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NUR254 Exam 2 Questions and Accurate Detailed Answers

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NUR254 Exam 2 Questions and Accurate Detailed Answers

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NUR254 Exam 2 Questions and
Accurate Detailed Answers
Lochia Rubra - Answer: bright red bleeding 3-4 days after birth



Lochia Serosa - Answer: light brown/pink lasts 4-10 days



Lochia Alba - Answer: yellow/white discharge 10 days after delivery



Postpaturm Uterus - Answer: 12 hrs: 1 cm above umbilicus

- fundus descends 1-2cm every 24 hrs.



vagina after birth - Answer: - vaginal dryness (use lube)



episiotomy - Answer: heals within 2-3 weeks (may take 4-6)

- proper hygiene

- prevent infection



hemorrhoids - Answer: - witch hazel

- stool softener

- sitz bath



pelvic muscle support - Answer: - stress incontenance

- takes 6 months



**kegel exercises**



Nonbreastfeeding mothers - Answer: - ovulation occurs 27 days after birth

- use of birth control

- breast binder, fitted bra, cabbage leaves, avoid nipple stimulation, avoid suckling

, Urinary - Answer: have mom void before fundal rubs



Appetite - Answer: - make sure bowel sounds are present



Vitals after birth - Answer: temp: < 100.4

pulse: 50-90, elevated first hr, bradycardia normal (40-50 bpm)

respirations: within normal range (16-20)

BP: increase 5%, hypotension normal after birth



Blood components - Answer: WBC: 5,000-15,000

HGB: 12-18

Hematocrit: 37-52

platelets: 150-400

RBC: 4.6-6.1

varicose veins: common in pregnancy



Immune system - Answer: -lupus/ MS

- high risk for flare-ups



Maintaining uterine tone - Answer: - fundal rub

- prevent bladder distention

- oxytocin



Hypovolemic Shock - Answer: SXS: lots of bleeding, pt states feeling funny, seeing star, light headed,
cool, clammy, pulse increase, BP decreases



NI: uterine atony- massage, oxygen, put on side/ elevate legs, IV, blood, monitor VS, monitor urine
output



Postpartum blues/ depression - Answer: PP Blues- 2 weeks or less

Depression- > 2 weeks

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