POSTPARTUM ATI EXAM 2024/2025 WITH 100%
ACCURATE SOLUTIONS
What is the fourth stage of labor? - Precise Answer ✔✔The maternal
recovery period starting with the delivery of the placenta and lasts from
1-4 hours. This is when parent-newborn bonding should start to occur.
1) What is the main of of goal during the immediate postpartum period?
2) What are the other goals during this time? - Precise Answer ✔✔1)
Prevent postpartum hemorrhage.
2) Assist in pt's recovery, identify deviations in expected recovery
process, provide comfort measures & pharmacologic pain relief as
prescribed, provide pt education about newborn and self-care, provide
baby-friendly activities to promote infant/family bonding
What is the puerperium? - Precise Answer ✔✔The postpartum period;
includes physiological and psychological adjustments; begins after
delivery of placenta and ends when the body returns to the prepregnant
state which takes about 6 weeks.
What physiological changes do mom's experience postpartum? - Precise
Answer ✔✔Uterine involution (shrinkage), lochia flow, cervical
involution, decrease in vaginal distention, alteration in ovarian function
and menstruation, cardiovascular/urinary tract/breast/GI tract changes
,What are the greatest risks during the postpartum period? - Precise
Answer ✔✔Hemorrhage, shock, infection
What is oxytocin? - Precise Answer ✔✔A hormone released from the
pituitary gland that coordinates and strengthens uterine contractions
What stimulates the release of endogenous oxytocin from the pituitary
gland? - Precise Answer ✔✔Breastfeeding
What is pitocin (exogenous oxytocin) administered for? - Precise
Answer ✔✔May be administered postpartum to improve the quality of
uterine contractions.
What prevents excessive bleeding and hemorrhaging postpartum? -
Precise Answer ✔✔A firm and contracted uterus
What are after pains? - Precise Answer ✔✔Uncomfortable uterine
cramping
What happens hormonally after the delivery of the placenta? - Precise
Answer ✔✔Estrogen, progesterone, and placental enzyme insulinase
decrease, thus resulting in decreased blood glucose, estrogen, and
progesterone levels.
What is decreased estrogen associated with? - Precise Answer
✔✔Breast engorgement, diaphoresis and diuresis of excess extracellular
, fluid accumulated during pregnancy. Also diminishes vaginal lubrication
so local dryness and intercourse discomfot may persist until ovarian
function returns and menstruation resumes
What is decreased progesterone associated with? - Precise Answer
✔✔Increase in muscle tone throughout the body
What is decreased placental enzyme insulinase associated with? -
Precise Answer ✔✔Reversal of the diabetogenic effects of pregnancy,
which lowers blood glucose levels immediately in the puerpium
Is there a difference between lactating and non-lactating women
regarding menstruation? - Precise Answer ✔✔Yes, they differ in the
timing of the first ovulation and the resumption of menstruation.
What are the differences between lactating and non-lactating women
regarding prolactin levels? - Precise Answer ✔✔Lactating: serum
prolactin levels remain elevated and suppress ovulation.
Non-lactating: prolactin declines and reaches the prepregnant level by
the third week postpartum
What are the differences between lactating and non-lactating women
regarding the return of ovulation? - Precise Answer ✔✔Lactating: the
return of ovulation is influenced by breastfeeding frequency, the length
of each feeding and the use of supplementation
Non-lactating: ovulation occurs 27-75 days after birth
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