BSN 346 ISB Postpartum Test Questions and Answers

BSN 346 ISB Postpartum Test Questions and Answers What is the purpose of the postpartum assessment? - Answer-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? - Answer-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. - Answer-True The uterus should feel like a BLANK when contracted and like a BLANK when it is relaxed. - Answer-The uterus should feel like a grapefruit when contracted and like a sponge when it is relaxed, a state referred to as "boggy". What do you do when the uterus feels boggy? - Answer-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? - Answer-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? - Answer-Breast binder Which factors predispose a woman to thromboembolism? - Answer-Hypercoagulability and immobility Which postpartum symptoms may indicate hemorrhage? - Answer-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? - Answer-Rh-negative woman who gave birth to a Rh-positive infant