Exam (elaborations)
NR 327- Maternal-Child- Wk 5 with complete verified solutions 2025
- Course
- Institution
NR 327- Maternal-Child- Wk 5 with complete verified solutions 2025
[Show more]
Content preview
NR 327- Maternal-Child- Wk 5with complete verified
solutions 2025
Chapter 17 - answer Postpartum Physiologic Adaptations
Involution of Uterus - answer contraction of muscle
- controls bleeding from site of placental attachment
- decreases size of uterus
catabolism-converting cells into simpler compounds
- reduction in cell size
- byproducts are excreted in urine
regeneration of uterine epithelium
- first layer: decidua
- basal layer
- endometrial layer
Descent of Uterine Fundus - answer assess uterine fundal height
subinvolution can cause PPH
document in relation to umbilicus
- after delivery: at umbilicus
- 2 days post: few centimeters under umbilicus
After Pains - answer cramp-like pains due to contractions of uterus
after childbirth, last 2-3 days
etiology
- more acute for multiparas, more sever w/ overdistention
,- more severe during breastfeeding caused by release of oxytocin
nursing considerations
- analgesic, medicate before breastfeeding
- enhance comfort and relaxation to facilitate letdown of milk
Lochia - answer vaginal discharge after childbirth
changes in amount:
- scant(<2.5 cm), light (2.5-10cm), moderate (10-15cm), or heavy
changes in color
- lochia rubra: first 3 days, bright red
- lochia serosa: 4 to 10 days, light pink
- lochia alba: after day 10, straw-like
Cervix Changes - answer dilated, edematous, and bruised
small tears or lacerations may be present
rapid healing takes place
Vagina Changes - answer greatly stretched, walls appear
edematous
- may have small lacerations
few vaginal rugae (folds) are present
- rugae begin to reappear in 3 to 4 wks
- vaginal epithelium restored 6 to 10 wks
vaginal wall regains thickness
dyspareunia (discomfort during intercourse)
- more often experienced in breastfeeding moms b/c of decreased
estrogen production
Perineum Changes - answer pelvic floor muscles stretch and thin
, may be edematous and bruised
laceration and episiotomy
discomfort
nursing considerations:
- relief of perineal discomfort
- teaching self-care measures
- kegels-strengthens the pelvic floor
-- acting like you are stopping the flow of urine
-- tighten muscles, bridge exercise
Resumption of Ovulation and Menstruation - answer first few
cycles for lactating and non-lactating women are often anovulatory
ovulation may resume before first postpartum follow-up visit to
provider
contraceptive measures important
nonlactating women:
- usually resume menstruation in 6-10 wks
breastfeeding
- delays ovulation and the return of menstruation
- menses usually returns between 10wk-6mo
Laction - answer estrogen and progesterone prepare breasts for
lactation during preg
after expulsion of placenta, estrogen and progesterone levels
decline rapidly
prolactin initiates milk production in 2-3 days after childbirth
oxytocin required for milk-ejection or "let-down"
Cardiac Output - answer increased flow of blood back to the heart
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GUARANTEEDSUCCESS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now