Maternal Newborn & Pediatric Nursing exam questions and answers update

Maternal/Peds Exam 3 study guide Questions a b b b b b bb




nd answers)(100% Verified answers) 2026 update
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The most common causes of subinvolution in the postpartum client are, select all t
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hat apply:
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A. After birth hemorrhage
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B. Multiple gestation b




C. Uterine tetany b




D. Retained placental fragments
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E. Infection-ANS>>D, E. b




-Retained placental fragments.
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-Infection

**Subinvolution is failure of the uterus to return to a nonpregnant state.
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The most effective and least expensive treatment of puerperal infection is prevent
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ion. What is important in this strategy?
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A. Large doses of vitamin C during pregnancy
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B. Prophylactic antibiotics b




C. Strict aseptic technique, including hand washing, by all health care personnel.
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D. Limited protein and fat intake.-ANS>>C. Strict aseptic technique, including
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,hand washing, by all health care personnel.
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What is considered the fourth (Puerperium) stage of pregnancy?-
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ANS>>The interval between birth and return of reproductive organs to their nonpr
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egnant state. b




-Lasts about 6 weeks.
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What is included in the postpartum assessment?-ANS>>-B: Breasts
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-U: Uterus (fundal height, uterine placement, consistency)
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-B: Bowel and GI function
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-B: Bladder function
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-L: Lochia (Color, odor, consistency, and amount)
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-E: Episiotomy (Edema, ecchymosis, approximation)
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-
H: Homan's sign (Discomfort in the calf muscles on forced dorsiflexion of the foot
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with the knee straight -- Determines signs of DVT)
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-E: Emotional status
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What are some postpartum complications that may occur?-ANS>>-Hemorrhage
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-Hemorrhagic (Hypovolemic) shock b b




-Venous thromboembolic disease b b




-Infections

,-
Psychotic disorders (Postpartum blues, Postpartum depression, Postpartum psych
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osis)



What would postpartum hemorrhage look like?-ANS>>-
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1000 mL or more cumulative blood loss (500 vaginal birth, 1000 c-section)
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-Bleeding with hypovolemia within 24 hours of birth:
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-Uterine atony (Boggy uterus)
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-Blood clots bigger than a quarter
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-Perineal pad saturation in 15 mins or less
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-Tachycardic

-Hypotension

-Pale



When would early, acute or primary hemorrhaging occur after birth?-
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ANS>>Within 24 hours. b b




What could be the etiology (causes) of early, acute or primary hemorrhaging?-
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ANS>>-Lacerations

-Placental separation b




-Undue manipulation of the fundus
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-Excessive traction on the umbilical cord
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, -Uterine atony (inadequate contraction of the uterus)
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