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: Post-Delivery Urination: Nurse's Response

a) A client, 24 hours post-delivery, reports large amounts of urine. What is the best response by the nurse?

b) How does the body's physiology change post-delivery, affecting urinary patterns?

c) Discuss common postpartum urinary issues and their management.

d) Is excessive postpartum urination a cause for concern?

1 Answer

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Final answer:

Postpartum urination is common due to the pressure of the uterus on the bladder and increased urine production. The body's physiology changes post-delivery, affecting urinary patterns. Common postpartum urinary issues include incontinence and their management. Excessive postpartum urination is usually not a cause for concern.

Step-by-step explanation:

Postpartum urination is a common occurrence due to the downward pressure of the uterus on the bladder, increased urine production, and the processing of maternal and fetal waste by the urinary system. This can result in frequent urination and large amounts of urine being produced.

The changes in the body's physiology post-delivery can affect urinary patterns. For example, the fetal kidneys produce dilute urine, so newborns may produce very dilute urine. Additionally, the neonatal kidneys are immature and inefficient at concentrating urine, making it important for infants to obtain sufficient fluids.

Some common postpartum urinary issues include urinary incontinence, which is the inability to control urine flow; stress incontinence, which is urine leakage during activities that put pressure on the pelvic floor; and urge incontinence, which is a sudden, strong need to urinate. The management of these issues may include behavioral changes, pelvic floor exercises, medications, or surgery.

Excessive postpartum urination is generally not a cause for concern unless there are other symptoms present, such as pain or discomfort. It is important for the client to stay hydrated and monitor for any signs of infection or other complications.

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