Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?

  • A. Taking In
  • B. Taking Hold
  • C. Postpartum Maternal Change
  • D. Attainment of Change
Correct Answer: A

Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.

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A 2-day-old breastfeeding baby born via normal spontaneous vaginal delivery has just been weighed in the newborn nursery. The nurse determines that the baby has lost 3.5% of the birth weight. Which of the following nursing actions is appropriate?

  • A. Do nothing because this is a normal weight loss.
  • B. Notify the neonatologist of the significant weight loss.
  • C. Advise the mother to bottle feed the baby at the next feed.
  • D. Assess the baby for hypoglycemia with a glucose monitor.
Correct Answer: A

Rationale: Weight loss up to 7-10% is considered normal in the first few days due to fluid loss; 3.5% does not warrant immediate intervention.

A client, 1 day postpartum (PP), is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?

  • A. Urine output 200 mL for the past 8 hours.
  • B. Weight decrease of 2 pounds since delivery.
  • C. Drop in hematocrit of 2% since admission.
  • D. Pulse rate of 68 beats per minute.
Correct Answer: A

Rationale: Reduced urine output indicates potential hypovolemia.

A client, who is 2 weeks postpartum, calls her obstetrician's nurse and states that she has had a whitish discharge for 1 week but today she is"bleeding and saturating a pad about every 1/2 hour."Which of the following is an appropriate response by the nurse?

  • A. That is normal. You are starting to menstruate again.
  • B. You should stay on complete bed rest until the bleeding subsides.
  • C. Pushing during a bowel movement may have loosened your stitches.
  • D. The physician should see you. Please go to the emergency department.
Correct Answer: D

Rationale: Heavy bleeding postpartum requires immediate medical attention.

Which of the following is a priority nursing diagnosis for a woman, G10 P6226, who is PP1 from a spontaneous vaginal delivery with a significant postpartum hemorrhage?

  • A. Alteration is comfort related to afterbirth pains.
  • B. Risk for altered parenting related to grand multiparity.
  • C. Fluid volume deficit related to blood loss.
  • D. Risk for sleep deprivation related to mothering role.
Correct Answer: C

Rationale: Hemorrhage causes fluid loss.

A client just delivered the placenta pictured below. The nurse will document that the woman delivered which of following placentas?

  • A. Circumvallate placenta.
  • B. Succenturiate placenta.
  • C. Placenta with velamentous cord insertion.
  • D. Battledore placenta.
Correct Answer: B

Rationale: Succenturiate placenta has accessory lobes.

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