Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 13: Physiological and Behavioral Adaptations During the Postpartum Period
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse examines a postpartum woman who is 1 day postdelivery. Which finding does the nurse consider abnormal?
| 1) | Fundus 1 cm below the umbilicus |
| 2) | Bright red lochia |
| 3) | Dilated cervix |
| 4) | Reduced fibrinogen levels |
____ 2. While reviewing laboratory values, the nurse sees a postpartum patient’s white blood cell count is 26,699 mg/dL, and her neutrophil count is also elevated. Which is the nurse’s priority action?
| 1) | Assessing the episiotomy for signs of infection |
| 2) | Notifying the RN and/or provider |
| 3) | Continuing to monitor laboratory findings |
| 4) | Obtaining STAT vital signs |
____ 3. When does the nurse expect to be unable to palpate the uterus in a postpartum patient?
| 1) | Immediately after delivery |
| 2) | 5 days postdelivery |
| 3) | 1 week postdelivery |
| 4) | 2 weeks postdelivery |
____ 4. Which events after delivery of the placenta cause the uterus to contract and begin shrinking to nonpregnant size?
| 1) | Reduced estrogen and progesterone levels |
| 2) | Reduced estrogen and oxytocin levels |
| 3) | Reduced progesterone and oxytocin levels |
| 4) | Estrogen, progesterone, and oxytocin levels decline. |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum Period
Chapter learning objective: Identify the normal physiological changes following childbirth in the reproductive, integumentary, gastrointestinal, cardiovascular, respiratory, urinary, and musculoskeletal systems.
Chapter page reference: 193
Heading: Cardiovascular System
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | The fundus drops 1 cm per day starting at the umbilicus immediately after a birth, so a fundus 1 cm below the umbilicus on the first day after delivery is a normal finding. |
| 2 | Lochia is bright red for 1 to 3 days after delivery, so this is not an abnormal finding. |
| 3 | The cervix closes slowly over 2 weeks, so the continued dilation is not an abnormal finding. |
| 4 | Fibrinogen levels normally increase for several days after delivery, so this is an abnormal finding that should be reported to the registered nurse (RN) or provider. |
PTS: 1 CON: Pregnancy
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum Period
Chapter learning objective: Identify the normal physiological changes following childbirth in the reproductive, integumentary, gastrointestinal, cardiovascular, respiratory, urinary, and musculoskeletal systems.
Chapter page reference: 193
Heading: Lab and Diagnostics
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Although the episiotomy should be assessed regularly as part of the standard of care, these laboratory values do not indicate the need for assessment of the episiotomy. |
| 2 | Notification of the RN and/or provider is not indicated by these laboratory values. |
| 3 | These are expected changes after childbirth, so the nurse should continue to monitor laboratory findings. |
| 4 | There is no indication for STAT vital signs on the basis of the laboratory values in this scenario. |
PTS: 1 CON: Pregnancy
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum Period
Chapter learning objective: Explain the process of involution of the uterus following delivery.
Chapter page reference: 191
Heading: Uterus Involution
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Immediately after delivery, the fundus of the uterus is located midline and halfway between the umbilicus and symphysis pubis and is palpable. |
| 2 | The uterus should be palpable approximately 5 cm below the umbilicus on day 5 postdelivery. |
| 3 | One week after delivery, the fundus of the uterus should be palpable 7 cm below the umbilicus. |
| 4 | After 10 days, the uterus descends below the symphysis pubis and is no longer palpable, so by 2 weeks postdelivery, the nurse should expect to no longer palpate the uterus. |
PTS: 1 CON: Pregnancy
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum Period
Chapter learning objective: Explain the process of involution of the uterus following delivery.
Chapter page reference: 191
Heading: Uterus Involution
Integrated processes: Caring
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | After delivery, estrogen and progesterone levels drop quickly, which cause the uterus to contract and begin the process of shrinking to prepregnancy size. |
| 2 | Oxytocin levels remain stable while estrogen levels drop. |
| 3 | Oxytocin levels remain stable while progesterone levels decline. |
| 4 | Estrogen and progesterone levels decline while oxytocin levels remain stable. |
PTS: 1 CON: Pregnancy
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