NR 327 Quiz #1 / Quiz #2 / Exam #1 |
Questions and correct detailed Answers
| 2026/27 Updates | 100% correct
When massaging the fundus, you may stop when:
a. its boggy
b. its firm
c. neither - ANSWER- -b. its firm
Post-Partum Hemorrhage (PPH) causes: - ANSWER- -1. Full Bladder
2. Retained Placental Fragments
What amount of blood loss is considered to be PPH during normal birth? - ANSWER- -> 500
quantitative blood loss
What amount of blood loss during a C-section is considered to be PPH? - ANSWER- -> 1000
quantitative blood loss
What is the first thing we do when a PPH is suspected? - ANSWER- -First, assess the fundus
(top of uterus):
- firm (like forehead) is expected finding
- squishy, boggy (like cheeks) is abnormal finding
True/False: A boggy uterus signifies that the uterus has not contracted and massaging is
required. - ANSWER- -True
,Emergent treatment of post partum patient in a pool of blood with a boggy fundus includes: -
ANSWER- -1. Massage the fundus without stopping
2. Call for help ASAP!
3. VS q5-10 mins
4. Ordered medications
5. Assess pads for blood output
6. Empty bladder
Which medication does a patient receive post delivery? - ANSWER- -Pitocin
What is pitocin? - ANSWER- -synthetic form of oxytocin; used to induce labor and control
bleeding post partum
What medications are given during PPH? - ANSWER- -- Pitocin IV
- Metherqine IM (DO NOT GIVE IF ↑ BP) → will work within a few minutes if going to work
- Hemabate IM (DO NOT GIVE WITH ASTHMA)
- Cytotec: Rectal 800-1000 mcg → works immediately
When is the start of the ovulation cycle? - ANSWER- -(Last day of menstrual cycle) - (14) days
= ovulation
If menstrual cycle is regular, intercourse is recommended when during times of attempting to
conceive:
a. 2 days before and 2 days after ovulation cycle
b. 3 days before and 3 days after ovulation cycle
, c. 4 days before and 4 days after ovulation cycle
d. 5 days before and 5 days after ovulation cycle
e. none of these - ANSWER- -d. 5 days before and 5 days after ovulation cycle
How long does sperm live?
a. 24 hours
b. 48 hours
c. 3-5 days
d. 6-8 days
e. none of these - ANSWER- -c. 3-5 days
How long can an ova be penetrated?
a. 12 hours
b. 24 hours
c. 48 hours
d. 72 hours - ANSWER- -b. 24 hours then after it builds a shell, it is no longer able to be
penetrated
What occurs in the body to begin ovulation? - ANSWER- -Progesterone levels drop → tells
hypothalamus→ tell anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and
luteinizing hormone (LH) Ovulation begins 36-48 hours after
What is the purpose of FSH? - ANSWER- -Aids in maturation of the ova
What is the purpose of LH? - ANSWER- -It causes the egg to be released.
How do our progesterone levels increase after fertilization? - ANSWER- -The corpus luteum
(hole where ova originally was) begins to release increased progesterone levels; 6 weeks in total
until placenta takes over role.
Nagele's Rule - ANSWER- -1st day of last period, + 7 days, - 3 months, then add +1 year if
applicable
Questions and correct detailed Answers
| 2026/27 Updates | 100% correct
When massaging the fundus, you may stop when:
a. its boggy
b. its firm
c. neither - ANSWER- -b. its firm
Post-Partum Hemorrhage (PPH) causes: - ANSWER- -1. Full Bladder
2. Retained Placental Fragments
What amount of blood loss is considered to be PPH during normal birth? - ANSWER- -> 500
quantitative blood loss
What amount of blood loss during a C-section is considered to be PPH? - ANSWER- -> 1000
quantitative blood loss
What is the first thing we do when a PPH is suspected? - ANSWER- -First, assess the fundus
(top of uterus):
- firm (like forehead) is expected finding
- squishy, boggy (like cheeks) is abnormal finding
True/False: A boggy uterus signifies that the uterus has not contracted and massaging is
required. - ANSWER- -True
,Emergent treatment of post partum patient in a pool of blood with a boggy fundus includes: -
ANSWER- -1. Massage the fundus without stopping
2. Call for help ASAP!
3. VS q5-10 mins
4. Ordered medications
5. Assess pads for blood output
6. Empty bladder
Which medication does a patient receive post delivery? - ANSWER- -Pitocin
What is pitocin? - ANSWER- -synthetic form of oxytocin; used to induce labor and control
bleeding post partum
What medications are given during PPH? - ANSWER- -- Pitocin IV
- Metherqine IM (DO NOT GIVE IF ↑ BP) → will work within a few minutes if going to work
- Hemabate IM (DO NOT GIVE WITH ASTHMA)
- Cytotec: Rectal 800-1000 mcg → works immediately
When is the start of the ovulation cycle? - ANSWER- -(Last day of menstrual cycle) - (14) days
= ovulation
If menstrual cycle is regular, intercourse is recommended when during times of attempting to
conceive:
a. 2 days before and 2 days after ovulation cycle
b. 3 days before and 3 days after ovulation cycle
, c. 4 days before and 4 days after ovulation cycle
d. 5 days before and 5 days after ovulation cycle
e. none of these - ANSWER- -d. 5 days before and 5 days after ovulation cycle
How long does sperm live?
a. 24 hours
b. 48 hours
c. 3-5 days
d. 6-8 days
e. none of these - ANSWER- -c. 3-5 days
How long can an ova be penetrated?
a. 12 hours
b. 24 hours
c. 48 hours
d. 72 hours - ANSWER- -b. 24 hours then after it builds a shell, it is no longer able to be
penetrated
What occurs in the body to begin ovulation? - ANSWER- -Progesterone levels drop → tells
hypothalamus→ tell anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and
luteinizing hormone (LH) Ovulation begins 36-48 hours after
What is the purpose of FSH? - ANSWER- -Aids in maturation of the ova
What is the purpose of LH? - ANSWER- -It causes the egg to be released.
How do our progesterone levels increase after fertilization? - ANSWER- -The corpus luteum
(hole where ova originally was) begins to release increased progesterone levels; 6 weeks in total
until placenta takes over role.
Nagele's Rule - ANSWER- -1st day of last period, + 7 days, - 3 months, then add +1 year if
applicable
