Author Question: Postpartum nutritional status is determined primarily by assessing which of the following? Note: ... (Read 18 times)

jCorn1234 · **on:** Jun 27, 2018

Postpartum nutritional status is determined primarily by assessing which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Dietary history
2. Menstrual history
3. Mother's weight
4. Hemoglobin levels
5. Mother's height

Question 2

The nurse is teaching a prenatal class about postpartum changes. The nurse explains that factors that might interfere with uterine involution include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Prolonged labor.
2. Difficult birth.
3. Full bladder.
4. Breastfeeding.
5. Infection.

braelync · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1, 3, 4
Explanation: 1. Postpartum nutritional status is determined by assessing the new mother's dietary history.
3. Postpartum nutritional status is determined by assessing the new mother's weight.
4. Postpartum nutritional status is determined by assessing the new mother's hemoglobin levels.

Answer to Question 2

1,2,3,5
Rationale 1: Prolonged time of contractions during labor relaxes the uterine muscles and can retard uterine involution.
Rationale 2: During a difficult birth, the uterus is manipulated excessively, which can retard uterine involution.
Rationale 3: As the uterus is pushed up and, usually, to the right, pressure on it interferes with effective uterine contraction and involution.
Rationale 4: Breastfeeding releases endogenous oxytocin from the posterior pituitary in response to sucking and can hasten the process of involution.
Rationale 5: Inflammation interferes with the uterine muscles' ability to contract effectively.