Postpartum Body Changes

Postpartum Body Changes Related

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What physiologic postpartum change occurs because the uterus shrinks in size, resulting in an increase in blood flow?

  • A. Edema increases.
  • B. Cardiac output increases.
  • C. Temperature rises.
  • D. Lochia increases.
Correct Answer: B

Rationale: The correct answer is B: Cardiac output increases. As the uterus shrinks in size postpartum, it stimulates an increase in blood flow to the area, leading to an increase in cardiac output to meet the demands. This is a normal physiologic response that helps to prevent excessive bleeding and promote healing. Edema increasing (A) is not directly related to the shrinking uterus. Temperature rising (C) is not a typical postpartum change due to uterine involution. Lochia increasing (D) is not a direct result of uterine shrinkage, but rather a normal discharge after childbirth.

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A client is 36 hours post-cesarean section. Which of the following assessments would indicate that the client may have a paralytic ileus?

  • A. Abdominal striae.
  • B. Oliguria.
  • C. Omphalocele.
  • D. Absent bowel sounds.
Correct Answer: D

Rationale: Absence of bowel sounds suggests ileus.

Four newborns are in the neonatal nursery, none of whom is crying or in distress. Which of the babies should the nurse report to the neonatologist?

  • A. 16-hour-old baby who has yet to pass meconium.
  • B. 16-hour-old baby whose blood glucose is 50 mg/dL.
  • C. 2-day-old baby who is breathing irregularly at 70 breaths per minute.
  • D. 2-day-old baby who is excreting a milky discharge from both nipples.
Correct Answer: C

Rationale: Irregular breathing at 70 breaths per minute could indicate respiratory distress and requires further evaluation.

A mother calls the nurse to her room because 'My baby's eyes are bleeding.' The nurse notes bright red hemorrhages in the sclerae of both of the baby's eyes. Which of the following actions by the nurse is appropriate at this time?

  • A. Notify the pediatrician immediately and report the finding.
  • B. Notify the social worker about the probable maternal abuse.
  • C. Reassure the mother that the trauma resulted from pressure changes at birth and the hemorrhages will slowly disappear.
  • D. Obtain an ophthalmoscope from the nursery to evaluate the red reflex and condition of the retina in each eye.
Correct Answer: C

Rationale: Subconjunctival hemorrhages are common and resolve spontaneously.

Which site should the nurse use to assess the pulse of a baby?

  • A. Carotid.
  • B. Radial.
  • C. Brachial.
  • D. Pedal.
Correct Answer: C

Rationale: Brachial pulse is easily accessible in infants.

A nurse is caring for the following four laboring patients. Which client should the nurse be prepared to monitor closely for signs of postpartum hemorrhage (PPH)? Select one that doesn't apply

  • A. G1 P0000, delivered a fetal demise at 29 weeks' gestation.
  • B. G2 P1001, prolonged first stage of labor.
  • C. G2 P0010, delivered by cesarean section for failure to progress.
  • D. G3 P0200, delivered vaginally a 42-week, 2,200-gram neonate.
Correct Answer: D

Rationale: These scenarios increase hemorrhage risk.

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