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NR 327
Exam 2 Content Review Sheet
****Not all inclusive**** Textbook Chapters: 14, 17, 19, 20, 21, 22
ATI Chapters: 17, 18, 19, 22, 23, 24, 25, 26
Fetal Heart Monitor (distress, interventions) FHM strips
BUBBLE HER
Postpartum Assessment (lochia, fundus position, etc) Maternal
Adjustment
Breastfeeding (breastmilk) Hypothermia
Gestational Age Characteristics
Newborn assessment (respirations, heart rate, labs, etc.) Jaundice
(pathologic, physiologic)
Vit K
Umbilical cord care Circumcision care
New mother Patient education Newborn Meconium aspiration
Hyperbilirubinemia
NR 327 Exam 2 Content Review
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, NR 327 Exam 2 Content Review
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Chapter 17
1. Questions
Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus.
B. 2 cm above the umbilicus.
C. 1 cm below the umbilicus.
D. midway between the symphysis pubis and umbilicus. Correct
NR 327 Exam 2 Content Review
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, NR 327 Exam 2 Content Review
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Immediately after birth the uterus is about the size of a large grapefruit and the fundus can
be palpated midway between the symphysis pubis and umbilicus. Within 12 hours the fundus
rises to the level of the umbilicus. By the second day, the fundus starts to descend by
approximately 1 cm/day.
Awarded 0.0 points out of 1.0 possible points.
2. 2.ID: 18649223421
When reading the postpartum chart the nurse notices that the patient’s fundus is recorded as “u+1.” The
nurse understands that this means the fundus is
A. 1 cm above the umbilicus. Correct
Descent of the fundus is documented in relation to the umbilicus and is measured in
centimeters. Numbers with a plus sign mean that the fundus is above the umbilicus;
numbers with a minus sign mean that the fundus is below the umbilicus.
B. 1 cm below the umbilicus.
C. 1 inch above the umbilicus.
D. 1 inch below the
umbilicus. Awarded 0.0 points out of 1.0 possible
points.
3. 3.ID: 18649222873
During the second postpartum day, a woman asks the nurse, “Why are my afterpains so much worse this
time than after the birth of my other child?” The best answer by the nurse would be:
A. “Most women forget how strong the afterpains can be.”
B. “They should not be strong with you because you are breastfeeding.”
C. “You should not be feeling the pains now; I will notify the physician for you.”
NR 327 Exam 2 Content Review
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, NR 327 Exam 2 Content Review
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D. “Afterpains are more severe for women who have already given birth.” Correct Afterpains are
more acute for multiparas because repeated stretching of muscle fibers leads to low muscle
tone, which results in repeated contraction and relaxation of the uterus. Breastfeeding
increases the severity of afterpains. The afterpains are self-limiting and will decrease rapidly
after 48 hours.
Awarded 0.0 points out of 1.0 possible points.
4. 4.ID: 18649222897
The nurse is assessing the patient’s vaginal discharge. It is red and has about a 2-inch stain on the
peripad. The nurse will record this finding as a
A. light amount of lochia rubra. Correct
Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount of
discharge is classified as a 1- to 4-inch stain on the peripad.
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia
alba. Awarded 0.0 points out of 1.0 possible points.
5. 5.ID: 18649222891
NR 327 Exam 2 Content Review
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