{"id":115187,"date":"2023-08-23T12:28:34","date_gmt":"2023-08-23T12:28:34","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115187"},"modified":"2023-08-23T12:28:38","modified_gmt":"2023-08-23T12:28:38","slug":"nr-327-chapter-17-postpartum-physiologic-adaptations-questions-with-well-explained-correct-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nr-327-chapter-17-postpartum-physiologic-adaptations-questions-with-well-explained-correct-answers\/","title":{"rendered":"NR 327 CHAPTER 17 POSTPARTUM PHYSIOLOGIC ADAPTATIONS. QUESTIONS WITH WELL EXPLAINED CORRECT ANSWERS."},"content":{"rendered":"\n

NR 327 Chapter 17:
Postpartum Physiologic
Adaptations
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. A postpartum client overhears the nurse tell the health care provider that she has a
    positive Homans sign and asks what it means. Which is the nurse\u2019s best response?
    a. \u201cYou have pitting edema in your ankles.\u201d
    b
    . \u201cYou have deep tendon reflexes rated 2+.\u201d
    c. \u201cYou have calf pain when the nurse flexes your foot.\u201d
    d
    . \u201cYou have a \u2019fleshy\u2019 odor to your vaginal drainage.\u201d
    ANS: C
    Discomfort in the calf with sharp dorsiflexion of the foot may indicate a deep vein
    thrombosis. Edema is within normal limits for the first few days until the excess
    interstitial fluid is remobilized and excreted. Deep tendon reflexes should be 1+ to 2+.
    A fleshy odor, not a foul odor, is within normal limits.
    PTS: 1 DIF: Cognitive Level: Application REF: 338
    OBJ: Nursing Process Step: Implementation
    MSC: Client Needs: Physiologic Integrity<\/li>\n\n\n\n
  2. Which client would be most likely to have severe afterbirth pains and request a
    narcotic analgesic?<\/li>\n<\/ol>\n\n\n\n

    a. Gravida 5, para 5<\/p>\n\n\n\n

    b
    . Primipara who delivered a 7-lb boy
    c. Client who is bottle feeding her first child
    d Client who wishes to breastfeed as soon as her baby is
    . out of the neonatal intensive care unit
    ANS: A
    The discomfort of afterpains is more acute for multiparas because repeated stretching
    of muscle fibers leads to loss of uterine muscle tone. The uterus of a primipara tends
    to remain contracted. Afterpains are particularly severe during breastfeeding, not bottle
    feeding. The non-nursing mother may have engorgement problems. She should empty
    her breasts regularly to stimulate milk production so she will have the milk when the
    baby is strong enough to nurse.
    PTS: 1 DIF: Cognitive Level: Understanding REF: 329
    OBJ: Nursing Process Step: Assessment MSC: Client Needs: Physiologic Integrity<\/p>\n\n\n\n

      \n
    1. Which maternal event is abnormal in the early postpartal period?
      a. Diuresis and diaphoresis
      b
      . Flatulence and constipation
      c. Extreme hunger and thirst
      d
      . Lochial color changes from rubra to alba
      ANS: D<\/li>\n<\/ol>\n\n\n\n

      For the first 3 days after childbirth, lochia is termed rubra. Lochia serosa follows, and
      then at about 11 days, the discharge becomes clear, colorless, or white. The body rids
      itself of increased plasma volume. Urine output of 3000 mL\/day is common for the first
      few days after birth and is facilitated by hormonal changes in the mother. Bowel tone
      remains sluggish for days. Many women anticipate pain during defecation and are
      unwilling to exert pressure on the perineum. The new mother is hungry because of
      energy used in labor and thirsty because of fluid restrictions during labor.
      PTS: 1 DIF: Cognitive Level: Analysis REF: 329
      OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and
      Maintenance<\/p>\n\n\n\n

        \n
      1. Which fundal assessment finding at 12 hours after birth requires further assessment?
        a. The fundus is palpable at the level of the umbilicus.
        b The fundus is palpable two fingerbreadths above the
        . umbilicus.
        The fundus is palpable one fingerbreadth below the
        c. umbilicus.
        d The fundus is palpable two fingerbreadths below the
        . umbilicus.
        ANS: B
        The fundus rises to the umbilicus after birth and remains there for about 24 hours.A
        fundus that
        is above the umbilicus may indicate uterine atony or urinary retention. The fundus
        palpable at the umbilicus is an appropriate assessment finding for 12 hours postpartum.
        The fundus palpable one fingerbreadth below the umbilicus is an appropriate
        assessment finding for 12 hours postpartum. The fundus palpable two fingerbreadths
        below the umbilicus is an unusual finding for 12 hours postpartum, but is still
        appropriate.
        PTS: 1 DIF: Cognitive Level: Application REF: 329
        OBJ: Nursing Process Step: Assessment MSC: Client Needs: Physiologic Integrity<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        NR 327 Chapter 17:Postpartum PhysiologicAdaptationsMULTIPLE CHOICE a. Gravida 5, para 5 b. Primipara who delivered a 7-lb boyc. Client who is bottle feeding her first childd Client who wishes to breastfeed as soon as her baby is. out of the neonatal intensive care unitANS: AThe discomfort of afterpains is more acute for multiparas because repeated […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115187","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115187","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115187"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115187\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}