NM705 EXAM 1 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS
Third Stage of Labor
Process of delivering placenta and membranes.
Fourth Stage of Labor
Begins after placenta delivery, lasts 1 hour.
Maternal Postpartum Mortality Causes
Includes self-harm, hemorrhage, sepsis, thromboembolism.
Normal Blood Pressure Range
> 85/60 but < 140/90 mmHg postpartum.
Normal Pulse Rate
65-80 bpm at rest, decreases in 10 days.
Respiratory Rate
Normal range is 12-16 breaths/min at rest.
Vital Signs Monitoring Frequency
Every 15 min for first 2 hours postpartum. Then every 4 hours for the next 8 hours and
every 8 hours thereafter
Physiologic Diuresis
Up to 3000 mL/day postpartum fluid loss.
Hypercoagulability Duration
Continues for 24-48 hours postpartum.
, Thromboembolism Prevention
Hydration, ambulation, avoid leg crossing.
Hemoglobin Change
1 gm drop = 500 mL blood loss.
Hematocrit Change
3% drop = 500 mL blood loss.
Afterpains
Intense pain in first 3 days postpartum.
Sub-Involution
Uterus fails to return to pre-pregnancy size.
Signs of Sub-Involution
Increased bleeding, return of lochia rubra.
Fundal Height Measurement
Uterus ideally at umbilicus post-birth.
Diaphoresis
Up to 5 lbs. water weight loss in week.
Increased Stroke Volume
SV and CO increase by 80% postpartum.
4T Causes of PPH
Tone, Tissue, Trauma, Thrombin causes of bleeding.
REEDA
Assessment method for perineal healing.
Uterine Prolapse
COMPLETE SOLUTIONS
Third Stage of Labor
Process of delivering placenta and membranes.
Fourth Stage of Labor
Begins after placenta delivery, lasts 1 hour.
Maternal Postpartum Mortality Causes
Includes self-harm, hemorrhage, sepsis, thromboembolism.
Normal Blood Pressure Range
> 85/60 but < 140/90 mmHg postpartum.
Normal Pulse Rate
65-80 bpm at rest, decreases in 10 days.
Respiratory Rate
Normal range is 12-16 breaths/min at rest.
Vital Signs Monitoring Frequency
Every 15 min for first 2 hours postpartum. Then every 4 hours for the next 8 hours and
every 8 hours thereafter
Physiologic Diuresis
Up to 3000 mL/day postpartum fluid loss.
Hypercoagulability Duration
Continues for 24-48 hours postpartum.
, Thromboembolism Prevention
Hydration, ambulation, avoid leg crossing.
Hemoglobin Change
1 gm drop = 500 mL blood loss.
Hematocrit Change
3% drop = 500 mL blood loss.
Afterpains
Intense pain in first 3 days postpartum.
Sub-Involution
Uterus fails to return to pre-pregnancy size.
Signs of Sub-Involution
Increased bleeding, return of lochia rubra.
Fundal Height Measurement
Uterus ideally at umbilicus post-birth.
Diaphoresis
Up to 5 lbs. water weight loss in week.
Increased Stroke Volume
SV and CO increase by 80% postpartum.
4T Causes of PPH
Tone, Tissue, Trauma, Thrombin causes of bleeding.
REEDA
Assessment method for perineal healing.
Uterine Prolapse
