Maternity Nursing Q 154
A woman who delivered normally per vaginam is expected to void within how many hours after delivery?
A. 3 hrs
B. 4 hrs
C. 6-8 hrs
D. 12-24 hours
Correct Answer: C. 6-8 hrs
A woman who has had normal delivery is expected to void within 6-8 hrs. If she is unable to do so after 8 hours, the nurse should stimulate the woman to void. If nursing interventions to stimulate spontaneous voiding don’t work, the nurse may decide to catheterize the woman.
Option A: The precise pathophysiology of PPUr is still unknown; however, it is likely to be multifactorial, including physiological, neurological, and mechanical processes in the postpartum period
Option B: Postpartum urinary retention has been classified into overt and covert retention by Yip et al. Women who are unable to micturate spontaneously within 6 h after vaginal delivery are categorized as having overt (symptomatic) urinary retention. Covert (asymptomatic) urinary retention is defined as having a postvoid residual bladder volume (PVRBV) of more than 150 mL, detected by ultrasound or by catheterization, with no symptoms of urinary retention.
Option D: Postpartum urinary retention (PPUR) is an upsetting condition that has no standard literature definition. It has been variably defined as the abrupt onset of aching or inability to completely micturate, requiring urinary catheterization, over 12 h after giving birth or not to void spontaneously within 6 h of vaginal delivery.