Answer to Question 1
4
Rationale 1: A biophysical profile is a commonly used assessment for the postterm fetus.
Rationale 2: The nonstress test is a commonly used assessment for the postterm fetus.
Rationale 3: Labor induction is likely to occur with postterm pregnancies because the aging placenta becomes less efficient at transporting oxygen and nutrients, and because the risk of fetal macrosomia increases with the length of gestation.
Rationale 4: A postterm pregnancy is high-risk. Fetal assessments must be obtained to verify fetal well-being or the need for delivery via induction or cesarean. One week is too long a period between assessments.
Answer to Question 2
1,2,5
Rationale 1: Currently, the couple is advised to abstain from intercourse until the episiotomy is healed and the lochia has stopped.
Rationale 2: Vaginal dryness is due to hormonal changes, and might require some form of lubrication.
Rationale 3: Breastfeeding the baby before intercourse can reduce the chance of milk release.
Rationale 4: These changes are expected due to hormonal changes, can persist for several months, and do not necessarily indicate depression.
Rationale 5: Interest and desire vary, but couples generally resume sexual activity within 3 months.