Inquire through: | Professional | Confidential Support
W&F Quiz 3 (Exam 2) Verified and Updated
Questions and Answers (100% Correct
Answers)
PP Temperature:
Answer: o Normal: 36.2-38C/97-100.4F
o Normal Variation in first 24 hours, may be elevated in first 24 hours, elevated again
after milk comes in
o Epidural and dehydration can increase temperature
PP BP:
Answer: <120/80
o 120-129/<80 = "elevated BP",
o 130-139/80-89="Stage 1 hypertension"
o>140/90 = "Stage 2"
o Assess for orthostatic hypotension d/t blood volume changing after delivery
(increasing), when pt first rises after delivery be there to help in case she gets dizzy
o Assess for hypertension/preeclampsia
PP Pulse:
Answer: o Normal: 60-100
o Tachycardia: >100
o Slight bradycardia not uncommon (50-90) d/t blood volume increasing
o Pain, dehydration, and hypovolemia can cause an _____ in pulse increase
PP Respirations
Answer: o Normal: 16-24
o Shouldn't change unless she has a preexisting condition
,Inquire through: | Professional | Confidential Support
Blood volume is increasing because
Answer: there was about 600 mL/min profusing to the uterus and now that that is
gone the blood must go somewhere else
Pregnancy Blood Volume:
Answer: Increases 40-50%:
Normal PP blood loss (EBL):
Answer: 200-500 mL (vaginal), 700-1000 mL (cesarean)
Cardiac output:
Answer: preload increased...placental blood returns to maternal circulation;
compression of the inferior vena cava eliminated
CO returns to pre-labor values within
Answer: 1 hr/pre-pregnancy values in 6-12 weeks
Postpartum women will pee a lot and
Answer: sweat a lot, 1-2L/hr of urine
Postpartum Uterine Changes
Answer: o Decidua is sloughed off over 2-6 weeks, basically a giant period
o Placental site heals by exfoliation, note what comes out to assess how the placental
attachment site is doing
o Uterine cells atrophy > > Involution (cells will get smaller)
Uterus drops about
Answer: 1 cm/day following delivery, finger width = ~1 cm
Lochia:
Answer: -flow
-Don't want to see clots in the lochia, this indicates excess pooling of blood
somewhere
Lochia rubra
Answer: is red, 1-3 days, composed of blood/decidua fragments, mucus
Lochia serosa
Answer: is pink, 3-10 days, composed of blood/mucus/leukocytes
, Inquire through: | Professional | Confidential Support
Lochia alba
Answer: is white, 10-14 days, composed of largely mucus
Cervix/Vaginal:
Answer: o Cervix: spongy, may appear bruised
o External os: nulliparous vs multiparous
o Vagina: edematous, bruised, lacerations
Breasts/Lactation:
Answer: o Estrogen/Progesterone decrease
o Breasts are ready for lactation
Prolactin's Role:
Answer: milk production
Prolactin receptors established in
Answer: 1st 2 weeks d/t stimulation
Nonbreastfeeding Ovulation/Menstruation
Answer: Menstruation reoccurs 7-12 weeks
• First ovulation can occur as early as 5 weeks
Breastfeeding Ovulation/Menstruation
Answer: ♣ 3 or more months
♣ Exclusive breastfeeding reduces risk of pregnancy, without it you may become
pregnant
♣ Breastfeeding not a form of contraception, but it does suppress hormones that
cause ovulation
♣ Encourage to put baby to breast every 2-3 hours to put pressure on that tissue to
produce
Consider implications of augmentation mammoplasty or breast reduction:
Answer: may or may not be able to breastfeed still
W&F Quiz 3 (Exam 2) Verified and Updated
Questions and Answers (100% Correct
Answers)
PP Temperature:
Answer: o Normal: 36.2-38C/97-100.4F
o Normal Variation in first 24 hours, may be elevated in first 24 hours, elevated again
after milk comes in
o Epidural and dehydration can increase temperature
PP BP:
Answer: <120/80
o 120-129/<80 = "elevated BP",
o 130-139/80-89="Stage 1 hypertension"
o>140/90 = "Stage 2"
o Assess for orthostatic hypotension d/t blood volume changing after delivery
(increasing), when pt first rises after delivery be there to help in case she gets dizzy
o Assess for hypertension/preeclampsia
PP Pulse:
Answer: o Normal: 60-100
o Tachycardia: >100
o Slight bradycardia not uncommon (50-90) d/t blood volume increasing
o Pain, dehydration, and hypovolemia can cause an _____ in pulse increase
PP Respirations
Answer: o Normal: 16-24
o Shouldn't change unless she has a preexisting condition
,Inquire through: | Professional | Confidential Support
Blood volume is increasing because
Answer: there was about 600 mL/min profusing to the uterus and now that that is
gone the blood must go somewhere else
Pregnancy Blood Volume:
Answer: Increases 40-50%:
Normal PP blood loss (EBL):
Answer: 200-500 mL (vaginal), 700-1000 mL (cesarean)
Cardiac output:
Answer: preload increased...placental blood returns to maternal circulation;
compression of the inferior vena cava eliminated
CO returns to pre-labor values within
Answer: 1 hr/pre-pregnancy values in 6-12 weeks
Postpartum women will pee a lot and
Answer: sweat a lot, 1-2L/hr of urine
Postpartum Uterine Changes
Answer: o Decidua is sloughed off over 2-6 weeks, basically a giant period
o Placental site heals by exfoliation, note what comes out to assess how the placental
attachment site is doing
o Uterine cells atrophy > > Involution (cells will get smaller)
Uterus drops about
Answer: 1 cm/day following delivery, finger width = ~1 cm
Lochia:
Answer: -flow
-Don't want to see clots in the lochia, this indicates excess pooling of blood
somewhere
Lochia rubra
Answer: is red, 1-3 days, composed of blood/decidua fragments, mucus
Lochia serosa
Answer: is pink, 3-10 days, composed of blood/mucus/leukocytes
, Inquire through: | Professional | Confidential Support
Lochia alba
Answer: is white, 10-14 days, composed of largely mucus
Cervix/Vaginal:
Answer: o Cervix: spongy, may appear bruised
o External os: nulliparous vs multiparous
o Vagina: edematous, bruised, lacerations
Breasts/Lactation:
Answer: o Estrogen/Progesterone decrease
o Breasts are ready for lactation
Prolactin's Role:
Answer: milk production
Prolactin receptors established in
Answer: 1st 2 weeks d/t stimulation
Nonbreastfeeding Ovulation/Menstruation
Answer: Menstruation reoccurs 7-12 weeks
• First ovulation can occur as early as 5 weeks
Breastfeeding Ovulation/Menstruation
Answer: ♣ 3 or more months
♣ Exclusive breastfeeding reduces risk of pregnancy, without it you may become
pregnant
♣ Breastfeeding not a form of contraception, but it does suppress hormones that
cause ovulation
♣ Encourage to put baby to breast every 2-3 hours to put pressure on that tissue to
produce
Consider implications of augmentation mammoplasty or breast reduction:
Answer: may or may not be able to breastfeed still
