2026 FULL QUESTIONS AND SOLUTIONS
◉Subinvolution is when:. Answer: The uterus remains enlarged with
continued lochial discharge and may result in PP hemorrhage
◉Subinvolution s&s. Answer: increased vag bleeding
uterus enlarged and higher than normal in the abd relative to
umbilicus
boggy uterus
prolonged lochia d/c with irregular or excessive bleeding
◉Risk factors for subinvolution of uterus:. Answer: Pelvic infection
and endometritis
Retained placental fragments not completely expelled from the
uterus
◉Inversion of the uterus. Answer: Retained placenta
Uterine atony
Excessive fundal pressure
Abnormally adherent placental tissue
, Multiparity
Fundal implantation of the placenta
Extremem traction applied to the umbilical cord
Leiomyomas
◉Inversion of uterus s&s. Answer: pain in lower abd
vag bleeding
dizziness
low BP
pallor
◉Retained placenta:. Answer: Placenta or fragments of the placenta
remain in the uterus preventing the uterus from contracting which
leads to uterine atony or subinvolution
Med given: oxytocin....if unsuccessful then tocolytic for d&c
◉APGAR scoring is:. Answer: a brief physical exam done
immediately following birth to rule out abnormalities.
◉APGAR of 0-3 indicates. Answer: severe distress