NURS 1230 Exam 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
uterine involution - CORRECT ANSWER - the return of the uterus to its normal size and
former condition after delivery
post partum physiologic changes - CORRECT ANSWER - uterine involution - muscle
fibers contract around uterus with the delivery of the placenta
two hand method of palpating the fundus - CORRECT ANSWER - support lower uterus
with opposite hand to prevent inversion or prolapse through the vagina
uterine atony - CORRECT ANSWER - inability of the uterus to contract effectively
boggy or relaxed uterus
postpartum bleeding/hemorrhage can occur
firm in midline
should not be able to palpate by day 10 - CORRECT ANSWER - normal uterus
afterpains - CORRECT ANSWER - painful contractions of the uterus that occur for
several days after delivery
they occur most often in multiparas and are more painful during breastfeeding
lochia rubra - CORRECT ANSWER - bright red 1-5 days postpartum
,lochia serosa - CORRECT ANSWER - pink/brown 5 days - 2 weeks postpartum
lochia alba - CORRECT ANSWER - white/yellow 2-6 weeks postpartum
lochia - CORRECT ANSWER - combination of blood, shed skin cells, WBC to prevent
infection as uterus is still open
as uterus involutes, this prevents infection
placenta previa - CORRECT ANSWER - implantation of the placenta over the cervical
opening or in the lower region of the uterus
up to 500ml - CORRECT ANSWER - normal vaginal blood loss
up to 1000ml - CORRECT ANSWER - normal c section blood loss
postpartum hemorrhage - CORRECT ANSWER - continual bleeding from the site where
the placenta separated after delivery
open blood vessels continue to bleed into an empty uterus with every beat of the maternal heart
uterus needs to contract to cut off large blood vessels to prevent
natural reserve of blood for delivery - CORRECT ANSWER - moms blood volume,
viscosity, platelets increase
early postpartum hemorrhage - CORRECT ANSWER - often caused by uterine atony -
failure of uterine muscles to contract properly = inhibit healing of blood vessels at placental
attachment site = blood vessels continue to bleed until uterine muscles contract
, occurring within 24H after birth
boggy uterus
fundus that is higher than expected
excessive lochia - CORRECT ANSWER - signs of uterine atony
late postpartum hemorrhage - CORRECT ANSWER - often caused by subinvolution of
uterus or by retained placental fragments that prevent the uterus from contracting
- clots develop around retained fragments
occurring after 24H PP, within 6 week PP period
placenta accreta - CORRECT ANSWER - placenta grows too deeply into uterine wall and
doesn't detach easily after delivery
massage until firm
express blood clots
encourage void
express placental fragments
oxytocin medications
bakri balloon
Jada device
surgical intervention - CORRECT ANSWER - if uterus is boggy -
bakri balloon - CORRECT ANSWER - inflate balloon inside uterus to cause pressure
against vascular structures - stops bleeding 24H
Exam Questions and CORRECT Answers
uterine involution - CORRECT ANSWER - the return of the uterus to its normal size and
former condition after delivery
post partum physiologic changes - CORRECT ANSWER - uterine involution - muscle
fibers contract around uterus with the delivery of the placenta
two hand method of palpating the fundus - CORRECT ANSWER - support lower uterus
with opposite hand to prevent inversion or prolapse through the vagina
uterine atony - CORRECT ANSWER - inability of the uterus to contract effectively
boggy or relaxed uterus
postpartum bleeding/hemorrhage can occur
firm in midline
should not be able to palpate by day 10 - CORRECT ANSWER - normal uterus
afterpains - CORRECT ANSWER - painful contractions of the uterus that occur for
several days after delivery
they occur most often in multiparas and are more painful during breastfeeding
lochia rubra - CORRECT ANSWER - bright red 1-5 days postpartum
,lochia serosa - CORRECT ANSWER - pink/brown 5 days - 2 weeks postpartum
lochia alba - CORRECT ANSWER - white/yellow 2-6 weeks postpartum
lochia - CORRECT ANSWER - combination of blood, shed skin cells, WBC to prevent
infection as uterus is still open
as uterus involutes, this prevents infection
placenta previa - CORRECT ANSWER - implantation of the placenta over the cervical
opening or in the lower region of the uterus
up to 500ml - CORRECT ANSWER - normal vaginal blood loss
up to 1000ml - CORRECT ANSWER - normal c section blood loss
postpartum hemorrhage - CORRECT ANSWER - continual bleeding from the site where
the placenta separated after delivery
open blood vessels continue to bleed into an empty uterus with every beat of the maternal heart
uterus needs to contract to cut off large blood vessels to prevent
natural reserve of blood for delivery - CORRECT ANSWER - moms blood volume,
viscosity, platelets increase
early postpartum hemorrhage - CORRECT ANSWER - often caused by uterine atony -
failure of uterine muscles to contract properly = inhibit healing of blood vessels at placental
attachment site = blood vessels continue to bleed until uterine muscles contract
, occurring within 24H after birth
boggy uterus
fundus that is higher than expected
excessive lochia - CORRECT ANSWER - signs of uterine atony
late postpartum hemorrhage - CORRECT ANSWER - often caused by subinvolution of
uterus or by retained placental fragments that prevent the uterus from contracting
- clots develop around retained fragments
occurring after 24H PP, within 6 week PP period
placenta accreta - CORRECT ANSWER - placenta grows too deeply into uterine wall and
doesn't detach easily after delivery
massage until firm
express blood clots
encourage void
express placental fragments
oxytocin medications
bakri balloon
Jada device
surgical intervention - CORRECT ANSWER - if uterus is boggy -
bakri balloon - CORRECT ANSWER - inflate balloon inside uterus to cause pressure
against vascular structures - stops bleeding 24H
