Concerning the postpartum changes and developments in a woman's ...

[newyorker26]

Concerning the postpartum changes and developments in a woman's cardiovascular system, nurses should be aware that:
 
  1. cardiac output, pulse rate, and stroke volume all return to prepregnancy normal within a few hours of childbirth.
  2. respiratory function returns to nonpregnant levels by 6 to 8 weeks after birth.
  3. lowered white blood count after pregnancy can lead to false positives when test-ing for infections.
  4. a hypercoagulable state protects the new mother from thromboembolism, espe-cially after a cesarean birth.

Question 2

A school-aged boy develops an otitis media with effusion. He and his mother are told that he will need myringotomy tubes inserted into his ears. She asks, Why does this have to be done at the hospital? What would be your best response?
 
  A) He will need to lie still afterward, so he will need to remain at the hospital for a short time.
  B) The procedure is so painful that he will need strong medicine.
  C) The procedure causes bleeding, so he needs to be observed closely.
  D) He will need to be observed after the procedure to be certain he doesn't develop increased intracranial pressure.

[owenfalvey]

Answer to Question 1

2
1. Incorrect. Stroke volume increases, and cardiac output remains high for a couple days. Heart rate and blood pressure, however, return to normal quickly.
2. Correct. Respirations should decrease to within the woman's normal prepregnancy range by 6 to 8 weeks after birth.
3. Incorrect. Leukocytosis increases 10 to 12 days after childbirth, which helps obscure the diagnosis of acute infections (false negatives).
4. Incorrect. The hypercoagulable state increases the risks of thromboembolism, especially after a cesarean birth.

Answer to Question 2

A

[newyorker26]

Thank you

[owenfalvey]

No problemo