With regard to the postpartum changes and developments in a woman's cardiovascular system, nurses should be aware that:
a. Cardiac output, the pulse rate, and stroke volume all return to prepregnancy normal values within a few hours of childbirth.
b. Respiratory function returns to nonpregnant levels by 6 to 8 weeks after birth.
c. The lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections.
d. A hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth.
ANS: B
Respirations should decrease to within the woman's normal prepregnancy range by 6 to 8 weeks after birth. Stroke volume increases, and cardiac output remains high for a couple of days. However, the heart rate and blood pressure return to normal quickly. Leukocytosis increases 10 to 12 days after childbirth and can obscure the diagnosis of acute infections (false-negative results). The hypercoagulable state increases the risk of thromboembolism, especially after a cesarean birth.
You might also like to view...
Which of the following statements of purpose is most likely to be from a qualitative study?
A) Explore lived experiences of refugee women and children from Afghanistan living in the United States B) Investigate the effectiveness of music therapy for decreasing pain in post-operative adolescents C) Compare the effectiveness of effleurage to therapeutic touch in decreasing maternal anxiety during an un-medicated vaginal birth D) Evaluate the relationship between insurance status and number of emergency department (ED) visits
An older client who is hospitalized for a chronic health problem places a picture of a saint and a Bible on the bedside stand. What should the nurse recognize about these items? (Select all that apply.)
1. They are used to fill the void of loneliness. 2. They serve as a source of strength for the client. 3. They are to be respected as property of the client. 4. They indicate that the client's health status is dire. 5. They are to be respected as a part of the client's views.
A client who is in the terminal phases of a debilitating muscular disease tells his wife that he believes the health care team has "failed" and "given up" on him, and "aren't trying as hard." The nurse caring for this client
A) Clients who feel this way are in denial of the facts of their care. B) This idea of abandonment is unfounded. C) When clients become terminal, physician care is no longer necessary. D) This is a common fear in the terminally ill client.
When a preterm infant is receiving gavage feedings, the nurse should:
a. Assess for gastric residual before each feeding. b. Discard gastric residual to prevent overdistention of the stomach. c. Decrease the feedings if the infant gains more than 10 g/day. d. Place the infant on the left side after feeding to prevent aspiration.