Author Question: Which statement by a newly delivered woman indicates that she knows what to expect about her ... (Read 110 times)

jCorn1234 · **on:** Jun 28, 2018

Which statement by a newly delivered woman indicates that she knows what to expect about her menstrual activity after childbirth?

a. My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter.
b. My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles.
c. I will not have a menstrual cycle for 6 months after childbirth.
d. My first menstrual cycle will be heavier than normal and then will be light for several months after.

Question 2

Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis.

One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is:
a. Elevated temperature caused by postpartum infection.
b. Increased basal metabolic rate after giving birth.
c. Loss of increased blood volume associated with pregnancy.
d. Increased venous pressure in the lower extremities.

bhavsar · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles is an accurate statement and indicates her understanding of her expected menstrual activity. She can expect her first menstrual cycle to be heavier than normal (which occurs by 3 months after childbirth), and the volume of her subsequent cycles will return to prepregnant levels within three or four cycles.

Answer to Question 2

ANS: C
Within 12 hours of birth women begin to lose the excess tissue fluid that has accumulated during pregnancy. One mechanism for reducing these retained fluids is the profuse diaphoresis that often occurs, especially at night, for the first 2 or 3 days after childbirth. Postpartal diuresis is another mechanism by which the body rids itself of excess fluid.
An elevated temperature would cause chills and may cause dehydration, not diaphoresis and diuresis. Diaphoresis and diuresis sometimes are referred to as reversal of the water metabolism of pregnancy, not as the basal metabolic rate. Postpartal diuresis may be caused by the removal of increased venous pressure in the lower extremities.