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Exam (elaborations)

NSG 333 EXAM 3 QUESTIONS WITH COMPLETE SOLUTIONS!!

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NSG 333 EXAM 3 QUESTIONS WITH COMPLETE SOLUTIONS!!

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NSG 333 EXAM 3 QUESTIONS WITH
COMPLETE SOLUTIONS!!




1 of 60

Term



When caring for a newly delivered woman, what is the best measure for
the nurse to implement to prevent abdominal distention after a
cesarean birth?


Rectal suppositories
Early and frequent ambulation
Tightening and relaxing abdominal muscles
Carbonated beverages



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,d. Retained placental fragments and infection

Subinvolution is the failure of the uterus to return to a nonpregnant state. The
most common causes of subinvolution are retained placental fragments and
infection. Subinvolution may be caused by an infection and result in
hemorrhage.
Multiple gestations may cause uterine atony, resulting in postpartum
hemorrhaging. Uterine tetany and overproduction of oxytocin do not cause
subinvolution.




b. Infant can learn to distinguish their mother's voice from others soon after birth

Infants know the sound of their mother's voice at an early age. Infants positively
respond to high-pitched voices. Each infant has a unique odor. Infants quickly
learn to distinguish the odor of their mother's breast milk.




b. Early and frequent ambulation

Activity will aid the movement of accumulated gas in the gastrointestinal
tract that results in abdominal distention. Rectal suppositories can be
helpful after distention occurs; however, they do not prevent it.
Ambulation is the best prevention. Carbonated beverages may increase
distention.




b.After 2 weeks postpartum, it should be abdominally

The uterus does not return to its original size. At the end of the third stage of
labor, the uterus weighs approximately 1000 g. After 2 weeks postpartum, the
uterus weighs approximately 350 g. The normal self-destruction of excess
hypertrophied tissue accounts for the slight increase in uterine size after
each pregnancy.


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2 of 60

,Term


Which medications are used to manage postpartum hemorrhage
(PPH)? (Select all that apply.)


a.Oxytocin
b. Methergine
c.Terbutaline
d. Hemabate
e. Magnesium sulfate


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c. Fundus below the symphysis and nonpalpable

The fundus descends 1 cm per day; consequently, it is no longer palpable by
postpartum day 14. The lochia should be changed by this day to serosa. Breasts
are not part of the involution process. The episiotomy should not be red or puffy
at this stage.




a.Oxytocin
b. Methergine
d. Hemabate

Oxytocin, Methergine, and Hemabate are medications used to manage
PPH. Terbutaline and magnesium sulfate are tocolytic medications that
are used to relax the uterus, which would cause or worsen PPH.




d. Headaches

Headaches are common in the first postpartum week; they are usually bilateral
and frontal in location. Headaches in the postpartum period can have a number
of causes, some of which deserve medical attention. Total or nearly total
regression of varicosities is expected after childbirth. Carpal tunnel syndrome is
relieved in childbirth when the compression on the median nerve is lessened.

, Periodic numbness of the fingers usually disappears after childbirth unless
carrying the baby aggravates the condition.



a. Mutuality

Mutuality extends the concept of attachment and includes a shared set of
behaviors as part of the bonding process. Bonding is the process during which
parents form an emotional attachment to their infant over time. Claiming is the
process during which parents identify their new baby in terms of the infant's
likeness to other family members and their differences and uniqueness. Like
mutuality, acquaintance is part of attachment. It describes how parents get to
know their baby during the immediate postpartum period through eye contact,
touching, and talking.


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3 of 60

Definition


a. Elevated temperature within the first 24 hours - 3.
Dehydrating effects of labor


b. Rapid pulse - 4. Hypovolemia resulting from hemorrhage


c. Elevated temperature at 36 hours postpartum - 1. Puerperal sepsis


d. Hypertension -
5. Excessive use of oxytocin


e. Hypoventilation - 2. Unusually high epidural or spinal block



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