Chapter 13: Maternal Physiologic Changes

Chapter 13: Maternal Physiologic Changes

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A woman gave birth to an infant boy 10 hours ago. Where would the nurse expect to locate this woman’s fundus?

a.	One centimeter above the umbilicus
b.	Two centimeters below the umbilicus
c.	Midway between the umbilicus and the symphysis pubis
d.	Nonpalpable abdominally

 

ANS: A

 

	Feedback
A	Within 12 hours after delivery, the fundus may be approximately 1 cm above the umbilicus.
B	The fundus descends about 1 to 2 cm every 24 hours. Within 12 hours after delivery, the fundus may be approximately 1 cm above the umbilicus.
C	By the sixth postpartum week, the fundus normally is halfway between the symphysis pubis and the umbilicus.
D	The fundus should be easily palpated using the maternal umbilicus as a reference point.

 

DIF:   Cognitive Level: Comprehension  REF:  384

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Assessment

 

2. Which woman is most likely to experience strong afterpains?

a.	A woman who experienced oligohydramnios
b.	A woman who is a gravida 4, para 4-0-0-4
c.	A woman who is bottle-feeding her infant
d.	A woman whose infant weighed 5 pounds, 3 ounces

 

ANS: B

 

	Feedback
A	Afterpains are more noticeable with births in which the uterus was greatly distended, as in a woman who experienced polyhydramnios.
B	Afterpains are more common in multiparous women.
C	Breastfeeding may cause afterpains to intensify.
D	Afterpains are more noticeable with births in which the uterus was greatly distended, as in a woman who delivered a large infant.

DIF:   Cognitive Level: Comprehension  REF:  384

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Assessment

 

3. A woman gave birth to a healthy infant boy 5 days ago. What type of lochia would the nurse expect to find when assessing this woman?

a.	Lochia rubra
b.	Lochia sangra
c.	Lochia alba
d.	Lochia serosa

 

ANS: D

 

	Feedback
A	Lochia rubra consists of blood and decidual and trophoblastic debris. The flow generally lasts 3 to 4 days and pales, becoming pink or brown.
B	There is no such term.
C	Lochia alba occurs in most women after day 10 and can continue up to 6 weeks after childbirth.
D	Lochia serosa, which consists of blood, serum, leukocytes, and tissue debris, generally occurs around day 3 or 4 after childbirth.

 

DIF:   Cognitive Level: Comprehension  REF:  385

OBJ:  Client Needs: Health Promotion and Maintenance        TOP:  Nursing Process: Assessment

 

4. Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?

a.	Estrogen
b.	Progesterone
c.	Prolactin
d.	Human placental lactogen

 

ANS: C

 

	Feedback
A	Estrogen levels decrease markedly after expulsion of the placenta, reaching their lowest levels 1 week into the postpartum period.
B	Progesterone levels decrease markedly after expulsion of the placenta, reaching their lowest levels 1 week into the postpartum period.
C	Prolactin levels in the blood increase progressively throughout pregnancy. In women who breastfeed, prolactin levels remain elevated into the sixth week after birth.
D	Human placental lactogen levels decrease dramatically after expulsion of the placenta.

 

DIF:   Cognitive Level: Comprehension  REF:  387

OBJ:    Client Needs: Health Promotion and Maintenance    TOP:    Nursing Process: Assessment