©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
NURS 371 Exam 2 Questions 100% Solved.
1st Degree Lacerations (laceration degrees) - answer✔Involves only skin and superficial
structures above muscle
2nd Degree Lacerations (laceration degrees) - answer✔Extends through perineal muscles
3rd Degree Lacerations (laceration degrees) - answer✔Extends through the anal sphincter muscle
4th Degree Lacerations (laceration degrees) - answer✔Continues through anterior rectal wall
Stages of Adaptation - answer✔-Taking in phase
-Taking hold phase
-Letting go phase
Taking in Phase (stages of adaptation) - answer✔-Time immediately after birth when the client
needs others to meet her needs & relives the birth process
-Mother demonstrates dependent behaviors & assumes a passive role in meeting own basic needs
Taking Hold Phase (stages of adaptation) - answer✔-Second phase characterized by dependent
and independent maternal behavior
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
-Mother becomes preoccupied with the present
Letting Go Phase (stages of adaptation) - answer✔-Third phase in which woman reestablishes
relationships with others
-Mother reestablishes relationships with others and demonstrates increased responsibility &
confidence in caring for the newborn
Episiotomy Care - answer✔-Assess every 8 hours
-Apply ice to relieve discomfort & reduce edema (first measure)
-Sitz baths also can promote comfort and perineal healing (effective after first 24 hours)
-Use peri-bottle to clean site & blot dry instead of rubbing
BUBBLEEE (postpartum assessment) - answer✔-Breasts (size, contour, engorgement)
-Uterus (height of fundus, firmness)
-Bladder (voiding, bladder emptying)
-Bowels (bowel sounds, distention)
-Lochia (amount, color, odor)
-Episiotomy/Perineum & Epidural site (lacerations, hematoma)
-Extremities
-Emotional status
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Risk Factors for Postpartum Infection (postpartum assessment) - answer✔-Operative procedure
(forceps, cesarean birth, vacuum extraction)
-History of diabetes, including gestational-onset diabetes
-Prolonged labor (more than 24 hours)
-Use of indwelling urinary catheter
-Anemia (hemoglobin < 10.5 mg/dL)
-Multiple vaginal examinations during labor
-Prolonged rupture of membranes (>24 hours)
-Manual extraction of placenta
-Compromised immune system (HIV positive)
Risk Factors for Postpartum Hemorrhage (postpartum assessment) - answer✔-Precipitous labor
(less than 3 hours)
-Uterine atony
-Placenta previa or abruptio placenta
-Labor induction or augmentation
-Operative procedures (vacuum extraction, forceps, cesarean birth)
-Retained placental fragments
10/11/2024 1:41 PM
NURS 371 Exam 2 Questions 100% Solved.
1st Degree Lacerations (laceration degrees) - answer✔Involves only skin and superficial
structures above muscle
2nd Degree Lacerations (laceration degrees) - answer✔Extends through perineal muscles
3rd Degree Lacerations (laceration degrees) - answer✔Extends through the anal sphincter muscle
4th Degree Lacerations (laceration degrees) - answer✔Continues through anterior rectal wall
Stages of Adaptation - answer✔-Taking in phase
-Taking hold phase
-Letting go phase
Taking in Phase (stages of adaptation) - answer✔-Time immediately after birth when the client
needs others to meet her needs & relives the birth process
-Mother demonstrates dependent behaviors & assumes a passive role in meeting own basic needs
Taking Hold Phase (stages of adaptation) - answer✔-Second phase characterized by dependent
and independent maternal behavior
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
-Mother becomes preoccupied with the present
Letting Go Phase (stages of adaptation) - answer✔-Third phase in which woman reestablishes
relationships with others
-Mother reestablishes relationships with others and demonstrates increased responsibility &
confidence in caring for the newborn
Episiotomy Care - answer✔-Assess every 8 hours
-Apply ice to relieve discomfort & reduce edema (first measure)
-Sitz baths also can promote comfort and perineal healing (effective after first 24 hours)
-Use peri-bottle to clean site & blot dry instead of rubbing
BUBBLEEE (postpartum assessment) - answer✔-Breasts (size, contour, engorgement)
-Uterus (height of fundus, firmness)
-Bladder (voiding, bladder emptying)
-Bowels (bowel sounds, distention)
-Lochia (amount, color, odor)
-Episiotomy/Perineum & Epidural site (lacerations, hematoma)
-Extremities
-Emotional status
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Risk Factors for Postpartum Infection (postpartum assessment) - answer✔-Operative procedure
(forceps, cesarean birth, vacuum extraction)
-History of diabetes, including gestational-onset diabetes
-Prolonged labor (more than 24 hours)
-Use of indwelling urinary catheter
-Anemia (hemoglobin < 10.5 mg/dL)
-Multiple vaginal examinations during labor
-Prolonged rupture of membranes (>24 hours)
-Manual extraction of placenta
-Compromised immune system (HIV positive)
Risk Factors for Postpartum Hemorrhage (postpartum assessment) - answer✔-Precipitous labor
(less than 3 hours)
-Uterine atony
-Placenta previa or abruptio placenta
-Labor induction or augmentation
-Operative procedures (vacuum extraction, forceps, cesarean birth)
-Retained placental fragments
