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EXAM 2 NUR 267 Questions and
Correct Answers the Latest Update
What does B.U.B.B.L.E. stand for?
✓ Breasts
✓ Uterus
✓ Bladder
✓ Bowel
✓ Lochia
✓ Episiotomy/Emotions
How to assess breasts postpartum:
(breastfeeding vs. nonbreastfeeding)
✓ Breastfeeding:
✓ -Assess if soft/non-tender or firm and warm
✓
✓ -Check for nipple tears/excoriation
✓
✓ -Assess latch of infant
✓
✓ Nonbreastfeeding:
✓ -Assess for engorgement
What education can you provide regarding breasts postpartum?
✓ Breastfeeding:
✓ -Wear supportive bra
✓
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✓ -Use breast pump
✓
✓ -Warm compress/massage
✓ before feeding
✓
✓ -Ice after feeding
✓
✓ -Promote different holding styles for feeding
✓
✓ -Ensure baby feeds frequently and well to empty each breast
✓
✓ NonBreastfeeding:
✓ -Wear supportive bra
✓
✓ -Apply ice
✓
✓ -Avoid stimulating
✓
✓ -Cold cabbage leaves in bra provides comfort to sensitivity
Main goals of assessing uterus postpartum:
✓ -Preventing infection
✓
✓ -Preventing excessing bleeding
✓
✓ -Preventing bladder distension
How do you maintain uterine tone after labor?
✓ Fundal massage
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How often to assess uterus postpartum?
✓ -q15 minutes (1st hour)
✓
✓ -q30 minutes (2nd hour
✓
✓ -q4h (first 24 hours)
✓
✓ -Assess every shift after 24hrs
What do you do if you find a boggy uterus?
✓ Perform fundal massage until firm, recheck in 10-15mins. If it has not firmed up,
notify provider
What is administered for boggy uterus?
✓ Pitocin (Oxytocin)
What is the function of oxytocin (Pitocin)?
✓ Hormone that causes uterine contraction
What naturally releases oxytocin (Pitocin)?
✓ Posterior pituitary
What is the #1 cause of postpartum hemorrhage?
✓ Boggy uterus
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If the uterus is not midline upon assessment, what should we try and do first?
✓ Have patient try and use the bathroom
How to assess the bladder postpartum + nursing actions:
✓ -Last time of void
✓
✓ -Warm water to help aid in starting urine stream
✓
✓ -May need bladder scan, straight cath, or foley
How long after birth should a patient be urinating and how much?
✓ 2-4 hours after birth, should be voiding at least 300mL
How to assess the bowels after birth + nursing actions:
✓ -Assess for last BM
✓
✓ -Fluids + ambulation
✓
✓ -Stool softener
Patient education for bowel patterns postpartum:
✓ -May not have a BM for a few days
✓
✓ -Hemorrhoids, episiotomy, or c-section may cause more difficulty having a BM
Examify | Smart Grades | Latest update
#ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport
EXAM 2 NUR 267 Questions and
Correct Answers the Latest Update
What does B.U.B.B.L.E. stand for?
✓ Breasts
✓ Uterus
✓ Bladder
✓ Bowel
✓ Lochia
✓ Episiotomy/Emotions
How to assess breasts postpartum:
(breastfeeding vs. nonbreastfeeding)
✓ Breastfeeding:
✓ -Assess if soft/non-tender or firm and warm
✓
✓ -Check for nipple tears/excoriation
✓
✓ -Assess latch of infant
✓
✓ Nonbreastfeeding:
✓ -Assess for engorgement
What education can you provide regarding breasts postpartum?
✓ Breastfeeding:
✓ -Wear supportive bra
✓
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✓ -Use breast pump
✓
✓ -Warm compress/massage
✓ before feeding
✓
✓ -Ice after feeding
✓
✓ -Promote different holding styles for feeding
✓
✓ -Ensure baby feeds frequently and well to empty each breast
✓
✓ NonBreastfeeding:
✓ -Wear supportive bra
✓
✓ -Apply ice
✓
✓ -Avoid stimulating
✓
✓ -Cold cabbage leaves in bra provides comfort to sensitivity
Main goals of assessing uterus postpartum:
✓ -Preventing infection
✓
✓ -Preventing excessing bleeding
✓
✓ -Preventing bladder distension
How do you maintain uterine tone after labor?
✓ Fundal massage
Examify | Smart Grades | Latest update
,#Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess |
#ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport
How often to assess uterus postpartum?
✓ -q15 minutes (1st hour)
✓
✓ -q30 minutes (2nd hour
✓
✓ -q4h (first 24 hours)
✓
✓ -Assess every shift after 24hrs
What do you do if you find a boggy uterus?
✓ Perform fundal massage until firm, recheck in 10-15mins. If it has not firmed up,
notify provider
What is administered for boggy uterus?
✓ Pitocin (Oxytocin)
What is the function of oxytocin (Pitocin)?
✓ Hormone that causes uterine contraction
What naturally releases oxytocin (Pitocin)?
✓ Posterior pituitary
What is the #1 cause of postpartum hemorrhage?
✓ Boggy uterus
Examify | Smart Grades | Latest update
, #Examify | #OnlineExams | #TestPrep | #StudyResources | #AcademicSuccess |
#ExamPreparation | #QuizTime | #LearningTools | #Education | #StudentSupport
If the uterus is not midline upon assessment, what should we try and do first?
✓ Have patient try and use the bathroom
How to assess the bladder postpartum + nursing actions:
✓ -Last time of void
✓
✓ -Warm water to help aid in starting urine stream
✓
✓ -May need bladder scan, straight cath, or foley
How long after birth should a patient be urinating and how much?
✓ 2-4 hours after birth, should be voiding at least 300mL
How to assess the bowels after birth + nursing actions:
✓ -Assess for last BM
✓
✓ -Fluids + ambulation
✓
✓ -Stool softener
Patient education for bowel patterns postpartum:
✓ -May not have a BM for a few days
✓
✓ -Hemorrhoids, episiotomy, or c-section may cause more difficulty having a BM
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