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NR 327 EXAM 1 REVIEW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

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NR 327 EXAM 1 REVIEW EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ Terms in this set (704) What percentage of PPH's are preventable? - 75% How many women are impacted by PPH? - 1 women in every 4 minutes If a patient has a vaginal birth, what estimated blood loss (EBL) indicates PPH is occurring? - 500 mL EBL If a patient has a C-section birth, what estimated blood loss (EBL) indicates PPH is occurring? - 1,000 mL EBL What are the minutes s/s criteria for a dx of Hemorrhage is occurring? - Saturation of a pad w/n 10 minutes indicates hemorrhage is occurring What are the hour(s) s/s criteria for a dx of Hemorrhage is occurring? - Saturation of a pad w/n 1 hour indicates hemorrhage is occurring What LOC changes occur with a PPH? - Patient can become lightheaded - patient can experience syncope What balance issues can a patient with PPH experience? - Vertigo What does syncope mean? temporary loss of consciousness caused by a fall in blood pressure What occurs to the heart rate as a s/s of PPH? - Tachycardia (Pulse rate goes up) What can a patient experience as a s/s of PPH? - Hypovolemia What occurs to the BP as a s/s of PPH? - Hypotension (Decrease in BP) What urinary s/s of PPH occurs as a s/s of PPH? - Oliguria What does Oliguria mean? Decreased urine output What weight risk factors are associated w/ PPH that are r/t Antepartum? - Obesity What medical history risk factors are associated w/ PPH that are r/t Antepartum? - History of PPH What does PPH Stand for? - Post partum hemorrhage What circulatory risk factors are associated w/ PPH that are r/t Antepartum? - Chronic HTN or HTN in general What Ethnicity is at a greater risk for PPH that are r/t Antepartum? - African Americans What gestational risk factors are associated w/ PPH that are r/t Antepartum? - Multiple Gestations (Multiple babies) - Twins - Triplets What baby weight risk factors are associated w/ PPH that are r/t Antepartum? - 4,000 g babies (larger baby What is the term describing a baby that is greater than 4,000 g? - Macrosomia What type of adverse effects of labor increases the risk of PPH during the intrapartum stage? - Lacerations What type of pregnancy increases the risk of PPH during the intrapartum stage? - Precipitous labor - C-sections too - Prolonged labors as well Why does lacerations increase the risk of PPH? - b/c the perineal area can tear during pregnancy What type of medical intervention (Procedure) increases the risk of PPH during the intrapartum stage? - episiotomy Why does episiotomy increase the risk for PPH? - b/c the doctor purposely cuts the perineal area to assist w/ vaginal labor How fast does a precipitous labor occur in? - typically w/n 3 hours Why does C-sections put the patient at risk for PPH? - b/c the surgery involves cutting (DUH) How does prolonged labors cause an increased risk for PPH? - due to the body becoming used to or less sensitivity to Pitocin What medication is given to a patient who is having a prolonged body? - Pitocin

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4/4/25, 6:06 NR 327 Exam 1 Review |
PM

NR 327 EXAM 1 REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++

Terms in this set (704)


What percentage of PPH's are - 75%
preventable?

How many women are impacted by PPH? - 1 women in every 4 minutes

If a patient has a vaginal birth, what - > 500 mL EBL
estimated blood loss (EBL) indicates PPH
is occurring?

If a patient has a C-section birth, what - > 1,000 mL EBL
estimated blood loss (EBL) indicates PPH
is occurring?

What are the minutes s/s criteria for a dx - Saturation of a pad w/n 10 minutes indicates hemorrhage is occurring
of Hemorrhage is occurring?

What are the hour(s) s/s criteria for a dx - Saturation of a pad w/n 1 hour indicates hemorrhage is occurring
of Hemorrhage is occurring?

- Patient can become lightheaded
What LOC changes occur with a PPH?
- patient can experience syncope

What balance issues can a patient - Vertigo
with PPH experience?

What does syncope mean? temporary loss of consciousness caused by a fall in blood pressure

What occurs to the heart rate as a s/s of - Tachycardia (Pulse rate goes up)
PPH?

What can a patient experience as a s/s of - Hypovolemia
PPH?

What occurs to the BP as a s/s of PPH? - Hypotension (Decrease in BP)

What urinary s/s of PPH occurs as a s/s of - Oliguria
PPH?

What does Oliguria mean? Decreased urine output

What weight risk factors are associated w/ - Obesity
PPH that are r/t Antepartum?

What medical history risk factors - History of PPH
are associated w/ PPH that are r/t
Antepartum?

What does PPH Stand for? - Post partum hemorrhage

What circulatory risk factors - Chronic HTN or HTN in general
are associated w/ PPH that
are r/t Antepartum?

What Ethnicity is at a greater risk for - African Americans
PPH that are r/t Antepartum?

What gestational risk factors - Multiple Gestations (Multiple babies)
are associated w/ PPH that - Twins
are r/t Antepartum? - Triplets




1/
5

, 4/4/25, 6:06 NR 327 Exam 1 Review |
PM
What baby weight risk factors are - < 4,000 g babies (larger baby
associated w/ PPH that are r/t
Antepartum?

What is the term describing a baby that - Macrosomia
is greater than 4,000 g?

What type of adverse effects of - Lacerations
labor increases the risk of PPH
during the intrapartum stage?

- Precipitous labor
What type of pregnancy increases the risk
- C-sections too
of PPH during the intrapartum stage?
- Prolonged labors as well

Why does lacerations increase the risk of - b/c the perineal area can tear during pregnancy
PPH?

What type of medical intervention - episiotomy
(Procedure) increases the risk of PPH
during the intrapartum stage?

Why does episiotomy increase the risk for - b/c the doctor purposely cuts the perineal area to assist w/ vaginal labor
PPH?

How fast does a precipitous labor - typically w/n 3 hours
occur in?

Why does C-sections put the patient at - b/c the surgery involves cutting (DUH)
risk for PPH?

How does prolonged labors cause an - due to the body becoming used to or less sensitivity to Pitocin
increased risk for PPH?

What medication is given to a patient who - Pitocin
is having a prolonged body?

How long does a prolonged labor - > 3 days
have to occur in order to put the patient
at risk during the intrapartum stage?

What is the number one cause of a PPH? - A FULL BLADDER!

What is the second main cause of a PPH? - RETAINING PLACENTA FRAGMENTS IS NUMBER 2 CAUSE OF PPH

What placenta risk factors increase the - retaining the placenta fragments
risk for PPH in the postpartum stage?

What urinary risk factors increase the risk - Full bladder / Urinary Retention
for PPH in the postpartum stage?

Why can placenta fragments cause in - due to the placenta being very vascular
increase risk for PPH?


- Tone
- Trauma
What are the four T's of PPH?
- Tissue
- Thrombin

What Thrombin risk factors increase the - Coagulation abnormalities
risk for PPH?

What tissue risk factors increase the risk - Retained placenta tissues
for PPH? - Placenta (accreta, abruption)

What type of placenta occurrences risk - Accreta
factors increase the risk for PPH? - Abruption




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