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NUR 230 Exam 2 Questions With Answers.

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NUR 230 Exam 2 Questions With Answers.

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NUR 230 Exam 2 Questions With Answers
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Uterine Involution - CORRECT ANSWERS(S)✔✔When checking
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uterus, always place hand above symphysis pubis to stabilize the
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uterus
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- Return of uterus to non-pregnant state following birth.
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- Progresses rapidly
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- Fundus descends 1 to 2 cm every 24 hours
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- 2 weeks after childbirth uterus lies in true pelvis
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Subinvolution - CORRECT ANSWERS(S)✔✔- Failure of uterus to
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return to non-pregnant state
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- Common causes are retained placental fragments and infection
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Uterine Contractions - CORRECT ANSWERS(S)✔✔- Hemostasis
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achieved by compression of intramyometrial blood vessels as
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uterine muscle contracts
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- Hormone oxytocin, released from pituitary gland, strengthens
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and coordinates __________________
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- Afterpains
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, Postpartum hemorrhage - CORRECT ANSWERS(S)✔✔- // // // //



Traditionally defined as loss of more than: 500 ml of blood after
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vaginal birth or 1000 ml after cesarean birth
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- Always check bladder. If cannot void, may need catherization
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- Causes may be subinvolution of uterus, pelvic infections,
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retained placental fragments, or hematomas
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- Uterus is about the size of a grapefruit and at the level of
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umbilicus immediately following birth
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- Massage fundus- **Priority**
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- Watch for saturating pad every hour or constant trickling of
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blood
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- Always turn & check for blood under buttocks
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Medication used for postpartum hemorrhage - CORRECT
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ANSWERS(S)✔✔- Oxytocin
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- Misoprostol
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- Methergine (do not give if BP >140/90)
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- 15 Methylprostaglandin (contraindicated if pt has asthma)
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Atony - CORRECT ANSWERS(S)✔✔- Lack of uterine muscle tone
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- If contraction is not present, there can be significant blood loss
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- Uterus will feel boggy
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- May give Oxytocin or Methargine to cause uterine contraction
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