The perinatal nurse teaches the postpartum woman about the normal process of diuresis that she can expect to occur approximately 6 to 8 hours after childbirth. Which hormones are responsible for the diuresis? (Select all that apply.)

A.
Estrogen
B.
Norepinephrine
C.
Oxytocin
D.
Prolactin
E.
Progesterone


ANS: A, C
Maternal diuresis occurs almost immediately after birth, and urinary output reaches up to 3,000 mL each day by the second to fifth postpartum days. After childbirth, a decrease in the levels of oxytocin and estrogen naturally occurs and contributes to the diuresis.

Nursing

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The patient is being discharged home from day surgery after a general anesthetic. What instruction should the patient be given prior to leaving the hospital?

A) The patient is not to drive a vehicle. B) The patient should have a glass of brandy the first night at home to help him or her sleep. C) Eat a large meal at home. D) Do not sign important papers for the first 12 hours after surgery.

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A closed amputation is usually performed to:

1. create a weight-bearing residual limb. 2. alleviate the effects of the trauma. 3. allow infection to heal and drain. 4. treat a limb with gangrene.

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According to some developmental theorists, intellectual development and moral development differ between men and women. What did Gilligan propose?

a. As women progress toward adulthood, concepts, morals, and responsibility remain unchanged. b. Providing and protecting remain the sole responsibilities of men in today's society. c. Women continue to play a minor role in the financial well-being of their families. d. Women struggle with issues of care and responsibility.

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