NUR230 Maternity Exam 2 EXAM ACTUAL EXAM/ MOSTLY
TESTED QUESTIONS AND CORRECT DETAILED ANSWERS| 100%
CORRECT SOLUTIONS/GRADE A+
Involution
Ans: return of the uterus to prepregnant state, should occur at a rate of 1-2cm per day and at 2 weeks
postpartum should not be felt externally
Changes in uterus during postpartum
Ans: Within 24hours, the uterus should be at the umbilicus
Postpartum assessment
Ans: Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy, Epidural site, Emotional status
Promoting recovery and self-care: Activity and Rest
Ans: Encourage early and frequent ambulation. Rest as much as possible, sleep when baby sleeps
Promoting recovery and self-care: Perineal Care
,Ans: Perineal hygiene, topical medications, ice packs, sitz baths
Postpartum Bowel and Bladder
Ans: COCA- color, odor, consistency, amount, time of last void/BM
Distended bladder, flatus
auscultate bowel sounds
Lochia Rubra
Ans: 1-4 days, bright red
Lochia Serosa
Ans: 4-10days, pink to brown
Lochia Alba
Ans: 10 days-6 weeks, white to yellowish
Lochia Teaching
Ans: Odor should be similar to menstrual flow, foul odor indicates infection. Notify PCP if you notice
clots larger than a quarter, or if color of lochia reverts to previous stages
, Early Postpartum Hemorrhage
Ans: Occurs within 24hours, commonly caused by uterine atony.
Early Postpartum Hemorrhage risk factors
Ans: macrosomia, multiple gestation, polyhydramnios, prolonged labor, use of mag. sulfate, use of
pitocin, unrepaired lacerations, hematomas
Early PPH: unrepaired lacerations of perineum or vaginal canal
Ans: Monitor for continuous trickle of bright red blood
Early PPH: Hematoma of perineal area or vaginal
Ans: Pt complains of unrelieved pain or pressure, may or may not be visible, can be caused by forceps
or vacuum delivery
Postpartum medications
Ans: Oxytocin, Methergine, Misoprostol, Carboprost, Dinoprostone
Late Postpartum Hemorrhage
Ans: More than 24hours but less than a week after birth, commonly caused by retained placenta
TESTED QUESTIONS AND CORRECT DETAILED ANSWERS| 100%
CORRECT SOLUTIONS/GRADE A+
Involution
Ans: return of the uterus to prepregnant state, should occur at a rate of 1-2cm per day and at 2 weeks
postpartum should not be felt externally
Changes in uterus during postpartum
Ans: Within 24hours, the uterus should be at the umbilicus
Postpartum assessment
Ans: Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy, Epidural site, Emotional status
Promoting recovery and self-care: Activity and Rest
Ans: Encourage early and frequent ambulation. Rest as much as possible, sleep when baby sleeps
Promoting recovery and self-care: Perineal Care
,Ans: Perineal hygiene, topical medications, ice packs, sitz baths
Postpartum Bowel and Bladder
Ans: COCA- color, odor, consistency, amount, time of last void/BM
Distended bladder, flatus
auscultate bowel sounds
Lochia Rubra
Ans: 1-4 days, bright red
Lochia Serosa
Ans: 4-10days, pink to brown
Lochia Alba
Ans: 10 days-6 weeks, white to yellowish
Lochia Teaching
Ans: Odor should be similar to menstrual flow, foul odor indicates infection. Notify PCP if you notice
clots larger than a quarter, or if color of lochia reverts to previous stages
, Early Postpartum Hemorrhage
Ans: Occurs within 24hours, commonly caused by uterine atony.
Early Postpartum Hemorrhage risk factors
Ans: macrosomia, multiple gestation, polyhydramnios, prolonged labor, use of mag. sulfate, use of
pitocin, unrepaired lacerations, hematomas
Early PPH: unrepaired lacerations of perineum or vaginal canal
Ans: Monitor for continuous trickle of bright red blood
Early PPH: Hematoma of perineal area or vaginal
Ans: Pt complains of unrelieved pain or pressure, may or may not be visible, can be caused by forceps
or vacuum delivery
Postpartum medications
Ans: Oxytocin, Methergine, Misoprostol, Carboprost, Dinoprostone
Late Postpartum Hemorrhage
Ans: More than 24hours but less than a week after birth, commonly caused by retained placenta
