NUR 3500 FINAL QUESTIONS WITH CORRECT
ANSWERS
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effe
sw sw sw sw sw sw sw sw sw sw sw sw
cts? - ans- sw swsw
Tachycardia (look for increased HR) (normally used bronchodilator causing tachycardia)
sw sw sw sw sw sw sw sw sw
Female pt telling how to check basal temp to determine when ovulating. What is time fram
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
e they should be following to take basal temp? - ans-
sw sw sw sw sw sw sw sw sw swsw
morning before getting up (have thermometer at bedside)
sw sw sw sw sw sw sw
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position wo
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
uld you expect her fundus to be at? - ans-Level of umbilicus
sw sw sw sw sw sw sw sw swsw sw sw
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? -
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ans-Three fingers pressed above the fundus and displaced to the side
swsw sw sw sw sw sw sw sw sw sw sw
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med h
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
istory, surg history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), tem
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
p 99, HR 120, RR 50, skin warm and dry, color consistent, mild amount of lanugo present,
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
head circumference 34 cm, sutures, anterior fontanel flat and soft, pupils equal reactive to
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
light, no retractions, umbilical cord clamped, no herniations, sac noted on lumbar area, refl
sw sw sw sw sw sw sw sw sw sw sw sw sw
exes intact, meconium stool noted. What is the diagnosis? What are the actions to take?
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
What parameters should be monitored? - ans--Diagnosis: meningocele
sw sw sw sw sw sw swsw sw
-Actions to take: (sterile dressing) moist compress, place prone position
sw sw sw sw sw sw sw sw sw
-Monitor: CSF leakage, head circumference sw sw sw sw
Have group of pts on intrapartum unit, what would you report to provider immediately? -
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ans-Epigastric pain and unresolved headache
swsw sw sw sw sw
Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm int
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
o labor, -
sw sw
1 station, client reports needs to have bowel movement, sterile vaginal exam, 10cm, 100
sw sw sw sw sw sw sw sw sw sw sw sw sw
% effaced, FHR 130, variable decels, provider notified, 3:03 and fetal head crowning with
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
provider there. What condition and 2 actions and 2 monitors. - ans--
sw sw sw sw sw sw sw sw sw sw swsw
Diagnosis: Shoulder dystocia sw sw
-
Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts positio
sw sw sw sw sw sw sw sw sw sw sw
n)
-Monitor: movement of upper extremities, maternal perineum for trauma
sw sw sw sw sw sw sw sw
Providing teaching to 30 week gestation mom to have non stress test. What would tell you
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
pt needs further teaching? - ans-
sw sw sw sw swsw
,She thinks she has to lie flat on her back during the test (needs to be in semi fowlers positi
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
on)
Teaching 23 week gestation about immunizations. What would you include in her teaching
sw sw sw sw sw sw sw sw sw sw sw sw
? - ans--Do not get rubella when pregnant
sw swsw sw sw sw sw sw
-varicella do not get pregnant 28 days sw sw sw sw sw sw
-you can receive flu shot
sw sw sw sw
-you cannot get TDAP vaccine
sw sw sw sw
Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. H
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
R 82, RR16, HR 81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw s
weight gain last 2 weeks, headache and Tylenol does not relieve, swelling of fingers and h
w sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ands, DTR 3+, Fetal heart tones 148. What to report? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
Report BP, visual disturbances, 6 lb weight, DTR
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Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
no accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
sec. Which of the following interpretations of finding would the nurse make? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
Nonreactive test sw
Nurse caring for new mother concerned about newborns eyes being crossed/
sw sw sw sw sw sw sw sw sw sw
closed. Which of the following statements is therapeutic response? - ans-
sw sw sw sw sw sw sw sw sw swsw
This occurs because newborns lack muscle control to regulate eye movement (last 3-
sw sw sw sw sw sw sw sw sw sw sw sw
6 months)
sw
First trimester pregnancy and asked if she can continue to exercise during pregnancy. Wh
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at would be your response? - ans-
sw sw sw sw sw swsw
Daily light jogging up to 30 min is fine throughout pregnancy
sw sw sw sw sw sw sw sw sw sw
Interviewing client who has possible endometriosis. What in the history would be consistesw sw sw sw sw sw sw sw sw sw sw sw
nt with this diagnosis? - ans-Dysmenorrhea unresponsive to NSAIDs
sw sw sw sw swsw sw sw sw
Nurse teaching group of teens about condoms to prevent STDs. Which of the following sta
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
tements should nurse include in teaching? - ans- sw sw sw sw sw sw swsw
Female condoms can help prevent sexually transmitted viruses
sw sw sw sw sw sw sw
Have 35 year old with fibrocystic disease of breast. At which of the following times should
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
nurse inform client manifestations are most present? - ans-
sw sw sw sw sw sw sw swsw
Before menstruation (painful breasts, smooth lumps); reducing caffeine and salt may help
sw sw sw sw sw sw sw sw sw sw sw sw
for benign fibrocystic disease
sw sw sw
Caring for middle adult female client reports menstrual periods irregular and having hot fla
sw sw sw sw sw sw sw sw sw sw sw sw sw
shes. What should you expect to have for early menopause? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
Dryness with intercourse sw sw
, Assessing client for postpartum infection. What finding indicate client assessment needs f
sw sw sw sw sw sw sw sw sw sw sw
or endometritis? - ans-pelvic pain
sw sw swsw sw
Caring for 2 hr postpartum, see slow perineal pad in 10 min, skin color ashen, weak and lig
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
htheaded, oxygen nonrebreather mask 10mL. What actions should she do? - ans- sw sw sw sw sw sw sw sw sw sw swsw
Fundal massage to promote contractions sw sw sw sw
Reviewing contraceptive options for poor clients. Nurse should identify which client has co
sw sw sw sw sw sw sw sw sw sw sw sw
ntraindications for receiving oral contraceptives? - ans- sw sw sw sw sw swsw
38 year old smoking 6 packs of cigarettes a day
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Nurse in antepartum clinic, client on fetal monitor, fetal heart 120, abdomen soft nontende
sw sw sw sw sw sw sw sw sw sw sw sw sw
r, cramping, burns when urinate, vag exam 2 cm 100% effaced, 0 station, bloody mucus o
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
n glove, 12:30 FHR 145, uterine contractions every 2 min, client reports pain 6/10, provide
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
r notified and prescriptions received, review assessment findings. - ans--
sw sw sw sw sw sw sw sw swsw
preterm labor: vag exam, vag discharge sw sw sw sw sw
-pain: preterm labor and UTI sw sw sw sw
-UTI: temp 100.5 sw sw
34 week gestation who has preeclampsia. Temp 98.9, BP 160/105, HR 89, RR 20, sats 97
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
. antepartum going home interventions preeclampsia. Bedrest 3 weeks and labetalol. Gra
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vida4 para3, history of preeclampsia, diet control, Hgb 11, Hct 35, platelet 98,000, creatini
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ne 1.5, BUN 30, uric acid 10, proteinuria 3, client is awake reports headache started yester
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day 7/10, DTR 3+, pitting edema +3 and lower extremities, dizziness and blurred vision, re
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
viewing EMR, anticipated, nonessential or contraindicated? - ans--
sw sw sw sw sw sw swsw
Anticipated: Mag sulfate 4g IV bolus, restrict fluid 125 mL/ sw sw sw sw sw sw sw sw sw
hr, keep lights dim, monitor BP and RR every 15 min
sw sw sw sw sw sw sw sw sw sw
-Contraindicated: client in supine position sw sw sw sw
-Nonessential: urine specimen and culture sw sw sw sw
Caring for someone in labor, gravida 1 para 0, admitted 14 hrs ago spontaneous ROM, co
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ntractions lasting 30- sw sw
45 sec, FHR 130 moderate variability and accelerations. Client ambulating and now restin
sw sw sw sw sw sw sw sw sw sw sw sw
g in bed, rates pain contractions 3/10. cervical exam 2 cm dilated, 75% effaced and -
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1 station, 8 hrs ago 4cm dilated, -
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1 station, 4 hrs ago, 90% effaced, 30 min ago 40. 130/82, HR 98, RR 20, sats 98. Hgb 11.5
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
, hct 35, platelet 320,000. - ans--Diagnosis: dysfunctional labor
sw sw sw sw sw swsw sw sw
-Actions to take: change client position, oxytocin sw sw sw sw sw sw
-Monitor: frequency of uterine contractions, cervical dilatations sw sw sw sw sw sw
Pt who is 2 days postpartum, figure out condition and actions and monitoring. Gravida 4 p
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ara 3 forceps assisted birth and epidural anesthesia, laceration with repair. EBL 600. temp
sw sw sw sw sw sw sw sw sw sw sw sw sw s
101, BP 130/72, HR 102, RR 20, sats 98. has hydrocodone and Tylenol every 4 hr for mod
w sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
erate to sever pain and ibuprofen for cramping and mild pain. Eat 25% breakfast, face flus
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
hed, HR regular, clear breath sounds, bowel sounds active, fundus boggy 1 cm above um
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
bilicus, lochia rubria, fundal massage performed, expressed 2 golf size clots, pain 6/10, gri
sw sw sw sw sw sw sw sw sw sw sw sw sw
ANSWERS
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effe
sw sw sw sw sw sw sw sw sw sw sw sw
cts? - ans- sw swsw
Tachycardia (look for increased HR) (normally used bronchodilator causing tachycardia)
sw sw sw sw sw sw sw sw sw
Female pt telling how to check basal temp to determine when ovulating. What is time fram
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
e they should be following to take basal temp? - ans-
sw sw sw sw sw sw sw sw sw swsw
morning before getting up (have thermometer at bedside)
sw sw sw sw sw sw sw
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position wo
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
uld you expect her fundus to be at? - ans-Level of umbilicus
sw sw sw sw sw sw sw sw swsw sw sw
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? -
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ans-Three fingers pressed above the fundus and displaced to the side
swsw sw sw sw sw sw sw sw sw sw sw
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med h
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
istory, surg history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), tem
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
p 99, HR 120, RR 50, skin warm and dry, color consistent, mild amount of lanugo present,
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
head circumference 34 cm, sutures, anterior fontanel flat and soft, pupils equal reactive to
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
light, no retractions, umbilical cord clamped, no herniations, sac noted on lumbar area, refl
sw sw sw sw sw sw sw sw sw sw sw sw sw
exes intact, meconium stool noted. What is the diagnosis? What are the actions to take?
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
What parameters should be monitored? - ans--Diagnosis: meningocele
sw sw sw sw sw sw swsw sw
-Actions to take: (sterile dressing) moist compress, place prone position
sw sw sw sw sw sw sw sw sw
-Monitor: CSF leakage, head circumference sw sw sw sw
Have group of pts on intrapartum unit, what would you report to provider immediately? -
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ans-Epigastric pain and unresolved headache
swsw sw sw sw sw
Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm int
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
o labor, -
sw sw
1 station, client reports needs to have bowel movement, sterile vaginal exam, 10cm, 100
sw sw sw sw sw sw sw sw sw sw sw sw sw
% effaced, FHR 130, variable decels, provider notified, 3:03 and fetal head crowning with
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
provider there. What condition and 2 actions and 2 monitors. - ans--
sw sw sw sw sw sw sw sw sw sw swsw
Diagnosis: Shoulder dystocia sw sw
-
Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts positio
sw sw sw sw sw sw sw sw sw sw sw
n)
-Monitor: movement of upper extremities, maternal perineum for trauma
sw sw sw sw sw sw sw sw
Providing teaching to 30 week gestation mom to have non stress test. What would tell you
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
pt needs further teaching? - ans-
sw sw sw sw swsw
,She thinks she has to lie flat on her back during the test (needs to be in semi fowlers positi
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
on)
Teaching 23 week gestation about immunizations. What would you include in her teaching
sw sw sw sw sw sw sw sw sw sw sw sw
? - ans--Do not get rubella when pregnant
sw swsw sw sw sw sw sw
-varicella do not get pregnant 28 days sw sw sw sw sw sw
-you can receive flu shot
sw sw sw sw
-you cannot get TDAP vaccine
sw sw sw sw
Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. H
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
R 82, RR16, HR 81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw s
weight gain last 2 weeks, headache and Tylenol does not relieve, swelling of fingers and h
w sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ands, DTR 3+, Fetal heart tones 148. What to report? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
Report BP, visual disturbances, 6 lb weight, DTR
sw sw sw sw sw sw sw
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
no accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
sec. Which of the following interpretations of finding would the nurse make? - ans-
sw sw sw sw sw sw sw sw sw sw sw sw swsw
Nonreactive test sw
Nurse caring for new mother concerned about newborns eyes being crossed/
sw sw sw sw sw sw sw sw sw sw
closed. Which of the following statements is therapeutic response? - ans-
sw sw sw sw sw sw sw sw sw swsw
This occurs because newborns lack muscle control to regulate eye movement (last 3-
sw sw sw sw sw sw sw sw sw sw sw sw
6 months)
sw
First trimester pregnancy and asked if she can continue to exercise during pregnancy. Wh
sw sw sw sw sw sw sw sw sw sw sw sw sw
at would be your response? - ans-
sw sw sw sw sw swsw
Daily light jogging up to 30 min is fine throughout pregnancy
sw sw sw sw sw sw sw sw sw sw
Interviewing client who has possible endometriosis. What in the history would be consistesw sw sw sw sw sw sw sw sw sw sw sw
nt with this diagnosis? - ans-Dysmenorrhea unresponsive to NSAIDs
sw sw sw sw swsw sw sw sw
Nurse teaching group of teens about condoms to prevent STDs. Which of the following sta
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
tements should nurse include in teaching? - ans- sw sw sw sw sw sw swsw
Female condoms can help prevent sexually transmitted viruses
sw sw sw sw sw sw sw
Have 35 year old with fibrocystic disease of breast. At which of the following times should
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
nurse inform client manifestations are most present? - ans-
sw sw sw sw sw sw sw swsw
Before menstruation (painful breasts, smooth lumps); reducing caffeine and salt may help
sw sw sw sw sw sw sw sw sw sw sw sw
for benign fibrocystic disease
sw sw sw
Caring for middle adult female client reports menstrual periods irregular and having hot fla
sw sw sw sw sw sw sw sw sw sw sw sw sw
shes. What should you expect to have for early menopause? - ans-
sw sw sw sw sw sw sw sw sw sw swsw
Dryness with intercourse sw sw
, Assessing client for postpartum infection. What finding indicate client assessment needs f
sw sw sw sw sw sw sw sw sw sw sw
or endometritis? - ans-pelvic pain
sw sw swsw sw
Caring for 2 hr postpartum, see slow perineal pad in 10 min, skin color ashen, weak and lig
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
htheaded, oxygen nonrebreather mask 10mL. What actions should she do? - ans- sw sw sw sw sw sw sw sw sw sw swsw
Fundal massage to promote contractions sw sw sw sw
Reviewing contraceptive options for poor clients. Nurse should identify which client has co
sw sw sw sw sw sw sw sw sw sw sw sw
ntraindications for receiving oral contraceptives? - ans- sw sw sw sw sw swsw
38 year old smoking 6 packs of cigarettes a day
sw sw sw sw sw sw sw sw sw
Nurse in antepartum clinic, client on fetal monitor, fetal heart 120, abdomen soft nontende
sw sw sw sw sw sw sw sw sw sw sw sw sw
r, cramping, burns when urinate, vag exam 2 cm 100% effaced, 0 station, bloody mucus o
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
n glove, 12:30 FHR 145, uterine contractions every 2 min, client reports pain 6/10, provide
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
r notified and prescriptions received, review assessment findings. - ans--
sw sw sw sw sw sw sw sw swsw
preterm labor: vag exam, vag discharge sw sw sw sw sw
-pain: preterm labor and UTI sw sw sw sw
-UTI: temp 100.5 sw sw
34 week gestation who has preeclampsia. Temp 98.9, BP 160/105, HR 89, RR 20, sats 97
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
. antepartum going home interventions preeclampsia. Bedrest 3 weeks and labetalol. Gra
sw sw sw sw sw sw sw sw sw sw sw
vida4 para3, history of preeclampsia, diet control, Hgb 11, Hct 35, platelet 98,000, creatini
sw sw sw sw sw sw sw sw sw sw sw sw sw
ne 1.5, BUN 30, uric acid 10, proteinuria 3, client is awake reports headache started yester
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
day 7/10, DTR 3+, pitting edema +3 and lower extremities, dizziness and blurred vision, re
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
viewing EMR, anticipated, nonessential or contraindicated? - ans--
sw sw sw sw sw sw swsw
Anticipated: Mag sulfate 4g IV bolus, restrict fluid 125 mL/ sw sw sw sw sw sw sw sw sw
hr, keep lights dim, monitor BP and RR every 15 min
sw sw sw sw sw sw sw sw sw sw
-Contraindicated: client in supine position sw sw sw sw
-Nonessential: urine specimen and culture sw sw sw sw
Caring for someone in labor, gravida 1 para 0, admitted 14 hrs ago spontaneous ROM, co
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ntractions lasting 30- sw sw
45 sec, FHR 130 moderate variability and accelerations. Client ambulating and now restin
sw sw sw sw sw sw sw sw sw sw sw sw
g in bed, rates pain contractions 3/10. cervical exam 2 cm dilated, 75% effaced and -
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
1 station, 8 hrs ago 4cm dilated, -
sw sw sw sw sw sw sw
1 station, 4 hrs ago, 90% effaced, 30 min ago 40. 130/82, HR 98, RR 20, sats 98. Hgb 11.5
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
, hct 35, platelet 320,000. - ans--Diagnosis: dysfunctional labor
sw sw sw sw sw swsw sw sw
-Actions to take: change client position, oxytocin sw sw sw sw sw sw
-Monitor: frequency of uterine contractions, cervical dilatations sw sw sw sw sw sw
Pt who is 2 days postpartum, figure out condition and actions and monitoring. Gravida 4 p
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ara 3 forceps assisted birth and epidural anesthesia, laceration with repair. EBL 600. temp
sw sw sw sw sw sw sw sw sw sw sw sw sw s
101, BP 130/72, HR 102, RR 20, sats 98. has hydrocodone and Tylenol every 4 hr for mod
w sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
erate to sever pain and ibuprofen for cramping and mild pain. Eat 25% breakfast, face flus
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
hed, HR regular, clear breath sounds, bowel sounds active, fundus boggy 1 cm above um
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
bilicus, lochia rubria, fundal massage performed, expressed 2 golf size clots, pain 6/10, gri
sw sw sw sw sw sw sw sw sw sw sw sw sw
