NURN 218 Exam 2 Questions With Correct
Answers
What is the short term goal for childbearing? - CORRECT ANSWER✔✔-Seek
|| || || || || || || || || || ||
and participate in perinatal education in preparation for postpartum
|| || || || || || || ||
What is the long term goal for childbearing/postpartum? - CORRECT
|| || || || || || || || || ||
ANSWER✔✔-Family and PCP will manage the expected physiologic and || || || || || || || || ||
psychologic changes of the postpartum period.
|| || || || ||
What is the overall outcome for the postpartum family? - CORRECT
|| || || || || || || || || || ||
ANSWER✔✔-Family will adapt positively following the childbearing process.
|| || || || || || ||
What are the 4th trimester goals? - CORRECT ANSWER✔✔--restoring physical
|| || || || || || || || ||
condition
|| ||
-developing competence in infant care
|| || || ||
-establishing relationship with the new child
|| || || || ||
-adapting to altered lifestyle and family structure
|| || || || || ||
What is the postpartal period also called? - CORRECT ANSWER✔✔--
|| || || || || || || || ||
puerperium
How long is the postpartum period? - CORRECT ANSWER✔✔--1st six weeks
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after the birth
|| ||
,-immediate postpartum: first 24hrs || || ||
-early postpartum: 1st wk
|| || ||
-late postpartum: 2nd-6th wk
|| || ||
(8wks for c-section)
|| ||
There are significant physiologic and psychological changes that occur during
|| || || || || || || || || ||
this time!
||
How is bleeding controlled? - CORRECT ANSWER✔✔-by contractions
|| || || || || || ||
*very important that the uterus contracts!
|| || || || ||
What is involution of reproductive organs? - CORRECT ANSWER✔✔--normal
|| || || || || || || || ||
return to near pregnant size and condition
|| || || || || || ||
-begins immediatly after delivery of placenta
|| || || || ||
What is subinvolution of reproductive organs? - CORRECT ANSWER✔✔-
|| || || || || || || ||
abnormal return ||
What does involution of reproductive organs depend on? - CORRECT
|| || || || || || || || || ||
ANSWER✔✔--contraction of uterine muscle fibers || || || ||
-catabolism ||
-regeneration of uterine epithelium || || ||
,How does regeneration of uterine epithelium happen? - CORRECT
|| || || || || || || || ||
ANSWER✔✔--first layer of decidua shed in lochia || || || || || ||
-basal layer is source of new endometrium
|| || || || || || ||
-endometrial layer becomes spongy and smooth (this sloughs off during
|| || || || || || || || || ||
menses if pt doesnt get pregnant)
|| || || || ||
-Process takes 6-7 wks, continues risk of postpartal bleeding. (avg. is 3-4 wks
|| || || || || || || || || || || ||
though)
||
How does the placental site heal? - CORRECT ANSWER✔✔-Heals by
|| || || || || || || || || ||
exfoliation- it sloughs off || || ||
How does the descent of the uterine fundus happen? - CORRECT
|| || || || || || || || || || ||
ANSWER✔✔--fundus palpated midway between pubis and umbilicus w/in 1st || || || || || || || || ||
hr. ||
-rises to umbilicus by about 6hrs after birth
|| || || || || || || ||
-descends 1 finger breath/day || || || ||
-below pubis by 10th postpartum day
|| || || || ||
What is the size of the uterine fundus immediatly after birth? - CORRECT
|| || || || || || || || || || || || ||
ANSWER✔✔-About the size of a grapefruit || || || || ||
*****What is the primary intervention for a pt with a boggy uterus? -
|| || || || || || || || || || || || ||
CORRECT ANSWER✔✔-*****Massage the uterus/fundus
|| || ||
*****KNOW***** - CORRECT ANSWER✔✔-Know where the height of the || || || || || || || || ||
fundus should be after birth!
|| || || ||
, What happens if you dont support the uterine fundus while palpating it? -
|| || || || || || || || || || || || ||
CORRECT ANSWER✔✔-Uterus may prolapse and come out
|| || || || || ||
What are the factors that slow uterine involution? - CORRECT ANSWER✔✔--
|| || || || || || || || || ||
prolonged labor (muscle is fatigued)
|| || || ||
-full bladder
||
-anesthesia
-difficult birth ||
-infection ||
-incomplete expulsion of placenta and/or membranes (placenta is still
|| || || || || || || || ||
attached)
-grandmultiparity (5 or more previous pregnancies) || || || || ||
When does the recurrence of ovulation/menstration happen for non
|| || || || || || || || ||
breastfeeding moms? - CORRECT ANSWER✔✔--menses returns in about 4-6
|| || || || || || || || ||
wks
-ovulation return can range from 27 days to and avg. of 70-75 days after
|| || || || || || || || || || || || || ||
birth
When does the recurrence of ovulation/menstration happen for breastfeeding
|| || || || || || || ||
moms? - CORRECT ANSWER✔✔--exclusive breastfeeding usually delays return
|| || || || || || || ||
of menses for atleast 3-6 mos
|| || || || || ||
-If supplements are used, similar to non breastfeeding times (4-6 wks)
|| || || || || || || || || ||
Answers
What is the short term goal for childbearing? - CORRECT ANSWER✔✔-Seek
|| || || || || || || || || || ||
and participate in perinatal education in preparation for postpartum
|| || || || || || || ||
What is the long term goal for childbearing/postpartum? - CORRECT
|| || || || || || || || || ||
ANSWER✔✔-Family and PCP will manage the expected physiologic and || || || || || || || || ||
psychologic changes of the postpartum period.
|| || || || ||
What is the overall outcome for the postpartum family? - CORRECT
|| || || || || || || || || || ||
ANSWER✔✔-Family will adapt positively following the childbearing process.
|| || || || || || ||
What are the 4th trimester goals? - CORRECT ANSWER✔✔--restoring physical
|| || || || || || || || ||
condition
|| ||
-developing competence in infant care
|| || || ||
-establishing relationship with the new child
|| || || || ||
-adapting to altered lifestyle and family structure
|| || || || || ||
What is the postpartal period also called? - CORRECT ANSWER✔✔--
|| || || || || || || || ||
puerperium
How long is the postpartum period? - CORRECT ANSWER✔✔--1st six weeks
|| || || || || || || || || || ||
after the birth
|| ||
,-immediate postpartum: first 24hrs || || ||
-early postpartum: 1st wk
|| || ||
-late postpartum: 2nd-6th wk
|| || ||
(8wks for c-section)
|| ||
There are significant physiologic and psychological changes that occur during
|| || || || || || || || || ||
this time!
||
How is bleeding controlled? - CORRECT ANSWER✔✔-by contractions
|| || || || || || ||
*very important that the uterus contracts!
|| || || || ||
What is involution of reproductive organs? - CORRECT ANSWER✔✔--normal
|| || || || || || || || ||
return to near pregnant size and condition
|| || || || || || ||
-begins immediatly after delivery of placenta
|| || || || ||
What is subinvolution of reproductive organs? - CORRECT ANSWER✔✔-
|| || || || || || || ||
abnormal return ||
What does involution of reproductive organs depend on? - CORRECT
|| || || || || || || || || ||
ANSWER✔✔--contraction of uterine muscle fibers || || || ||
-catabolism ||
-regeneration of uterine epithelium || || ||
,How does regeneration of uterine epithelium happen? - CORRECT
|| || || || || || || || ||
ANSWER✔✔--first layer of decidua shed in lochia || || || || || ||
-basal layer is source of new endometrium
|| || || || || || ||
-endometrial layer becomes spongy and smooth (this sloughs off during
|| || || || || || || || || ||
menses if pt doesnt get pregnant)
|| || || || ||
-Process takes 6-7 wks, continues risk of postpartal bleeding. (avg. is 3-4 wks
|| || || || || || || || || || || ||
though)
||
How does the placental site heal? - CORRECT ANSWER✔✔-Heals by
|| || || || || || || || || ||
exfoliation- it sloughs off || || ||
How does the descent of the uterine fundus happen? - CORRECT
|| || || || || || || || || || ||
ANSWER✔✔--fundus palpated midway between pubis and umbilicus w/in 1st || || || || || || || || ||
hr. ||
-rises to umbilicus by about 6hrs after birth
|| || || || || || || ||
-descends 1 finger breath/day || || || ||
-below pubis by 10th postpartum day
|| || || || ||
What is the size of the uterine fundus immediatly after birth? - CORRECT
|| || || || || || || || || || || || ||
ANSWER✔✔-About the size of a grapefruit || || || || ||
*****What is the primary intervention for a pt with a boggy uterus? -
|| || || || || || || || || || || || ||
CORRECT ANSWER✔✔-*****Massage the uterus/fundus
|| || ||
*****KNOW***** - CORRECT ANSWER✔✔-Know where the height of the || || || || || || || || ||
fundus should be after birth!
|| || || ||
, What happens if you dont support the uterine fundus while palpating it? -
|| || || || || || || || || || || || ||
CORRECT ANSWER✔✔-Uterus may prolapse and come out
|| || || || || ||
What are the factors that slow uterine involution? - CORRECT ANSWER✔✔--
|| || || || || || || || || ||
prolonged labor (muscle is fatigued)
|| || || ||
-full bladder
||
-anesthesia
-difficult birth ||
-infection ||
-incomplete expulsion of placenta and/or membranes (placenta is still
|| || || || || || || || ||
attached)
-grandmultiparity (5 or more previous pregnancies) || || || || ||
When does the recurrence of ovulation/menstration happen for non
|| || || || || || || || ||
breastfeeding moms? - CORRECT ANSWER✔✔--menses returns in about 4-6
|| || || || || || || || ||
wks
-ovulation return can range from 27 days to and avg. of 70-75 days after
|| || || || || || || || || || || || || ||
birth
When does the recurrence of ovulation/menstration happen for breastfeeding
|| || || || || || || ||
moms? - CORRECT ANSWER✔✔--exclusive breastfeeding usually delays return
|| || || || || || || ||
of menses for atleast 3-6 mos
|| || || || || ||
-If supplements are used, similar to non breastfeeding times (4-6 wks)
|| || || || || || || || || ||
