Nurs 410 Exam 1 Questions With Complete Solutions
4 Basic Goal of Healthy People 2020 Correct Answer -
Increase quality and length of healthy life
- Eliminate health disparities
- Create social & physical environments that promote good
health
- Promote healthy development & healthy behaviors across all
life stages
Acculturation Correct Answer The adoption of cultural traits,
such as language and/or education, by one group under the
influence of another.
Afterpains Correct Answer Moderate to severe cramp-like
pains that are related to the uterus working harder to remain
contracted and/or to the increase of oxytocin that is released in
response to infant suckling; more common in multiparas
Tx: prone position, sitz baths, ambulation, mild analgesics 30
min before breast feeding
Assessment of Fundus, Lochia, and Perineum Correct Answer
Assessed Q15M following birth
Assist pt into side-lying position (sims) w back facing nurse
REEDA: redness, edema, ecchymosis, drainage, and
approximation
,Assessment: Bladder Correct Answer Last time pt emptied
bladder?
Palpable or nonpalpable?
Spontaneous voiding should occur within 6-8 hrs
150 ml/hr is necessary to avoid urinary retention/stasis
Assessment: Bowel Correct Answer Last BM?
Presence of flatus and hunger?
Commonly delayed until the 2nd or 3rd day
Early ambulation, abundant fluids, and a high fiber diet help
prevent constipation
Assessment: Breasts Correct Answer Palpate breasts: soft,
filling, firm?
Temp and color: pink, cool, red streaked?
Nipples-flat, intact, inverted & everted?
Should be firm and warm by 3rd day due to filling
Nodules are a result of incomplete emptying
Assessment: Episiotomy Correct Answer REEDA
Application of cold packs in first 24 hrs, heat packs, topic
anesthetic creams or sprays, sitz baths
Assessment: Homans Sign Correct Answer Positive: when
resistance or discomfort is elicited after sharply dorsiflexing foot
Not always accurate
, Assessment: Lochia Correct Answer LESS THAN
QUARTER-SIZED WNL.
Scant - less than an inch
Light - less than 4 inch
Moderate - less than 6-inch
Heavy - saturated peripad within 1 hr.
Rubra: first few days; red w fleshy odor
Serosa: 3 to 4 days; pinkish-brownish
Alba: 10 to 14 days; thick white discharge
Assessment: Uterus Correct Answer Location: Midline or
deviated to R/L?
Tone: Firm, firm w massage, boggy?
A full bladder or retained placental tissue may prevent uterus
from contracting
ALWAYS SUPPORT THE LOWER UTERINE SEGMENT
Attachment High-Risk Behaviors Correct Answer Negative
comments
Failure to look at infant
Failure to touch infant
Failure to name infant
Limited/no handling of baby
Failure to meet physical needs - her own or the baby's
Baby Blues Correct Answer The 1st wk PP; 2-10 d typically
Insomnia, irritability, fatigue, crying, anxiety
Still able to take care of herself and baby
4 Basic Goal of Healthy People 2020 Correct Answer -
Increase quality and length of healthy life
- Eliminate health disparities
- Create social & physical environments that promote good
health
- Promote healthy development & healthy behaviors across all
life stages
Acculturation Correct Answer The adoption of cultural traits,
such as language and/or education, by one group under the
influence of another.
Afterpains Correct Answer Moderate to severe cramp-like
pains that are related to the uterus working harder to remain
contracted and/or to the increase of oxytocin that is released in
response to infant suckling; more common in multiparas
Tx: prone position, sitz baths, ambulation, mild analgesics 30
min before breast feeding
Assessment of Fundus, Lochia, and Perineum Correct Answer
Assessed Q15M following birth
Assist pt into side-lying position (sims) w back facing nurse
REEDA: redness, edema, ecchymosis, drainage, and
approximation
,Assessment: Bladder Correct Answer Last time pt emptied
bladder?
Palpable or nonpalpable?
Spontaneous voiding should occur within 6-8 hrs
150 ml/hr is necessary to avoid urinary retention/stasis
Assessment: Bowel Correct Answer Last BM?
Presence of flatus and hunger?
Commonly delayed until the 2nd or 3rd day
Early ambulation, abundant fluids, and a high fiber diet help
prevent constipation
Assessment: Breasts Correct Answer Palpate breasts: soft,
filling, firm?
Temp and color: pink, cool, red streaked?
Nipples-flat, intact, inverted & everted?
Should be firm and warm by 3rd day due to filling
Nodules are a result of incomplete emptying
Assessment: Episiotomy Correct Answer REEDA
Application of cold packs in first 24 hrs, heat packs, topic
anesthetic creams or sprays, sitz baths
Assessment: Homans Sign Correct Answer Positive: when
resistance or discomfort is elicited after sharply dorsiflexing foot
Not always accurate
, Assessment: Lochia Correct Answer LESS THAN
QUARTER-SIZED WNL.
Scant - less than an inch
Light - less than 4 inch
Moderate - less than 6-inch
Heavy - saturated peripad within 1 hr.
Rubra: first few days; red w fleshy odor
Serosa: 3 to 4 days; pinkish-brownish
Alba: 10 to 14 days; thick white discharge
Assessment: Uterus Correct Answer Location: Midline or
deviated to R/L?
Tone: Firm, firm w massage, boggy?
A full bladder or retained placental tissue may prevent uterus
from contracting
ALWAYS SUPPORT THE LOWER UTERINE SEGMENT
Attachment High-Risk Behaviors Correct Answer Negative
comments
Failure to look at infant
Failure to touch infant
Failure to name infant
Limited/no handling of baby
Failure to meet physical needs - her own or the baby's
Baby Blues Correct Answer The 1st wk PP; 2-10 d typically
Insomnia, irritability, fatigue, crying, anxiety
Still able to take care of herself and baby
