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Chapter 17
| Question | Answer |
|---|---|
| After childbirth, the uterus returns to its nonpregnant size and condition by? | Involution |
| The site of placental attachment heals by a process of? | Exfoliation |
| How can involution be evaluated? | By measuring the descent of the fundus (about 1 cm/day) |
| By what day after childbirth should the fundus no longer be palpable? | 14th day |
| Vaginal discharge | Lochia |
| Vaginal discharge progresses from ___ to ___ to ____ in a predictable time frame | Lochia rubia (dark red or red-brown) to lochia serosa (pink or brown tinged) to lochia alba (white, cream, or yellow) |
| Foul odor from lochia suggests | Endometrial infection |
| It takes __ to __ weeks for the vaginal epithelium to return to normal | 6-10 |
| Tachycardia may be caused by | Pain, excitement, anxiety, fatigue, dehydration, hypovolemia, or anemia |
| The postpartum woman should be afebrile, but her temperature may be higher during _____ because of ______ | The first 24 hours because of dehydration and leukocytosis |
| Breastfeeding mothers are more likely to experience dyspareunia as a result of | Vaginal dryness that results from inadequate estrogen |
| ____ and _____ can cause a great deal of discomfort and interfere with activity and bladder and bowel elimination | Hemorrhoids and perineal trauma |
| Cardiac output increases when | Blood from the uterus and placenta returns to the central circulation, uterine pressure on the vessels decreases, and extracellular fluid moves into the vascular compartment |
| Increased clotting factors predispose the postpartum woman to | Thrombus formation |
| ____ helps prevent thrombophlebitis | Early, frequent ambulation |
| Constipation may occur from | Decreased food and fluid intake during labor, reduced activity, decreased muscle and bowel tone, and fear of pain during defecation |
| Increased bladder capacity and decreased sensitivity to fluid pressure may result in | Urinary retention |
| Stasis of urine allows time for bacteria to grow and can lead to | UTI |
| A distended bladder does what 3 things | Displaces the uterus, can interfere with uterine contractions, and cause excessive bleeding |
| A patient can reduce musculoskeletal discomfort by | Performing exercises to strengthen the abdominal muscles, good posture, and body mechanics |
| The skin gradually reverts to its nonpregnant state as | Hormone levels decline |
| ____ and ____ headaches are common in the first week postpartum and may be a result of | Frontal and bilateral; changes in fluid and electrolyte balance |
| Breastfeeding may delay the return of | Ovulation and menstruation |
| Lactation may be suppressed by | Wearing a sports bra and avoiding stimulation of the breasts |
| The acronym REEDA is used as a reminder that the site of an episiotomy or perineal laceration should be assessed for five signs | R (redness) E (edema) E (ecchymosis, aka bruising) D (discharge) A (approximation, aka the edges of the wound should be closed, as though stuck or glued together) |
| Care of the mother during the immediate postpartum period focuses on | Physiologic safety of the mother, comfort measures, bladder elimination, and health education |
| The postcesarean woman requires postop and postpartum assessments and care, she may have problems with | Immobility and discomfort |
| The Kegel exercise involves | Contracting muscles around the vagina (as though stopping the flow of urine), holding tightly for ten seconds, and then relaxing for ten seconds |
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