Postpartum Body Changes

Postpartum Body Changes Related

Review Postpartum Body Changes related questions and content

The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

  • A. “I may not have a bowel movement until the 2nd postpartum day.”
  • B. “If I breastfeed and supplemUenSt wiNth fTormula,O I won’t need any birth control.”
  • C. “I know my normal pattern of bowel elimination won’t return until about 8 to 10 days.”
  • D. “If I am not breastfeeding, I should use birth control when I resume sexual
Correct Answer: B

Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy.

Explanation:
1. Breastfeeding alone is not a foolproof method of contraception.
2. The combination of breastfeeding and formula feeding does not guarantee contraception.
3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met.
4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy.

Summary:
A: Correct statement about the timing of bowel movements postpartum.
C: Incorrect statement about the normal pattern of bowel elimination postpartum.
D: Correct statement about the need for birth control if not breastfeeding.

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Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)

  • A. Pertussis
  • B. Rubella
  • C. Diphtheria, tetanus (Tdap)
  • D. RhoGAM
Correct Answer: A

Rationale: Rationale:
1. Pertussis vaccine is recommended in the postpartum period to protect the newborn from whooping cough.
2. Rubella vaccine is usually given preconception or postpartum if the mother is not immune.
3. Tdap vaccine (Diphtheria, Tetanus, Pertussis) is recommended during pregnancy, not specifically postpartum.
4. RhoGAM is given to Rh-negative mothers to prevent hemolytic disease in the newborn, not for general immunity.

A woman states that she is going to bottle feed her baby because, 'I hate milk and I know that to make good breast milk I will have to drink milk.' The nurse's response about producing high-quality breast milk should be based on which of the following?

  • A. The mother must drink at least 3 glasses of milk per day to absorb sufficient quantities of calcium.
  • B. The mother should consume at least 1 glass of milk per day but should also consume other dairy products like cheese.
  • C. The mother can consume a variety of good calcium sources like broccoli and fish with bones as well as dairy products.
  • D. The mother must monitor her protein intake more than her calcium intake because the baby needs the protein for growth.
Correct Answer: C

Rationale: Diverse dietary sources provide adequate nutrition.

A gestational diabetic client, who delivered yesterday, is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time?

  • A. Monitor your blood glucose five times a day until your 6-week checkup.
  • B. I will teach you how to inject insulin before you are discharged.
  • C. Daily exercise will help to prevent you from becoming diabetic in the future.
  • D. Your baby should be assessed every 6 months for signs of juvenile diabetes.
Correct Answer: A

Rationale: Gestational diabetes often resolves after delivery, but monitoring is still important.

Which fundal assessment finding at 12 hours after birth requires further assessment?

  • A. The fundus is palpable at the level of the umbilicus.
  • B. The fundus is palpable two fingerbreadths above the umbilicus.
  • C. The fundus is palpable one fingerbreadth below the umbilicus.
  • D. The fundus is palpable two fingerbreadths below the umbilicus.
Correct Answer: A

Rationale: Rationale:
- A: Fundus palpable at umbilicus level at 12 hours postpartum is concerning for uterine atony or retained placental fragments.
- B, C, D: These findings are within normal range for fundal height postpartum and do not require further assessment.

Summary:
- Choice A is correct because it indicates a potential issue with uterine involution.
- Choices B, C, D are incorrect as they reflect normal fundal height findings postpartum.

The nurse reviews postpartum discharge instructions regarding sexual health. What information is important to review?

  • A. Place nothing in the vagina for 4–6 weeks.
  • B. Pregnancy cannot occur until 3 months after birth.
  • C. Sexual intercourse can resume after discharge from the facility.
  • D. Postpartum persons do not have a need for sexual intimacy.
Correct Answer: A

Rationale: Rationale for Correct Answer (A):
- A: Correct because postpartum women should avoid placing anything in the vagina to prevent infection and allow healing.
- B: Incorrect because ovulation can occur before the first postpartum period.
- C: Incorrect because resuming sexual intercourse should be based on individual healing and comfort, not just discharge.
- D: Incorrect because sexual intimacy is a normal part of relationships and should be discussed postpartum for emotional well-being.

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