Nur 254 OB Exam 2 Questions and Answers
1. Infections- ANSWER -temp up to 100.4 is normal during first 24 hrs
postpartum because dehydration. Dehydration greater than 100.4 F after 24 hrs
pp indicates infection
2. Hemorrhage- ANSWER --can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
3. treatment for engorgement- ANSWER -breastfeed frequently, use warm soaks,
apply warm packs before breastfeeding, apply ice packs between feeding
4. if client is breastfeeding- ANSWER -calorie needs increase by 200-500
calories/day
- the client may require increased fluids
5. chorioamnionitis- ANSWER -- inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
6. Rubra- ANSWER -bright red 1-3 days after delivery
7. Serosa- ANSWER -brownish pink discharge 4-10 days
8. Alba- ANSWER -white discharge 11-14 days
9. Fundal Assessment- ANSWER --Done to ensure it is contracted, feel
location, and tone (firm or boggy)
- have a client empty bladder
10. afterpains- ANSWER -Cramping pain after childbirth caused by alternating
relaxation and contraction of uterine muscles.
11. after delivery palpate the fundus- ANSWER -day 1
- u minus 1 day 2 - u minus 2
12. fundus deviated to the right- ANSWER -assist to empty bladder
13. Early postpartum hemorrhage- ANSWER --occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
14. clots vs placenta fragments- ANSWER -clots = squeezes
between fingers fragments = stays firm
15. hypovolemia shock signs- ANSWER -decreased BP, Increase HR, Increase
RR
16. macrosomia- ANSWER -large-bodied baby commonly seen in diabetic
pregnancies over 9 lbs
17. magnesium sulfate- ANSWER -treatment for
preterm labor stops contractions
18. magic number- ANSWER -100 bpm
19. meds to help the uterus contract- ANSWER --methergine
- hemabate
1/8
, Nur 254 OB Exam 2 Questions and Answers
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
2/8
1. Infections- ANSWER -temp up to 100.4 is normal during first 24 hrs
postpartum because dehydration. Dehydration greater than 100.4 F after 24 hrs
pp indicates infection
2. Hemorrhage- ANSWER --can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
3. treatment for engorgement- ANSWER -breastfeed frequently, use warm soaks,
apply warm packs before breastfeeding, apply ice packs between feeding
4. if client is breastfeeding- ANSWER -calorie needs increase by 200-500
calories/day
- the client may require increased fluids
5. chorioamnionitis- ANSWER -- inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
6. Rubra- ANSWER -bright red 1-3 days after delivery
7. Serosa- ANSWER -brownish pink discharge 4-10 days
8. Alba- ANSWER -white discharge 11-14 days
9. Fundal Assessment- ANSWER --Done to ensure it is contracted, feel
location, and tone (firm or boggy)
- have a client empty bladder
10. afterpains- ANSWER -Cramping pain after childbirth caused by alternating
relaxation and contraction of uterine muscles.
11. after delivery palpate the fundus- ANSWER -day 1
- u minus 1 day 2 - u minus 2
12. fundus deviated to the right- ANSWER -assist to empty bladder
13. Early postpartum hemorrhage- ANSWER --occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
14. clots vs placenta fragments- ANSWER -clots = squeezes
between fingers fragments = stays firm
15. hypovolemia shock signs- ANSWER -decreased BP, Increase HR, Increase
RR
16. macrosomia- ANSWER -large-bodied baby commonly seen in diabetic
pregnancies over 9 lbs
17. magnesium sulfate- ANSWER -treatment for
preterm labor stops contractions
18. magic number- ANSWER -100 bpm
19. meds to help the uterus contract- ANSWER --methergine
- hemabate
1/8
, Nur 254 OB Exam 2 Questions and Answers
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
2/8
