NUR 254 EXAM 2 REVIEW PART 1 QUESTIONS AND ANSWERS -
GALEN COLLEGE OF NURSING
Postpartum Hemorrhaging Check the Peri-pads to determine how much the patient is hemorrhaging
Vaginal Delivery Blood Loss 500ml
C section Delivery Blood Loss 1000ml
Lochia Postpartum Discharge
Rubra Lasts 3 to 5 days
Serosa Last 3 days to 2 weeks
Alba White or yellowish discharge
Rubra Red discharge
Serosa Pink discharge
Discharge order Rubra, Serosa, Alba
Promote Uterine Contraction Breast feeding
Promote Uterine Contraction Administration of Oxytocin
Promote Uterine Contraction Massage the uterus
Uterus Sits above the umbilicus immediately after delivery
Uterus Boggy after delivery
Uterus Back into normal position after 9 days (true pelvis)
Location of the Fundus Feel at the top
Boggy Fundus Treatment: Massage, massage, massage
, Lack of contraction of fundus Cause: Full bladder
Lack of contraction of fundus Cause: Lack of feeling in the lower half of the bladder due to epideral
Deviates uterus to the side Cause: Full bladder
Difficulty emptying the bladder Cause: Macrosomic baby
Difficulty emptying the bladder Cause: Twins
Difficulty emptying the bladder Treatment: Quick Catheterization
Lack of contraction of Uterus When was the last time you voided?
Too much bleeding Saturated peripad within and hour
Perineum on fire (painful) Treatment: First 24 hours use cold (ice). 10 mins on 10 mins off
GALEN COLLEGE OF NURSING
Postpartum Hemorrhaging Check the Peri-pads to determine how much the patient is hemorrhaging
Vaginal Delivery Blood Loss 500ml
C section Delivery Blood Loss 1000ml
Lochia Postpartum Discharge
Rubra Lasts 3 to 5 days
Serosa Last 3 days to 2 weeks
Alba White or yellowish discharge
Rubra Red discharge
Serosa Pink discharge
Discharge order Rubra, Serosa, Alba
Promote Uterine Contraction Breast feeding
Promote Uterine Contraction Administration of Oxytocin
Promote Uterine Contraction Massage the uterus
Uterus Sits above the umbilicus immediately after delivery
Uterus Boggy after delivery
Uterus Back into normal position after 9 days (true pelvis)
Location of the Fundus Feel at the top
Boggy Fundus Treatment: Massage, massage, massage
, Lack of contraction of fundus Cause: Full bladder
Lack of contraction of fundus Cause: Lack of feeling in the lower half of the bladder due to epideral
Deviates uterus to the side Cause: Full bladder
Difficulty emptying the bladder Cause: Macrosomic baby
Difficulty emptying the bladder Cause: Twins
Difficulty emptying the bladder Treatment: Quick Catheterization
Lack of contraction of Uterus When was the last time you voided?
Too much bleeding Saturated peripad within and hour
Perineum on fire (painful) Treatment: First 24 hours use cold (ice). 10 mins on 10 mins off
