Which of the following hormones remains elevated in the immediate ...

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Which of the following hormones remains elevated in the immediate postpartum period of the breastfeeding woman?
 
  1. Estrogen
  2. Progesterone
  3. Prolactin
  4. Human placental lactogen

Question 2

Clinical integration of services along the perinatal continuum of care is:
 
  1. focused on results, not patient or provider satisfaction.
  2. not concerned with cost containment.
  3. designed to improve services and care outcomes.
  4. focused on the individual patient.

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Answer to Question 1

3
1. Incorrect. Estrogen and progesterone levels decrease markedly after expulsion of the pla-centa, reaching their lowest levels 1 week into the postpartum period.
2. Incorrect. Estrogen and progesterone levels decrease markedly after expulsion of the pla-centa, reaching their lowest levels 1 week into the postpartum period.
3. Correct. Prolactin levels in blood increase progressively throughout pregnancy. In women who breastfeed, prolactin levels remain elevated into the sixth week after birth.
4. Incorrect. Human placental lactogen levels dramatically decrease after expulsion of the placenta.

Answer to Question 2

3
1. Incorrect. Clinical integration is concerned with patient, payer, and provider satisfaction.
2. Incorrect. Clinical integration is also designed to reduce costs.
3. Correct. Clinical integration can improve services and satisfaction and reduce costs.
4. Incorrect. Clinical integration is focused on populations rather than individuals. It is de-signed to improve services and care outcomes.

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Excellent

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