NUR 254 EXAM 2 REVIEW PART 1 WITH
COMPLETE SOLUTIONS
Postpartum Hemorrhaging - ANSWER-Check the Peri-pads to determine how much the
patient is hemorrhaging
Vaginal Delivery - ANSWER-Blood Loss 500ml
C section Delivery - ANSWER-Blood Loss 1000ml
Lochia - ANSWER-Postpartum Discharge
Rubra - ANSWER-Lasts 3 to 5 days
Serosa - ANSWER-Last 3 days to 2 weeks
Alba - ANSWER-White or yellowish discharge
Rubra - ANSWER-Red discharge
Serosa - ANSWER-Pink discharge
Discharge order - ANSWER-Rubra, Serosa, Alba
Promote Uterine Contraction - ANSWER-Breast feeding
Promote Uterine Contraction - ANSWER-Administration of Oxytocin
Promote Uterine Contraction - ANSWER-Massage the uterus
Uterus - ANSWER-Sits above the umbilicus immediately after delivery
Uterus - ANSWER-Boggy after delivery
Uterus - ANSWER-Back into normal position after 9 days (true pelvis)
Perineum on fire (painful) - ANSWER-Treatment: First 24 hours use cold (ice). 10 mins
on 10 mins off
Perineum on fire (painful) - ANSWER-Treatment: After 24+ hours, warm water and heat
(sitz bath)
, Cleanse Perineum - ANSWER-Treatment: Peri bottle (warm water) to clean from front
to back
UTI - ANSWER-Prevention: Peri bottle (warm water) to clean from front to back
UTI - ANSWER-Prevention: Pat perineum dry from front to back
Toileting - ANSWER-Use peri bottle each time to cleanse the area from front to back
Location of the Fundus - ANSWER-Feel at the top
Boggy Fundus - ANSWER-Treatment: Massage, massage, massage
Lack of contraction of fundus - ANSWER-Cause: Full bladder
Lack of contraction of fundus - ANSWER-Cause: Lack of feeling in the lower half of the
bladder due to epideral
Deviates uterus to the side - ANSWER-Cause: Full bladder
Difficulty emptying the bladder - ANSWER-Cause: Macrosomic baby
Difficulty emptying the bladder - ANSWER-Cause: Twins
Difficulty emptying the bladder - ANSWER-Treatment: Quick Catheterization
Lack of contraction of Uterus - ANSWER-When was the last time you voided?
Too much bleeding - ANSWER-Saturated peripad within and hour
Postpartum Bleeding - ANSWER-Cause: Lacerations and Tears
Late Postpartum Bleeding at home - ANSWER-Cause: Retained Placenta
Episiotomy - ANSWER-Assess to see how it is healing
Source of infection - ANSWER-Episiotomy, tears, C section, uti, prolonged ruptured
membranes, long labor, foley catheter
Temerature < 100.4 - ANSWER-Indicates dehydration, up to 24 hours after birth
Dehydration (< 100.4 temp) - ANSWER-Push fluids
After birth Vitals - ANSWER-Pulse increased but begins to decrease, respiratory rate
normal, bp increased but decreasing
COMPLETE SOLUTIONS
Postpartum Hemorrhaging - ANSWER-Check the Peri-pads to determine how much the
patient is hemorrhaging
Vaginal Delivery - ANSWER-Blood Loss 500ml
C section Delivery - ANSWER-Blood Loss 1000ml
Lochia - ANSWER-Postpartum Discharge
Rubra - ANSWER-Lasts 3 to 5 days
Serosa - ANSWER-Last 3 days to 2 weeks
Alba - ANSWER-White or yellowish discharge
Rubra - ANSWER-Red discharge
Serosa - ANSWER-Pink discharge
Discharge order - ANSWER-Rubra, Serosa, Alba
Promote Uterine Contraction - ANSWER-Breast feeding
Promote Uterine Contraction - ANSWER-Administration of Oxytocin
Promote Uterine Contraction - ANSWER-Massage the uterus
Uterus - ANSWER-Sits above the umbilicus immediately after delivery
Uterus - ANSWER-Boggy after delivery
Uterus - ANSWER-Back into normal position after 9 days (true pelvis)
Perineum on fire (painful) - ANSWER-Treatment: First 24 hours use cold (ice). 10 mins
on 10 mins off
Perineum on fire (painful) - ANSWER-Treatment: After 24+ hours, warm water and heat
(sitz bath)
, Cleanse Perineum - ANSWER-Treatment: Peri bottle (warm water) to clean from front
to back
UTI - ANSWER-Prevention: Peri bottle (warm water) to clean from front to back
UTI - ANSWER-Prevention: Pat perineum dry from front to back
Toileting - ANSWER-Use peri bottle each time to cleanse the area from front to back
Location of the Fundus - ANSWER-Feel at the top
Boggy Fundus - ANSWER-Treatment: Massage, massage, massage
Lack of contraction of fundus - ANSWER-Cause: Full bladder
Lack of contraction of fundus - ANSWER-Cause: Lack of feeling in the lower half of the
bladder due to epideral
Deviates uterus to the side - ANSWER-Cause: Full bladder
Difficulty emptying the bladder - ANSWER-Cause: Macrosomic baby
Difficulty emptying the bladder - ANSWER-Cause: Twins
Difficulty emptying the bladder - ANSWER-Treatment: Quick Catheterization
Lack of contraction of Uterus - ANSWER-When was the last time you voided?
Too much bleeding - ANSWER-Saturated peripad within and hour
Postpartum Bleeding - ANSWER-Cause: Lacerations and Tears
Late Postpartum Bleeding at home - ANSWER-Cause: Retained Placenta
Episiotomy - ANSWER-Assess to see how it is healing
Source of infection - ANSWER-Episiotomy, tears, C section, uti, prolonged ruptured
membranes, long labor, foley catheter
Temerature < 100.4 - ANSWER-Indicates dehydration, up to 24 hours after birth
Dehydration (< 100.4 temp) - ANSWER-Push fluids
After birth Vitals - ANSWER-Pulse increased but begins to decrease, respiratory rate
normal, bp increased but decreasing
