Client need health promotion and maintenance

Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
Feedback
1 Lochia rubra, or bright red blood, lasts for 1 to 3 days postpartum, so it is not an
expected finding on day 5.
2 Dark red drainage is old blood and is not an expected lochia finding.
3 Lochia serosa, a pink or brown color, lasts for 4 to 9 days postpartum and is the
anticipated lochia on day 5.
4 Lochia alba, a yellow-white discharge, is expected up to 6 weeks after delivery but is not
anticipated until around day 9.
PTS: 1 CON: Pregnancy
11. ANS: 1
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum
Period
Chapter learning objective: Prepare patient teaching regarding resumption of menses after
childbirth.
Chapter page reference: 192
Heading: Ovaries and Ovulation
Integrated processes: Teaching and Learning
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy

Difficulty: Moderate
Feedback
1 Although many women delay ovulation and menstruation by breastfeeding, this should
not be relied upon for contraception because it is not true for all women.
2 Ovulation resumes as early as 27 days for nonbreastfeeding women.
3 There is no specific time when a breastfeeding woman begins ovulating again.
4 Delay of ovulation is impacted by frequency of breastfeeding, so the woman who does
not nurse as often may not see any delay in ovulating.
PTS: 1 CON: Pregnancy
12. ANS: 4
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum
Period
Chapter learning objective: Prepare patient teaching regarding resumption of menses after
childbirth.
Chapter page reference: 192-193
Heading: Patient Teaching Guidelines: Postpartum Menstruation
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
Feedback
1 Ovulation occurs before menses, so the woman could get pregnant before she gets her
first period.
2 Although breastfeeding may delay ovulation, every woman is different. In addition, there
are several factors that determine when ovulation occurs, so this is not an accurate statement.
3 After stretching of the cervix and uterus during pregnancy, the old diaphragm will not fit
snugly and should be discarded.
4 The safest way to avoid pregnancy is to begin using a contraceptive when sexual activity
is resumed.
PTS: 1 CON: Pregnancy
13. ANS: 3
Chapter number and title: 13: Physiological and Behavioral Adaptations During the Postpartum
Period
Chapter learning objective: Describe the postpartum psychological adaptations including the
taking-in phase, taking-hold phase, and letting-go phase.

Chapter page reference: 195
Heading: Letting-Go Phase
Integrated processes: Clinical Problem-Solving Process
Client need: Psychosocial Integrity
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
Feedback
1