Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

Review Postpartum Hormonal Changes related questions and content

What type of lochia is bright to dark red and occurs on days 1–3 postpartum?

  • A. rubra
  • B. serosa
  • C. placental
  • D. alba
Correct Answer: A

Rationale: The correct answer is A: rubra. Lochia rubra is bright to dark red, typically occurring on days 1-3 postpartum. This is due to the presence of blood and decidual tissue. Serosa (B) is pinkish-brown and occurs around days 4-10, representing a mix of blood and mucus. Placental (C) is typically expelled within 30 minutes postpartum and consists of dark red blood. Alba (D) is whitish-yellow, appearing around day 10 and lasting up to 6 weeks, indicating the final stage of lochia consisting of leukocytes and decidual tissue.

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A postpartum woman has been diagnosed with postpartum psychosis. Which of the following signs/symptoms would the client exhibit?

  • A. Hallucinations.
  • B. Polyphagia.
  • C. Induced vomiting.
  • D. Weepy sadness.
Correct Answer: A

Rationale: Hallucinations are characteristic of psychosis.

A mucousy baby is being left with the parents for the first time after delivery. Which of the following should the nurse teach the parents regarding use of the bulb syringe?

  • A. Suction the nostrils before suctioning the mouth.
  • B. Make sure to suction the back of the throat.
  • C. Insert the syringe before compressing the bulb.
  • D. Dispose of the drainage in a tissue or a cloth.
Correct Answer: A

Rationale: Suctioning the nostrils first clears airways effectively.

A client is receiving a blood transfusion after the delivery of a placenta accreta and hysterectomy. Which of the following complaints by the client would warrant immediately discontinuing the infusion?

  • A. My lower back hurts all of a sudden.
  • B. My hands feel so cold.
  • C. I feel like my heart is beating fast.
  • D. I feel like I need to have a bowel movement.
Correct Answer: A

Rationale: Back pain can indicate a hemolytic reaction.

The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bluish hands and feet, some flexion. What does the nurse determine the baby's Apgar score is?

  • A. 6
  • B. 7
  • C. 8
  • D. 9
Correct Answer: C

Rationale: Scoring: Heart rate (2), respirations (2), color (1), muscle tone (2), reflex irritability (1). Total = 8.

A client has given birth to a baby girl with a visible birth defect. Which of the following maternal responses would lead the nurse to suspect poor mother-infant bonding?

  • A. The mother states,"I'm so tired. Please feed the baby in the nursery for me."
  • B. The mother states,"Her eyes look like mine, but her chin is her Dad's."
  • C. The mother says,"We have decided to name her Sarah after my mother."
  • D. The mother says,"I breastfed her. I still need help swaddling her, though."
Correct Answer: A

Rationale: Avoidance of infant care suggests bonding issues.

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