BSN 346 ISB Postpartum
Which infant behaviour can facilitate parental attachment? - ✔️✔️Tracking or following
parent's faces
Which symptoms and characteristics indicate postpartum depression? - ✔️✔️Low
mood, energy and general lack of enjoyment
Which parental behaviour affects infant attachment? - ✔️✔️Relates infant behaviour to
familiar events
Postpartum blues begin________ and can last__________. - ✔️✔️Begin around 3 to 5
days postpartum and can last two weeks
The woman's cultural beliefs can influence her postpartum experience. What is the role
of the nurse related to providing culturally sensitive care? - ✔️✔️Discuss cultural
beliefs and practices important to the client
What are the big 5 postpartum complications? - ✔️✔️Postpartum hemorrhage
Thromboembolic disorders
Postpartum infections
Psychological complications
Perinatal loss and grief that can occur during the postpartum period
What do you do when the uterus feels boggy? - ✔️✔️When the uterus feels boggy,
begin to massage it in a circular motion until the uterus is firm, which may feel
uncomfortable to the woman. Teach the woman to self-massage to encourage
involution of the uterus.
What is the most common cause of retained placental fragments and infections? -
✔️✔️Subinvolution
(A medical condition in which after childbirth, the uterus does not return to its normal
size.)
Which nursing interventions should the nurse implement for non-breastfeeding
mothers? - ✔️✔️Breast binder
Which factors predispose a woman to thromboembolism? - ✔️✔️Hypercoagulability
and immobility
, Which postpartum symptoms may indicate hemorrhage? - ✔️✔️Decreased BP,
increased HR, heavily soaked pads in less than 15 minutes
Which client should the nurse administer a Rh immune globulin injection within 72 hours
after birth to prevent sensitization? - ✔️✔️Rh-negative woman who gave birth to a Rh-
positive infant
Which integumentary system change usually disappears after birth, though can persist
in approximately 30% of women? - ✔️✔️Melasma
What psychosocial changes can occur in the postpartum period? - ✔️✔️1.
Perspectives in self-concept related to new role as a mother
2. Postpartum body image
3. Impact of physical changes to providing care to newborn and available social
supports
What is the purpose of the postpartum assessment? - ✔️✔️1. Healthy transition to pre-
pregnancy state.
2. Identify risk factors and complications.
3. Educate about self-care and well-being.
4. Support and advocate for autonomy.
How does the nurse begin the postpartum assessment? - ✔️✔️The nurse will review
the client's chart, gather the required supplies, follow infection prevention and control
protocols, introduce themselves to the client and explain the assessment process.
True or False: It is important to keep the fundus firm and midline. - ✔️✔️True
The uterus should feel like a BLANK when contracted and like a BLANK when it is
relaxed. - ✔️✔️The uterus should feel like a grapefruit when contracted and like a
sponge when it is relaxed, a state referred to as "boggy".
Why does the nurse need to ask about the cause of fatigue when expressed by a
patient? - ✔️✔️There are various reasons for fatigue during the postpartum period.
Examples of fatigue include: prolonged labour, constant care of newborn (i.e.
breastfeeding), postpartum complication (i.e. infection, hemorrhage) or minimal rest to
visitors. Depending of the cause of the woman's fatigue, will determine the nurse's
interventions.
If a client experiences fatigue, reduced energy, and no sleep past the three week mark,
what should the nurse assess for? - ✔️✔️Postpartum blues usually resolve in a few
days and treatment is not needed. However, since this client's symptoms have lasted
more than 3 weeks, the nurse should assess the client for postpartum depression and
refer to the appropriate interprofessional healthcare team members.
Which infant behaviour can facilitate parental attachment? - ✔️✔️Tracking or following
parent's faces
Which symptoms and characteristics indicate postpartum depression? - ✔️✔️Low
mood, energy and general lack of enjoyment
Which parental behaviour affects infant attachment? - ✔️✔️Relates infant behaviour to
familiar events
Postpartum blues begin________ and can last__________. - ✔️✔️Begin around 3 to 5
days postpartum and can last two weeks
The woman's cultural beliefs can influence her postpartum experience. What is the role
of the nurse related to providing culturally sensitive care? - ✔️✔️Discuss cultural
beliefs and practices important to the client
What are the big 5 postpartum complications? - ✔️✔️Postpartum hemorrhage
Thromboembolic disorders
Postpartum infections
Psychological complications
Perinatal loss and grief that can occur during the postpartum period
What do you do when the uterus feels boggy? - ✔️✔️When the uterus feels boggy,
begin to massage it in a circular motion until the uterus is firm, which may feel
uncomfortable to the woman. Teach the woman to self-massage to encourage
involution of the uterus.
What is the most common cause of retained placental fragments and infections? -
✔️✔️Subinvolution
(A medical condition in which after childbirth, the uterus does not return to its normal
size.)
Which nursing interventions should the nurse implement for non-breastfeeding
mothers? - ✔️✔️Breast binder
Which factors predispose a woman to thromboembolism? - ✔️✔️Hypercoagulability
and immobility
, Which postpartum symptoms may indicate hemorrhage? - ✔️✔️Decreased BP,
increased HR, heavily soaked pads in less than 15 minutes
Which client should the nurse administer a Rh immune globulin injection within 72 hours
after birth to prevent sensitization? - ✔️✔️Rh-negative woman who gave birth to a Rh-
positive infant
Which integumentary system change usually disappears after birth, though can persist
in approximately 30% of women? - ✔️✔️Melasma
What psychosocial changes can occur in the postpartum period? - ✔️✔️1.
Perspectives in self-concept related to new role as a mother
2. Postpartum body image
3. Impact of physical changes to providing care to newborn and available social
supports
What is the purpose of the postpartum assessment? - ✔️✔️1. Healthy transition to pre-
pregnancy state.
2. Identify risk factors and complications.
3. Educate about self-care and well-being.
4. Support and advocate for autonomy.
How does the nurse begin the postpartum assessment? - ✔️✔️The nurse will review
the client's chart, gather the required supplies, follow infection prevention and control
protocols, introduce themselves to the client and explain the assessment process.
True or False: It is important to keep the fundus firm and midline. - ✔️✔️True
The uterus should feel like a BLANK when contracted and like a BLANK when it is
relaxed. - ✔️✔️The uterus should feel like a grapefruit when contracted and like a
sponge when it is relaxed, a state referred to as "boggy".
Why does the nurse need to ask about the cause of fatigue when expressed by a
patient? - ✔️✔️There are various reasons for fatigue during the postpartum period.
Examples of fatigue include: prolonged labour, constant care of newborn (i.e.
breastfeeding), postpartum complication (i.e. infection, hemorrhage) or minimal rest to
visitors. Depending of the cause of the woman's fatigue, will determine the nurse's
interventions.
If a client experiences fatigue, reduced energy, and no sleep past the three week mark,
what should the nurse assess for? - ✔️✔️Postpartum blues usually resolve in a few
days and treatment is not needed. However, since this client's symptoms have lasted
more than 3 weeks, the nurse should assess the client for postpartum depression and
refer to the appropriate interprofessional healthcare team members.
