What is the most common cause of subinvolution?
Retained placental fragments
Infection
Uterine fibroids
Multiparity
The Correct Answer is A
The correct answer is choice A. Retained placental fragments are the most common cause of subinvolution. Subinvolution is a condition where the uterus does not return to its normal size after childbirth. Retained placental fragments prevent the uterus from contracting properly and cause prolonged bleeding and infection.
Choice B is wrong because infection is not the most common cause of subinvolution, but it can be an aggravating factor. Infection can cause inflammation and interfere with the healing of the uterine lining.
Choice C is wrong because uterine fibroids are not the most common cause of subinvolution, but they can be a predisposing factor. Uterine fibroids are benign tumors that can distort the shape of the uterus and impair its contraction.
Choice D is wrong because multiparity is not the most common cause of subinvolution, but it can be a predisposing factor. Multiparity means having given birth more than once, which can weaken the uterine muscles and reduce their ability to contract.
Normal ranges for uterine involution are as follows:
• Uterus weight: decreases from about 1000 g at delivery to about 60 g at six weeks postpartum.
• Uterus height: decreases from about 20 cm above the pubic bone at delivery to about 12 cm at one week postpartum, and then descends into the pelvis by six weeks postpartum.
• Uterus size: decreases from about 20 times its normal size at delivery to about its normal size at six weeks postpartum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women.It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.
Correct Answer is B
Explanation
The correct answer is choice B. Encourage the client to talk about her feelings and listen empathetically.
This action shows respect for the client’s emotions and helps her process her experience.
It also allows the nurse to provide support and reassurance.
Choice A is wrong because it dismisses the client’s feelings and implies that she should not be upset.
This can make the client feel guilty or invalidated.
Choice C is wrong because it blames the client for having unrealistic and unachievable expectations.
This can make the client feel ashamed or defensive.
Choice D is wrong because it suggests that the client needs professional counselling to cope with her emotions.
This can make the client feel stigmatized or abnormal.
Normal ranges for postpartum emotions vary depending on the individual and the circumstances.
However, some signs of postpartum depression or post-traumatic stress disorder include persistent sadness, anxiety, anger, guilt, flashbacks, nightmares, insomnia, loss of interest, difficulty bonding with the baby, or thoughts of harming oneself or the baby.
These symptoms should be reported to a healthcare provider as soon as possible.
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