As relates to the condition and reconditioning of the urinary ...

[ARLKQ]

As relates to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
 
  a. Kidney function returns to normal a few days after birth.
  b. Diastasis recti abdominis is a common condition that alters the voiding reflex.
  c. Fluid loss through perspiration and increased urinary output accounts for a weight loss of more than 2 kg during the puerperium.
  d. With adequate emptying of the bladder, bladder tone usually is restored 2 to 3 weeks after childbirth.

Question 2

Which description of postpartum restoration or healing times is accurate?
 
  a. The cervix shortens, becomes firm, and returns to form within a month postpartum.
  b. Vaginal rugae reappear by 3 weeks postpartum.
  c. Most episiotomies heal within a week.
  d. Hemorrhoids usually decrease in size within 2 weeks of childbirth.

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Answer to Question 1

ANS: C
Excess fluid loss through other means occurs as well. Kidney function usually returns to normal in about a month. Diastasis recti abdominis is the separation of muscles in the abdominal wall; it has no effect on the voiding reflex. Bladder tone usually is restored 5 to 7 days after childbirth.

Answer to Question 2

ANS: B
Vaginal rugae reappear by 3 weeks postpartum; however, they are never as prominent as in nulliparous women. The cervix regains its form within days; the cervical os may take longer. Most episiotomies take 2 to 3 weeks to heal. Hemorrhoids can take 6 weeks to decrease in size.

[ARLKQ]

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