POSTPARTUM ATI- -QUESTIONS WITH 100% CORRECT ANSWERS 2025
UPDATE GRADED A+
What is the fourth stage of labor?
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?
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?
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?
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?
Hemorrhage, shock, infection
,What is oxytocin?
A hormone released from the pituitary gland that coordinates and
strengthens uterine contractions
What stimulates the release of endogenous oxytocin from the pituitary
gland?
Breastfeeding
What is pitocin (exogenous oxytocin) administered for?
May be administered postpartum to improve the quality of uterine
contractions.
What prevents excessive bleeding and hemorrhaging postpartum?
A firm and contracted uterus
What are after pains?
Uncomfortable uterine cramping
What happens hormonally after the delivery of the placenta?
Estrogen, progesterone, and placental enzyme insulinase decrease, thus
resulting in decreased blood glucose, estrogen, and progesterone levels.
What is decreased estrogen associated with?
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?
Increase in muscle tone throughout the body
, What is decreased placental enzyme insulinase associated with?
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?
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?
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?
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
When does menses resume in non-lactating women?
Lactating: length of time to the first postpartum ovulation is
approximately 6 months
Non-lactating: menses resume by 4-6 weeks postpartum
What affects prolactin levels in lactating women?
The infant's suck is believed to affect prolactin levels
UPDATE GRADED A+
What is the fourth stage of labor?
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?
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?
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?
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?
Hemorrhage, shock, infection
,What is oxytocin?
A hormone released from the pituitary gland that coordinates and
strengthens uterine contractions
What stimulates the release of endogenous oxytocin from the pituitary
gland?
Breastfeeding
What is pitocin (exogenous oxytocin) administered for?
May be administered postpartum to improve the quality of uterine
contractions.
What prevents excessive bleeding and hemorrhaging postpartum?
A firm and contracted uterus
What are after pains?
Uncomfortable uterine cramping
What happens hormonally after the delivery of the placenta?
Estrogen, progesterone, and placental enzyme insulinase decrease, thus
resulting in decreased blood glucose, estrogen, and progesterone levels.
What is decreased estrogen associated with?
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?
Increase in muscle tone throughout the body
, What is decreased placental enzyme insulinase associated with?
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?
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?
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?
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
When does menses resume in non-lactating women?
Lactating: length of time to the first postpartum ovulation is
approximately 6 months
Non-lactating: menses resume by 4-6 weeks postpartum
What affects prolactin levels in lactating women?
The infant's suck is believed to affect prolactin levels
