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NUR 254 EXAM 2|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
Early Postpartum Hemorrhage - correct-answer - First 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage - correct-answer - 24 hours to 12 weeks after birth.
Cause- retained placenta
Postpartum Hemorrhage Management - correct-answer - Fundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
Surgical Intervention
Fluid Replacement
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Hematomas - correct-answer - Discoloration of perineum, perineal pain, edema,
rectal pressure, bleeding
MD notified, surgical management vs. monitoring
Vulvar hematomas most common
Thrombophlebitis & Thrombosis - correct-answer - S/s: calf pain, leg tenderness,
swelling, redness, heat
Tests: D-dimer, Doppler vo scan, MRI
Medication: NSAIDS, Heparin
Major Complication- PE
Endometritis - correct-answer - inflammation of the inner lining of the uterus
S/s- temp >100.4, pelvic pain, uterine tenderness, heavy & foul smelling Lochia,
chills, increased WBCs
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Mastitis - correct-answer - S/s- fever, warm, tender, hard breast, enlarged
auxiliary lymph node, chills, generalized aching, headache, malaise
Management- Abx, rest, increased fluids, comfort measures
Postpartum Psychological Complications - correct-answer - 70% of women
experience a mild depression or baby blues
Newborn respiratory - correct-answer - Irregular, pauses
Rate 30-60
Cardiovascular changes newborn - correct-answer - Foramen ovals closes
Ductus arteriosis constricts
Rate 110-170
BP 60-85/40-55
NUR 254 EXAM 2|COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
Early Postpartum Hemorrhage - correct-answer - First 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage - correct-answer - 24 hours to 12 weeks after birth.
Cause- retained placenta
Postpartum Hemorrhage Management - correct-answer - Fundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
Surgical Intervention
Fluid Replacement
,2|Page
Hematomas - correct-answer - Discoloration of perineum, perineal pain, edema,
rectal pressure, bleeding
MD notified, surgical management vs. monitoring
Vulvar hematomas most common
Thrombophlebitis & Thrombosis - correct-answer - S/s: calf pain, leg tenderness,
swelling, redness, heat
Tests: D-dimer, Doppler vo scan, MRI
Medication: NSAIDS, Heparin
Major Complication- PE
Endometritis - correct-answer - inflammation of the inner lining of the uterus
S/s- temp >100.4, pelvic pain, uterine tenderness, heavy & foul smelling Lochia,
chills, increased WBCs
, 3|Page
Mastitis - correct-answer - S/s- fever, warm, tender, hard breast, enlarged
auxiliary lymph node, chills, generalized aching, headache, malaise
Management- Abx, rest, increased fluids, comfort measures
Postpartum Psychological Complications - correct-answer - 70% of women
experience a mild depression or baby blues
Newborn respiratory - correct-answer - Irregular, pauses
Rate 30-60
Cardiovascular changes newborn - correct-answer - Foramen ovals closes
Ductus arteriosis constricts
Rate 110-170
BP 60-85/40-55
