Vaginal exam findings reveal a slitlike opening of the cervix. ...

[Sportsfan2111]

Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?
 
  a. Client has not been pregnant.
  b. Client has had a C section as a method of birth.
  c. Client has been treated for an STD with resultant scarring of the cervix.
  d. Client has a history of pregnancy.

Question 2

Which of the following would indicate an abnormal finding during the postpartum period?
 
  a. Lochia flow changing from alba to rubra
  b. Unable to palpate uterine fundus at 6-week postpartum checkup
  c. Presence of afterbirth pains
  d. Lochia flow heavier in the early morning 2 days following vaginal birth

[jaykayy05]

Answer to Question 1

ANS: D
With pregnancy, the cervix becomes slitlike in appearance on examination. The appearance of the cervix caused by pregnancy does not correlate with the method of birth. Treatment of STD is not associated with cervical changes.

Answer to Question 2

ANS: A
Lochia flow should progress from rubra to serosa to alba as part of the normal sequence. A change in sequence would indicate an abnormal finding and possible infection and/or bleeding. The uterine fundus should no longer be palpable at 2 weeks postbirth. Afterbirth pains during the postpartum period are a normal finding based on involution of the uterus. Lochia flow may be heavier on arising because of the effects of gravity and pooling of blood while recumbent.

[Sportsfan2111]

Excellent

[cassie_ragen]

Gracias!