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NUR 230 Maternity Exam 2 Questions With Answers

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NUR 230 Maternity Exam 2 Questions With Answers

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NUR 230 Maternity Exam 2 Questions With
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Answers
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Changes in Reproductive system: Uterus - CORRECT
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ANSWERS(S)✔✔Involution - return of uterus to prepregnant
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state
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Uterus may rise above the umbilicus by 1cm within the first 12
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hours
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Within 24 hours should be at umbilicus (the level of a 20 week
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gestation)
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Uterine involution should occur at a rate of 1-2 cm per day and
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at 2 weeks postpartum should not be felt externally
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BUBBLEEE Assessment - CORRECT ANSWERS(S)✔✔Breasts
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Uterus
Bladder
Bowel
Lochia
Episiotomy
Epidural Site //




Emotional Status //

,PROMOTING RECOVERY AND SELF-CARE (Activity and Rest) -
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CORRECT ANSWERS(S)✔✔•Encourage early and frequent
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ambulation
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•Rest as much as possible, sleep when infant sleeps
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PROMOTING RECOVERY AND SELF-CARE (Nourishment) -
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CORRECT ANSWERS(S)✔✔•Formula Feeding Mom
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•Breastfeeding Mom //




PROMOTING RECOVERY AND SELF-CARE (Elimination) -
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CORRECT ANSWERS(S)✔✔•Voiding Patterns
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•Bowel Patterns //




PROMOTING RECOVERY AND SELF-CARE (Perineal Care) -
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CORRECT ANSWERS(S)✔✔•Perineal Hygiene
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•Topical Medications //




•Ice Packs
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•Sitz Baths
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Bladder and Bowel - CORRECT ANSWERS(S)✔✔•COCA- Color,
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odor, consistency, amount; Time of last void/BM
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•Distended bladder //




•Flatus

, •Auscultate bowel sounds // //




Lochia - CORRECT ANSWERS(S)✔✔•Rubra- 1-4 days, bright red
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•Serosa- 4-10 days, pink to brown
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•Alba- 10 days to 6 weeks, white to yellowish
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•Odor similar to menstrual flow, foul odor indicates infection
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•Presence of clots // //




Early postpartum hemorrhage - CORRECT
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ANSWERS(S)✔✔•Within first 24 hours
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•Most common cause is uterine atony
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Early Postpartum Hemorrhage Risk Factors - CORRECT
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ANSWERS(S)✔✔-macrosomia
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-multiple gestation //




-polyhydramnios
-chorioamnionitis
-prolonged labor //




-use of Magnesium sulfate
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-use of oxytocin (Pitocin)
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