Nur 254 OB Exam 2 Questions and
Accurate Detailed Answers
Infections - Answer: temp up to 100.4 is normal during first 24 hrs postpartum because dehydration.
Dehydration greater than 100.4 F after 24 hrs pp indicates infection
Hemorrhage - Answer: -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased pulse rate,
decrease bp
treatment for engorgement - Answer: breastfeed frequently, use warm soaks, apply warm packs
before breastfeeding, apply ice packs between feeding
if client is breastfeeding - Answer: calorie needs increase by 200-500 calories/day
- the client may require increased fluids
chorioamnionitis - Answer: - inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged rupture of the
membranes
Rubra - Answer: bright red 1-3 days after delivery
Serosa - Answer: brownish pink discharge 4-10 days
Alba - Answer: white discharge 11-14 days
Fundal Assessment - Answer: -Done to ensure it is contracted, feel location, and tone (firm or
boggy)
- have a client empty bladder
afterpains - Answer: Cramping pain after childbirth caused by alternating relaxation and contraction
of uterine muscles.
, after delivery palpate the fundus - Answer: day 1 - u minus 1
day 2 - u minus 2
fundus deviated to the right - Answer: assist to empty bladder
Early postpartum hemorrhage - Answer: -occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
clots vs placenta fragments - Answer: clots = squeezes between fingers
fragments = stays firm
hypovolemia shock signs - Answer: decreased BP, Increase HR, Increase RR
macrosomia - Answer: large-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
magnesium sulfate - Answer: treatment for preterm labor
stops contractions
magic number - Answer: 100 bpm
meds to help the uterus contract - Answer: -methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
***if given mom these meds and mom is still bleeding surgery may be indicated = D&C
if still containing placenta fragment after D&C - Answer: hysterectomy
Accurate Detailed Answers
Infections - Answer: temp up to 100.4 is normal during first 24 hrs postpartum because dehydration.
Dehydration greater than 100.4 F after 24 hrs pp indicates infection
Hemorrhage - Answer: -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased pulse rate,
decrease bp
treatment for engorgement - Answer: breastfeed frequently, use warm soaks, apply warm packs
before breastfeeding, apply ice packs between feeding
if client is breastfeeding - Answer: calorie needs increase by 200-500 calories/day
- the client may require increased fluids
chorioamnionitis - Answer: - inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged rupture of the
membranes
Rubra - Answer: bright red 1-3 days after delivery
Serosa - Answer: brownish pink discharge 4-10 days
Alba - Answer: white discharge 11-14 days
Fundal Assessment - Answer: -Done to ensure it is contracted, feel location, and tone (firm or
boggy)
- have a client empty bladder
afterpains - Answer: Cramping pain after childbirth caused by alternating relaxation and contraction
of uterine muscles.
, after delivery palpate the fundus - Answer: day 1 - u minus 1
day 2 - u minus 2
fundus deviated to the right - Answer: assist to empty bladder
Early postpartum hemorrhage - Answer: -occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
clots vs placenta fragments - Answer: clots = squeezes between fingers
fragments = stays firm
hypovolemia shock signs - Answer: decreased BP, Increase HR, Increase RR
macrosomia - Answer: large-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
magnesium sulfate - Answer: treatment for preterm labor
stops contractions
magic number - Answer: 100 bpm
meds to help the uterus contract - Answer: -methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
**note asthmatic pt these meds are contraindicated
***if given mom these meds and mom is still bleeding surgery may be indicated = D&C
if still containing placenta fragment after D&C - Answer: hysterectomy
