Maddy, a G3 P1 woman, gave birth 12 hours ago to a 9 lb. 13 oz. daughter. She experiences severe cramps with breastfeeding. The perinatal nurse best describes this condition as:
a. Afterpains
b. Uterine hypertonia
c. Bladder hypertonia
d. Rectus abdominis diastasis
ANS: a
Afterpains (afterbirth pains) are intermittent uterine contractions that occur during the process of involution. Afterpains are more pronounced in patients with decreased uterine tone due to overdistension, which is associated with multiparity and macrosomia. Patients often describe the sensation as a discomfort similar to menstrual cramps.
You might also like to view...
The nurse is preparing several medications to administer via nasogastric tube. Which action by the nurse demonstrates correct technique?
1. Administering one medication at a time every 15 minutes 2. Giving one medication at a time, flushing the tube with water, and then administering another medication 3. Mixing the medications together and giving them at one time 4. Calling the pharmacy to ask if all of the medications may be safely mixed together
A nurse is administering a drug by piggyback infusion to a client with burns. Which of the following describes the most important feature of a piggyback infusion?
A) Primary IV solution is infused by gravity. B) Medication is given all at one time as quickly as possible. C) Medication locks are changed every 72 hours. D) A parenteral drug is given in tandem with IV solution.
A patient is having a "fight or flight response" after receiving bad news about his prognosis. What affect will this have on the patient's sympathetic nervous system?
A) Constriction of blood vessels in the heart muscle B) Constriction of bronchioles C) Increase in the secretion of sweat D) Constriction of pupils
A patient complains of pain with chewing, earache, and grinding her teeth when asleep. These are symptoms of:
A. Temporomandibular joint syndrome B. Trigeminal neuralgia C. Facial nerve palsy D. Angina