NURS 1230 EXAM 2 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NURS 1230 EXAM 2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. uterine involution
Answer:
the return of the uterus to its normal size and former condition after delivery

Question:
2. post partum physiologic changes
Answer:
uterine involution - muscle fibers contract around uterus with the delivery of the placenta

Question:
3. two hand method of palpating the fundus
Answer:
support lower uterus with opposite hand to prevent inversion or prolapse through the vagina

Question:
4. uterine atony
Answer:
inability of the uterus to contract effectively
boggy or relaxed uterus
postpartum bleeding/hemorrhage can occur

Question:
5. firm in midline
should not be able to palpate by day 10
Answer:
normal uterus

Question:
6. afterpains
Answer:
painful contractions of the uterus that occur for several days after delivery
they occur most often in multiparas and are more painful during breastfeeding

Question:
7. lochia rubra
Answer:
bright red 1-5 days postpartum

Question:
8. lochia serosa

,Answer:
pink/brown 5 days - 2 weeks postpartum

Question:
9. lochia alba
Answer:
white/yellow 2-6 weeks postpartum

Question:
10. lochia
Answer:
combination of blood, shed skin cells, WBC to prevent infection as uterus is still open as uterus involutes,
this prevents infection

Question:
11. placenta previa
Answer:
implantation of the placenta over the cervical opening or in the lower region of the uterus

Question:
12. up to 500ml
Answer:
normal vaginal blood loss

Question:
13. up to 1000ml
Answer:
normal c section blood loss

Question:
14. postpartum hemorrhage
Answer:
continual bleeding from the site where the placenta separated after delivery
open blood vessels continue to bleed into an empty uterus with every beat of the maternal heart
uterus needs to contract to cut off large blood vessels to prevent

Question:
15. natural reserve of blood for delivery
Answer:
moms blood volume, viscosity, platelets increase

Question:
16. early postpartum hemorrhage
Answer:
often caused by uterine atony - failure of uterine muscles to contract properly = inhibit healing of blood
vessels at placental attachment site = blood vessels continue to bleed until uterine muscles contract
occurring within 24H after birth

, Question:
17. boggy uterus fundus that is higher than expected excessive lochia
Answer:
signs of uterine atony

Question:
18. late postpartum hemorrhage
Answer:
often caused by subinvolution of uterus or by retained placental fragments that prevent the uterus from
contracting
- clots develop around retained fragments
occurring after 24H PP, within 6 week PP period

Question:
19. placenta accreta
Answer:
placenta grows too deeply into uterine wall and doesn't detach easily after delivery

Question:
20. massage until firm express blood clots encourage void express placental fragments oxytocin
medications bakri balloon Jada device surgical intervention
Answer:
if uterus is boggy -

Question:
21. bakri balloon
Answer:
inflate balloon inside uterus to cause pressure against vascular structures
- stops bleeding 24H

Question:
22. jada device
Answer:
a vacuum-induced hemorrhage control device that provides a rapid and effective treatment option for
abnormal postpartum uterine bleeding and postpartum hemorrhage

Question:
23. dilation and evacuation
Answer:
redilate cervix and evacuate uterus by suction

Question:
24. pitocin
Answer:
give routinely after all births
IV, IM, IU
IV - 4 hr after delivery