Which maternal event is abnormal in the early postpartum period? ...

[scienceeasy]

Which maternal event is abnormal in the early postpartum period?
 
  a. Diuresis and diaphoresis
  b. Flatulence and constipation
  c. Extreme hunger and thirst
  d. Lochial color changes from rubra to alba

Question 2

Which finding 12 hours after birth requires further assessment?
 
  a. The fundus is palpable two fingerbreadths above the umbilicus.
  b. The fundus is palpable at the level of the umbilicus.
  c. The fundus is palpable one fingerbreadth below the umbilicus.
  d. The fundus is palpable two fingerbreadths below the umbilicus.

[yasmin]

Answer to Question 1

ANS: D
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. Diuresis and diaphoresis are the methods by which the body rids itself of increased plasma volume. Urine output of 3000 mL/day is common for the first few days after delivery 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.

Answer to Question 2

ANS: A
The fundus rises to the umbilicus after delivery and remains there for about 24 hours. A fundus that is above the umbilicus may indicate uterine atony or urinary retention. A fundus that is palpable at or below the level of the umbilicus is a normal finding for a patient who is 12 hours postpartum. Palpation of the fundus 2 fingerbreadths below the umbilicus is an unusual finding for 12 hours postpartum; however, it is still appropriate.

[scienceeasy]

Excellent

[olderstudent]

TYSM