Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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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.

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Which maternal event is abnormal in the early postpartal period?

  • A. Diuresis and diaphoresis
  • B. Flatulence and constipatiNon R I G
  • C. Extreme hunger and thirst
  • D. Lochial color changes from rubra to alba
Correct Answer: D

Rationale: The correct answer is D because the normal progression of lochia after childbirth is from rubra (red) to serosa (pinkish-brown) to alba (yellow-white). This signifies the normal healing process of the uterus. Choices A, B, and C are all normal postpartum events. Diuresis and diaphoresis help eliminate excess fluid from pregnancy, flatulence and constipation can occur due to hormonal changes and decreased muscle tone, and extreme hunger and thirst are common as the body recovers from childbirth.

The nurse is developing a standard care plan for the post-cesarean client. Which of the following should the nurse plan to implement?

  • A. Maintain client in left lateral recumbent position.
  • B. Teach sitz bath use on second postoperative day.
  • C. Perform active range-of-motion exercises until ambulating.
  • D. Assess central venous pressure during first postoperative day.
Correct Answer: B

Rationale: Sitz baths promote healing and comfort.

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 newly delivered mother states, 'I have not had any alcohol since I decided to become pregnant. I have decided not to breastfeed because I would really like to go out and have a good time for a change.' Which of the following is the best response by the nurse?

  • A. I understand that being good for so many months can become very frustrating.
  • B. Even if you bottle feed the baby
  • C. you will have to refrain from drinking alcohol for at least the next six weeks to protect your own health.
  • D. Alcohol can be consumed at any time while you are breastfeeding.
Correct Answer: D

Rationale: Metabolizing alcohol ensures safety for the baby.

A breastfeeding baby is born with a tight frenulum. Which of the following is an important assessment for the nurse to make?

  • A. Integrity of the baby's uvula.
  • B. Presence of maternal nipple damage.
  • C. Presence of neonatal tongue injury.
  • D. The baby's breathing pattern.
Correct Answer: B

Rationale: Tongue-tie can lead to ineffective breastfeeding and nipple trauma.

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