magnesium 7 mg/dL.
  • B. Sodium 136 mg/dL.
  • C. Potassium 3.0 mg/dL.
  • D. Calcium 9 mg/dL.
Correct Answer: A

Rationale: Elevated magnesium levels indicate toxicity.

Four newborns were admitted into the neonatal nursery 1 hour ago. They are all sleeping in overhead warmers. Which of the babies should the nurse ask the neonatologist to evaluate?

  • A. The neonate with a temperature of 98.9°F and weight of 3
  • B. 000 grams.
  • C. The neonate with white spots on the bridge of the nose.
  • D. The neonate with raised white specks on the gums.
Correct Answer: D

Rationale: Tachypnea and tachycardia may indicate respiratory distress or sepsis.

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