What is the most common cause of subinvolution?

Retained placental fragments

Infection

Uterine fibroids

Multiparity

Answer and Explanation

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.

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Correct Answer is B

Explanation

The correct answer is choice B. Attachment.

Attachment is the process of developing a strong emotional bond between the mother and the infant.

It is influenced by factors such as maternal hormones, infant cues, and environmental support.

Attachment behaviors include holding, touching, talking, and gazing at the infant.

Choice A is wrong because bonding is the initial attraction felt by the parents for their infant.

It usually occurs within the first few minutes or hours after birth and is facilitated by skin-to-skin contact.

Choice C is wrong because engrossment is the term used to describe the father’s absorption, preoccupation, and interest in the infant.

It involves visual awareness, tactile awareness, perception of newborn as perfect, strong attraction, awareness of distinct features, extreme elation, and increased sense of self-esteem.

Choice D is wrong because entrainment is the term used to describe the infant’s movement in response to speech.

The infant synchronizes his or her movements with the rhythm and pitch of the adult’s voice.

A. Encourage her to sleep as much as possible B. Encourage her to avoid talking about her feelings C. Encourage her to spend time alone as much as possible D. Encourage her to participate in support groups

Correct Answer is D

Explanation

Encourage her to participate in support groups.This is because support groups can help the postpartum client to share her feelings, learn coping skills, and receive emotional and social support from other mothers who have experienced postpartum depression.Support groups can also reduce the sense of isolation and stigma that some women with postpartum depression may feel.

Encourage her to sleep as much as possible is wrong because sleeping too much can be a sign of depression and can interfere with the mother’s ability to bond with her baby and perform daily activities.Sleeping too little can also worsen symptoms or increase the likelihood of postpartum depression due to sleep deprivation. Therefore, the mother should be encouraged to follow a healthy sleep routine and get help from others if needed.

Encourage her to avoid talking about her feelings is wrong because talking about feelings is an important part of psychotherapy, which is a recommended treatment for postpartum depression.Talking about feelings can help the mother to express her emotions, identify negative thoughts, and receive feedback and guidance from a mental health professional. Avoiding talking about feelings can lead to further isolation and distress.

Encourage her to spend time alone as much as possible is wrong because spending time alone can also increase the sense of isolation and loneliness that some women with postpartum depression may experience. Spending time alone can also prevent the mother from receiving help and support from others, such as her partner, family, friends, or healthcare providers. The mother should be encouraged to seek social support and engage in enjoyable activities with others.

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What is the most common cause of subinvolution?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a woman who gave birth three hours ago. The nurse observes that the woman is holding her infant close to her chest and is talking softly to him. The nurse interprets this behaviour as:

Correct Answer is B

Explanation

A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD). Which of the following interventions should be included in her plan of care?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

What is the most common cause of subinvolution?

A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge. Which statement by the client indicates a need for further teaching?

A nurse is caring for a postpartum client who had a difficult labor and delivery. The client expresses frustration and disappointment with her birth experience. Which of the following actions should the nurse take?

A nurse is assessing a woman who gave birth four days ago. The nurse notes that the woman has a positive mood, expresses confidence in her ability to care for her infant, and reports adequate support from her partner and family. The nurse identifies these findings as indicators of:

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

A client is concerned about the risk factors for pre-term labor. Which of the following factors should the nurse include in the discussion?

The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?