NURS 301 WEEK 1 (MODULES 1-3 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. What are some systemic challenges for service delivery for newcomers in Canada? Name at least 5
challenges.
Answer:
Beliefs Childcare Communication Confidentiality Food Housing General Accessibility Medical Coverage
Role of partner/family Settlement issues Socioeconomic issues Transportation
Question:
2. How much blood in excess can be observed during postpartum hemorrhage in vaginal deliveries? In
caesarian births?
Answer:
500ml in vaginal deliveries
1000ml in caesarian births
Question:
3. What are the two types of postpartum hemorrhage and what is the time difference between the two?
Answer:
Early PPH occurs within 24 hours; while late PPH occurs between 24 hours and 6th week postpartum
Question:
4. Retained placental tissues is one of the most common causes of which type of postpartum hemorrhage?
Answer:
Late PPH
Question:
5. What is the purpose of decision support tools for postpartum hemorrhage?
Answer:
Guide the assessment, diagnosis and treatment of client-specific clinical problems.
Question:
6. What is postpartum?
Answer:
Time from the birth of the baby in the placenta to the time when the reproductive organs return to the
nonpregnant state
Question:
7. How long does postpartum last?
Answer:
Approximately 6 weeks
Question:
8. It is the return of the uterus to the non pregnant state.
, Answer:
Involution
Question:
9. Which is larger -a non pregnant uterus or a pre pregnant uterus?
Answer:
Non-pregnant uterus
Question:
10. What is the biggest contributor to involution?
Answer:
Production of oxytocin
Question:
11. What are some ways to promote involution? Name 4.
Answer:
Intramuscular injection of exogenous oxytocin
Breastfeeding which releases oxytocin
Direct massage of the fundus to stimulate oxytocin production
Ambulation
Question:
12. What are some contributing factors to subinvolution?
Answer:
Retained placental parts/fragments
Increased distention of the uterus
High amount of amniotic fluid
Multiple births
Prolonged labour (with extensive use of analgesics)
Question:
13. What would the nurse do if there was subinvolution of the uterus and/or increased lochia?
Answer:
Palpate a soft or boggy uterus and feel for a firm uterus, indicating that the muscle is clamped and
contracting
Determine if the bladder is full and check the flow for volume and clots
Check for a dark red blood mixed with mucous that indicates lochia (a bright red blood indicates a
laceration instead)
Question:
14. True of False: The cervix is typically open and wide enough to fit two fingers immediately after birth;
however, it does remain firm.
Answer:
False -- the cervix is open, wide and soft immediately after birth
QUESTIONS AND CORRECT ANSWERS
Question:
1. What are some systemic challenges for service delivery for newcomers in Canada? Name at least 5
challenges.
Answer:
Beliefs Childcare Communication Confidentiality Food Housing General Accessibility Medical Coverage
Role of partner/family Settlement issues Socioeconomic issues Transportation
Question:
2. How much blood in excess can be observed during postpartum hemorrhage in vaginal deliveries? In
caesarian births?
Answer:
500ml in vaginal deliveries
1000ml in caesarian births
Question:
3. What are the two types of postpartum hemorrhage and what is the time difference between the two?
Answer:
Early PPH occurs within 24 hours; while late PPH occurs between 24 hours and 6th week postpartum
Question:
4. Retained placental tissues is one of the most common causes of which type of postpartum hemorrhage?
Answer:
Late PPH
Question:
5. What is the purpose of decision support tools for postpartum hemorrhage?
Answer:
Guide the assessment, diagnosis and treatment of client-specific clinical problems.
Question:
6. What is postpartum?
Answer:
Time from the birth of the baby in the placenta to the time when the reproductive organs return to the
nonpregnant state
Question:
7. How long does postpartum last?
Answer:
Approximately 6 weeks
Question:
8. It is the return of the uterus to the non pregnant state.
, Answer:
Involution
Question:
9. Which is larger -a non pregnant uterus or a pre pregnant uterus?
Answer:
Non-pregnant uterus
Question:
10. What is the biggest contributor to involution?
Answer:
Production of oxytocin
Question:
11. What are some ways to promote involution? Name 4.
Answer:
Intramuscular injection of exogenous oxytocin
Breastfeeding which releases oxytocin
Direct massage of the fundus to stimulate oxytocin production
Ambulation
Question:
12. What are some contributing factors to subinvolution?
Answer:
Retained placental parts/fragments
Increased distention of the uterus
High amount of amniotic fluid
Multiple births
Prolonged labour (with extensive use of analgesics)
Question:
13. What would the nurse do if there was subinvolution of the uterus and/or increased lochia?
Answer:
Palpate a soft or boggy uterus and feel for a firm uterus, indicating that the muscle is clamped and
contracting
Determine if the bladder is full and check the flow for volume and clots
Check for a dark red blood mixed with mucous that indicates lochia (a bright red blood indicates a
laceration instead)
Question:
14. True of False: The cervix is typically open and wide enough to fit two fingers immediately after birth;
however, it does remain firm.
Answer:
False -- the cervix is open, wide and soft immediately after birth
