Exam 2 NR 327 Class Review Practice Questions and Answers

Exam 2 NR 327 Class Review Practice Questions and Answers Postpartum Period - CORRECT ANSWER-- 6 weeks after birth - first 12 weeks often called 4th trimester Involution - CORRECT ANSWER-- process of the uterus returning to the pre-pregnant state - usually takes about 6 weeks Three Processes of Involution - CORRECT ANSWER-- contraction of the muscle fibers - catabolic processes - regeneration of uterine epithelium Placental Attachment: Healing - CORRECT ANSWER-- heals by a process of exfoliation - leaves endometrium smooth and without scars Fundus: descent - CORRECT ANSWER-- about 1 cm per day (1 finger each day) - after 14 days the fundus should no longer be palpable Afterpains - CORRECT ANSWER-intermittent uterine contractions that cause discomfort for many women Lochia Rubra - CORRECT ANSWER-- dark red or reddish brown - 1-3 days postpartum Lochia Serosa Serious - CORRECT ANSWER-- pinkish - 3-10 days postpartum Lochia Alba White - CORRECT ANSWER-- cream or light yellow - day 10 until ends 3-6 weeks Endometrial Infection - CORRECT ANSWER-foul smelling lochia Scant - CORRECT ANSWER-<2.5 cm stain Light - CORRECT ANSWER-2.5-10 cm stain Moderate - CORRECT ANSWER-10-15 cm stain Heavy - CORRECT ANSWER-saturated in 1 hour Lochia Assessment - CORRECT ANSWER-- check q15 min during 1st hour - watch time and amount - color - odor - temperature - fundus Cervix: After Birth - CORRECT ANSWER-- dilated and edematous - internal os closes normally but external os is always open a little Vagina: After Birth - CORRECT ANSWER-- takes 6-10 weeks to regain size and contour - do not regain thickness until estrogen production begins - vaginal dryness due to breastfeeding Perineum: After Birth - CORRECT ANSWER-trauma and hemorrhoids cause discomfort and can interfere with activity and bowel eliminatio