NUR 230 Maternity Exam 2 UPDATED ACTUAL Questions and CORRECT Answers

NUR 230 Maternity Exam 2 UPDATED
ACTUAL Questions and CORRECT
Answers
Changes in Reproductive system: Uterus - CORRECT ANSWER - Involution - return of
uterus to prepregnant state
Uterus may rise above the umbilicus by 1cm within the first 12 hours
Within 24 hours should be at umbilicus (the level of a 20 week gestation)
Uterine involution should occur at a rate of 1-2 cm per day and at 2 weeks postpartum should not
be felt externally


BUBBLEEE Assessment - CORRECT ANSWER - Breasts
Uterus
Bladder
Bowel
Lochia
Episiotomy
Epidural Site
Emotional Status


PROMOTING RECOVERY AND SELF-CARE (Activity and Rest) - CORRECT
ANSWER - •Encourage early and frequent ambulation
•Rest as much as possible, sleep when infant sleeps


PROMOTING RECOVERY AND SELF-CARE (Nourishment) - CORRECT ANSWER -
•Formula Feeding Mom
•Breastfeeding Mom

, PROMOTING RECOVERY AND SELF-CARE (Elimination) - CORRECT ANSWER -
•Voiding Patterns
•Bowel Patterns


PROMOTING RECOVERY AND SELF-CARE (Perineal Care) - CORRECT ANSWER -
•Perineal Hygiene
•Topical Medications
•Ice Packs
•Sitz Baths


Bladder and Bowel - CORRECT ANSWER - •COCA- Color, odor, consistency, amount;
Time of last void/BM
•Distended bladder
•Flatus
•Auscultate bowel sounds


Lochia - CORRECT ANSWER - •Rubra- 1-4 days, bright red
•Serosa- 4-10 days, pink to brown
•Alba- 10 days to 6 weeks, white to yellowish
•Odor similar to menstrual flow, foul odor indicates infection
•Presence of clots


Early postpartum hemorrhage - CORRECT ANSWER - •Within first 24 hours
•Most common cause is uterine atony


Early Postpartum Hemorrhage Risk Factors - CORRECT ANSWER - -macrosomia
-multiple gestation
-polyhydramnios
-chorioamnionitis