NURS 330 Exam #3 Questions With Complete Solutions
Afterpains Correct Answers Cramps caused by contractions of
the uterus as it shrinks back to its pre-pregnancy size and
location after birth (involution)
Usually last for 2 to 3 days after birth
More evident for women who have previously had a baby
Breastfeeding stimulates the uterus to contract and increases the
severity of after pains
Treatment: analgesics
Only naproxen is used in breastfeeding women
Augmentation of labor Correct Answers -Give Pitocin in
addition to the contractions the patient is having
-Pitocin always has its own pump, primary tubing, inserted into
primary LR line close to the insertion site of IV
-Risk of placental or uterine rupture, PP hemorrhage, fetal
hypoxemia and acidemia
C-Section Correct Answers -low transverse incision is most
common
-reason for C-section: CPD, multifetal pregnancy, arrest of
dilation and descent, fetal distress, elective
-anesthesia usually spinal, only general if it is a crash C-section
Changes to the Uterus during postpartum Correct Answers
Involution
,-fundus descends 1 to 2 cm every 24 hours
-2 weeks after birth uterus is no longer palpable
-Returns to nonpregnant state by 6 weeks
-Subinvolution-failure of uterus to return to nonpregnant state
Contractions
-PP hemeostatis achieved by compression of intramyometrial
blood vessels as uterine muscle contracts
-Oxytocin, released from pituitary gland, strengthens and
coordinates uterine contractions
Afterpains
Lochia changes
Common PP infections Correct Answers Mastitis
Wound infections
Puerperal infections
Uterine infection (endometritis)
Decrease or loss of variability Correct Answers Causes:
-medications that depress the CNS
-fetal hypoxia and resulting acidosis
-fetal sleep cycle
-congenital abnormalities
Interventions:
-Stimulate fetal scalp
-assist with application of fetal scalp electrode
-Place client in left lateral
, Early decels Correct Answers Causes:
-compression of fetal head during contraction
-vaginal exam
-fundal pressure
No intervention req
Engorgement
Cause
Treatment Correct Answers Result of lymphatic circulation,
milk production and temporary vein congestion
Decreased estrogen after delivery is associated with breast
engorgement
The breast tissue is swollen, which causes the breast to feel hard,
the skin is stretched tight, the nipple is often stretched flat
(which can make latching difficult), painful
Treatment: cold compresses after feeding. Chilled cabbage.
Frequent cabbage use, however, may decrease milk supply.
Warm compress before breastfeeding may help mother start to
express milk. Aids in latching.
Fetal Bradycardia Correct Answers Causes:
-Uteroplacental Insufficiency
-Umbilical cord prolapse
-maternal hypotension
-prolonged umbilical cord compression
-fetal congenital heart block
-anesthetic medications
Afterpains Correct Answers Cramps caused by contractions of
the uterus as it shrinks back to its pre-pregnancy size and
location after birth (involution)
Usually last for 2 to 3 days after birth
More evident for women who have previously had a baby
Breastfeeding stimulates the uterus to contract and increases the
severity of after pains
Treatment: analgesics
Only naproxen is used in breastfeeding women
Augmentation of labor Correct Answers -Give Pitocin in
addition to the contractions the patient is having
-Pitocin always has its own pump, primary tubing, inserted into
primary LR line close to the insertion site of IV
-Risk of placental or uterine rupture, PP hemorrhage, fetal
hypoxemia and acidemia
C-Section Correct Answers -low transverse incision is most
common
-reason for C-section: CPD, multifetal pregnancy, arrest of
dilation and descent, fetal distress, elective
-anesthesia usually spinal, only general if it is a crash C-section
Changes to the Uterus during postpartum Correct Answers
Involution
,-fundus descends 1 to 2 cm every 24 hours
-2 weeks after birth uterus is no longer palpable
-Returns to nonpregnant state by 6 weeks
-Subinvolution-failure of uterus to return to nonpregnant state
Contractions
-PP hemeostatis achieved by compression of intramyometrial
blood vessels as uterine muscle contracts
-Oxytocin, released from pituitary gland, strengthens and
coordinates uterine contractions
Afterpains
Lochia changes
Common PP infections Correct Answers Mastitis
Wound infections
Puerperal infections
Uterine infection (endometritis)
Decrease or loss of variability Correct Answers Causes:
-medications that depress the CNS
-fetal hypoxia and resulting acidosis
-fetal sleep cycle
-congenital abnormalities
Interventions:
-Stimulate fetal scalp
-assist with application of fetal scalp electrode
-Place client in left lateral
, Early decels Correct Answers Causes:
-compression of fetal head during contraction
-vaginal exam
-fundal pressure
No intervention req
Engorgement
Cause
Treatment Correct Answers Result of lymphatic circulation,
milk production and temporary vein congestion
Decreased estrogen after delivery is associated with breast
engorgement
The breast tissue is swollen, which causes the breast to feel hard,
the skin is stretched tight, the nipple is often stretched flat
(which can make latching difficult), painful
Treatment: cold compresses after feeding. Chilled cabbage.
Frequent cabbage use, however, may decrease milk supply.
Warm compress before breastfeeding may help mother start to
express milk. Aids in latching.
Fetal Bradycardia Correct Answers Causes:
-Uteroplacental Insufficiency
-Umbilical cord prolapse
-maternal hypotension
-prolonged umbilical cord compression
-fetal congenital heart block
-anesthetic medications
