NUR 254 EXAM 2 QUESTIONS AND
ANSWERS 100% ACCURATE
Postpartum period - ANSWER-a period of adjustment for parents and their newborn
during the six weeks after birth
Early Maternal Assessment - ANSWER-Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra - ANSWER-Bright Red
1-3 days
Serosa - ANSWER-Pinkish-brown
4-10 days
Alba - ANSWER-Whitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4 - ANSWER-Probable infection
Blood Pressure postpartum - ANSWER-Monitor for preeclampsia
Assess for hypotension
BP drops possible hemorrhaging
Lochia that is continued flowing - ANSWER-Indicates endometritis
Uterus - ANSWER-Involution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE - ANSWER-Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
Uterus is boggy - ANSWER-Massage fundus
Use restroom
, COLA - ANSWER-Color
Odor
Last Void/BM
Amount
Heavy Bleeding - ANSWER-Saturated in 15 minutes or less & pooling of blood requires
immediate intervention & notifying MD
REEDA - ANSWER-redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state - ANSWER-Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care - ANSWER--Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents - ANSWER-Consumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA - ANSWER-Gestational Conditions
Rubins Maternal Tasks Phase 1 - ANSWER-Taking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2 - ANSWER-Taking Hold
Doing baby's care & feeding
Rubins Maternal Tasks Phase 3 - ANSWER-Letting Go
Letting others hold or care for baby
Uterine Atony - ANSWER-inability of the uterus to contract effectively
Early Postpartum Hemorrhage - ANSWER-First 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage - ANSWER-24 hours to 12 weeks after birth.
Cause- retained placenta
Postpartum Hemorrhage Management - ANSWER-Fundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
ANSWERS 100% ACCURATE
Postpartum period - ANSWER-a period of adjustment for parents and their newborn
during the six weeks after birth
Early Maternal Assessment - ANSWER-Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra - ANSWER-Bright Red
1-3 days
Serosa - ANSWER-Pinkish-brown
4-10 days
Alba - ANSWER-Whitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4 - ANSWER-Probable infection
Blood Pressure postpartum - ANSWER-Monitor for preeclampsia
Assess for hypotension
BP drops possible hemorrhaging
Lochia that is continued flowing - ANSWER-Indicates endometritis
Uterus - ANSWER-Involution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE - ANSWER-Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
Uterus is boggy - ANSWER-Massage fundus
Use restroom
, COLA - ANSWER-Color
Odor
Last Void/BM
Amount
Heavy Bleeding - ANSWER-Saturated in 15 minutes or less & pooling of blood requires
immediate intervention & notifying MD
REEDA - ANSWER-redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state - ANSWER-Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care - ANSWER--Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents - ANSWER-Consumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA - ANSWER-Gestational Conditions
Rubins Maternal Tasks Phase 1 - ANSWER-Taking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2 - ANSWER-Taking Hold
Doing baby's care & feeding
Rubins Maternal Tasks Phase 3 - ANSWER-Letting Go
Letting others hold or care for baby
Uterine Atony - ANSWER-inability of the uterus to contract effectively
Early Postpartum Hemorrhage - ANSWER-First 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage - ANSWER-24 hours to 12 weeks after birth.
Cause- retained placenta
Postpartum Hemorrhage Management - ANSWER-Fundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
