NURS 3262 - Midterm Review Exam With
Complete Solutions
Describe mother's vital signs after delivery (T, HR, RR, BP) - ANSWER
Temperature:
36.7-37.9
*38 normal within first 24hrs (due to dehydration)
*37-39 normal after 'milk comes in'
Pulse:
50-100 bpm
-Bradycardia common initially b/c of excess fluid in pregnancy (prevents fluid
overload/hypertension)
-Tachycardia may be sign of hemorrhage
Respiration:
12-24
BP:
90/50-140/90
-Common to be decreased postpartum (anesthetics, blood loss, fluid shifts)
What % of increased blood volume during pregnancy? - ANSWER 30-50%
Describe lochia days 1-4 - ANSWER "Rubra"
-Bright red with small clots
-Blood and decidual lining
Describe lochia days 4-10 - ANSWER "Serosa"
-Reddish pink to brown
-Old blood and serum debris
Describe lochia 2-6 weeks - ANSWER "Alba"
-Yellow or white
-Leukocytes, mucus and serum
What are causes of PPH - ANSWER -Uterine atony
-Lacerations
-Episiotomy
-Retained fragments
-Hematoma
-Coagulation disorders
, Describe the 'taking in' stage - ANSWER Day 1-3 postpartum
-Absorbing what has happened and is concerned with health (needs to be
mothered)
Describe the 'taking hold' stage - ANSWER Day 3-10
-Ready to 'embrace' her baby - interested in learning about baby and self-care
Describe the 'letting go' stage - ANSWER Separating herself from the child.
Baby is not an extension of self.
How can gestational diabetes affect the baby? - ANSWER Fetal hyperglycemia
and hyperinsulinemia in utero:
-Macrosomia
-Trauma at birth
-Neonatal hypoglycemia
-Hyperbilirubinemia
When is screening done for gestational diabetes? - ANSWER 24-28 weeks of
gestation
What classifies gestational hypertension? - ANSWER Elevated BP after 20 weeks
gestation
-BP>140/90 x2 (6 hours apart)
Describe HELLP - complication of severe eclampsia - ANSWER H-hemolysis
E-elevated
L-liver enzymes
L-low
P-platelets
When are APGAR scores taken? - ANSWER 1 minute and 5 minutes
What do APGAR scores assess? - ANSWER SCORE OF 0 - 1 - 2
-Heart rate (absent/<100/>100)
-Respiration (absent/slow/cry)
-Muscle tone (flaccid/limb flexion/active motion)
-Reflex ability (none/grimace/cry)
-Colour (pale blue/acrocyanosis/pink)
What is normal newborn temperature - ANSWER 36.5-37.4
-Infants unable to shiver
-Instead, non-shivering thermogenesis (metabolilsm of brown fat to produce
heat)
Complete Solutions
Describe mother's vital signs after delivery (T, HR, RR, BP) - ANSWER
Temperature:
36.7-37.9
*38 normal within first 24hrs (due to dehydration)
*37-39 normal after 'milk comes in'
Pulse:
50-100 bpm
-Bradycardia common initially b/c of excess fluid in pregnancy (prevents fluid
overload/hypertension)
-Tachycardia may be sign of hemorrhage
Respiration:
12-24
BP:
90/50-140/90
-Common to be decreased postpartum (anesthetics, blood loss, fluid shifts)
What % of increased blood volume during pregnancy? - ANSWER 30-50%
Describe lochia days 1-4 - ANSWER "Rubra"
-Bright red with small clots
-Blood and decidual lining
Describe lochia days 4-10 - ANSWER "Serosa"
-Reddish pink to brown
-Old blood and serum debris
Describe lochia 2-6 weeks - ANSWER "Alba"
-Yellow or white
-Leukocytes, mucus and serum
What are causes of PPH - ANSWER -Uterine atony
-Lacerations
-Episiotomy
-Retained fragments
-Hematoma
-Coagulation disorders
, Describe the 'taking in' stage - ANSWER Day 1-3 postpartum
-Absorbing what has happened and is concerned with health (needs to be
mothered)
Describe the 'taking hold' stage - ANSWER Day 3-10
-Ready to 'embrace' her baby - interested in learning about baby and self-care
Describe the 'letting go' stage - ANSWER Separating herself from the child.
Baby is not an extension of self.
How can gestational diabetes affect the baby? - ANSWER Fetal hyperglycemia
and hyperinsulinemia in utero:
-Macrosomia
-Trauma at birth
-Neonatal hypoglycemia
-Hyperbilirubinemia
When is screening done for gestational diabetes? - ANSWER 24-28 weeks of
gestation
What classifies gestational hypertension? - ANSWER Elevated BP after 20 weeks
gestation
-BP>140/90 x2 (6 hours apart)
Describe HELLP - complication of severe eclampsia - ANSWER H-hemolysis
E-elevated
L-liver enzymes
L-low
P-platelets
When are APGAR scores taken? - ANSWER 1 minute and 5 minutes
What do APGAR scores assess? - ANSWER SCORE OF 0 - 1 - 2
-Heart rate (absent/<100/>100)
-Respiration (absent/slow/cry)
-Muscle tone (flaccid/limb flexion/active motion)
-Reflex ability (none/grimace/cry)
-Colour (pale blue/acrocyanosis/pink)
What is normal newborn temperature - ANSWER 36.5-37.4
-Infants unable to shiver
-Instead, non-shivering thermogenesis (metabolilsm of brown fat to produce
heat)
