NSG 3500 - Exam 3 | UPDATED Questions with 100% Verified Answers
Question:
In the first two hours of post partum (vaginal) how often are
vitals checked?
Answer:
check every 15 min for 1st hour, every 30 min for 2nd hour
Question:
In the post partum recovery for c-section how often are vitals
checked?
Answer:
check every 15 min for 1st hour, then every 30 min for 4
hours post op
Question:
Normal temperature assessment for early post partum
Answer:
slight elevation up to 100.4 degrees is normal in response to
exertion and dehydration w/n first 24 hours
Question:
Abnormal Temperature assessment for early post partum
Answer:
>100.4 after 24 hours indicates infection
Question:
Normal Pulse finding in early maternal assessment
Answer:
bradycardia (50-70) is normal due to increased intravascular
colume
Question:
Abnormal pulse finding in early maternal assessment
, Answer:
tachycardia, indicates difficult labor, hemorrhage or infection
Question:
Abnormal respiration finding in early maternal assessment
Answer:
marked tachypnea is abnormal and may indicate pulmonary
disease, edema or emboli
Question:
What is a low bp finding in post partum a sign of?
Answer:
Late sign of hemorrhage
Question:
What to assess for low bp in post partum?
Answer:
decreased MAP, increased pulse, and cool clammy skin for
acute shock
Question:
Fundal assessment immediately after birth
Answer:
should be midline, firmly contracted, and palpable midway
between the umbilicus and symphysis pubis
Question:
Fundal assessment one hour after birth
Answer:
rises to the level of the umbilicus
Question:
Normal progression of Lochia in early post partum
, Answer:
rubra 1-2 in stain on pad, small clots with a fleshy odor
Question:
Abnormal progression of Lochia in early post partum
Answer:
Large amounts, large clots, or a foul smell are abnormal
Question:
Perineum assessment
Answer:
Assess the episiotomy or incision for redness, edema,
ecchymosis, and discharge; edges should be well
approximated
Question:
BUBBLE-E
Answer:
breast, uterus, bladder/bowel, lochia, episiotomy, emotional
status
Question:
breast assessment (nipples)
Answer:
check for everted, flat, inverted, intact, or cracked types
Question:
complications with nipples
Answer:
watch for cracks, fissures or engorgement
Question:
breast assessment (breast tissue)
Question:
In the first two hours of post partum (vaginal) how often are
vitals checked?
Answer:
check every 15 min for 1st hour, every 30 min for 2nd hour
Question:
In the post partum recovery for c-section how often are vitals
checked?
Answer:
check every 15 min for 1st hour, then every 30 min for 4
hours post op
Question:
Normal temperature assessment for early post partum
Answer:
slight elevation up to 100.4 degrees is normal in response to
exertion and dehydration w/n first 24 hours
Question:
Abnormal Temperature assessment for early post partum
Answer:
>100.4 after 24 hours indicates infection
Question:
Normal Pulse finding in early maternal assessment
Answer:
bradycardia (50-70) is normal due to increased intravascular
colume
Question:
Abnormal pulse finding in early maternal assessment
, Answer:
tachycardia, indicates difficult labor, hemorrhage or infection
Question:
Abnormal respiration finding in early maternal assessment
Answer:
marked tachypnea is abnormal and may indicate pulmonary
disease, edema or emboli
Question:
What is a low bp finding in post partum a sign of?
Answer:
Late sign of hemorrhage
Question:
What to assess for low bp in post partum?
Answer:
decreased MAP, increased pulse, and cool clammy skin for
acute shock
Question:
Fundal assessment immediately after birth
Answer:
should be midline, firmly contracted, and palpable midway
between the umbilicus and symphysis pubis
Question:
Fundal assessment one hour after birth
Answer:
rises to the level of the umbilicus
Question:
Normal progression of Lochia in early post partum
, Answer:
rubra 1-2 in stain on pad, small clots with a fleshy odor
Question:
Abnormal progression of Lochia in early post partum
Answer:
Large amounts, large clots, or a foul smell are abnormal
Question:
Perineum assessment
Answer:
Assess the episiotomy or incision for redness, edema,
ecchymosis, and discharge; edges should be well
approximated
Question:
BUBBLE-E
Answer:
breast, uterus, bladder/bowel, lochia, episiotomy, emotional
status
Question:
breast assessment (nipples)
Answer:
check for everted, flat, inverted, intact, or cracked types
Question:
complications with nipples
Answer:
watch for cracks, fissures or engorgement
Question:
breast assessment (breast tissue)
