NSG-432 class notes for exam 2
questions with complete solutions
Postpartum care starts in - correct answer ✔✔ stage 4
The first two hours are the most - correct answer ✔✔ crucial for baby and mom
When it is a vaginal delivery the hospital stay is - correct answer ✔✔ 1-2 days that time starts
after delivery
Primigravidas are often staying - correct answer ✔✔ there for 2 days
if the mother has a C section they are in the hospital for - correct answer ✔✔ 3 to 4 days
Vaginal delivery follow up visit is - correct answer ✔✔ 6 weeks after
C section delivery follow up visit is - correct answer ✔✔ 2 weeks after
Newborns have to follow up with the - correct answer ✔✔ PEDIATRICIAN (not OB doctor) 1-2
days after discharge
At this visit (1-2 days with pediatrician) they assess the baby for - correct answer ✔✔ jaundice
Involution is where the - correct answer ✔✔ uterus tries to get back to its non-pregnant state
which is the size of the fist
,Involution starts immediately after the - correct answer ✔✔ placenta has been delivered
Which drug is used to keep the uterus contracted - correct answer ✔✔ pitocin
Pitocin can be given - correct answer ✔✔ free flow
bolus
it does not have to be slowly on a pump
Pitocin has been refused by mothers because of - correct answer ✔✔ pain
Pitocin is given so the mom does not go into - correct answer ✔✔ post partum hemorrhage
It is recommended by ACOG that every patient recieve - correct answer ✔✔ pitocin
When the uterus contracts on itself it - correct answer ✔✔ stops bleeding
Where is the uterus located after the placenta has been delivered - correct answer ✔✔ 2 cm
BELOW the umbilicus
Where is the uterus 12 hours after delivery? - correct answer ✔✔ 1cm ABOVE the umbilicus
Where is the uterus 24 hours after delivery - correct answer ✔✔ AT THE UMBILICUS
Every 24 hours the uterus goes down like - correct answer ✔✔ 1cm
Multigravidas will experience more - correct answer ✔✔ abdominal cramping after delivery
because the uterus tends to lose elasticity
,With a primigravida the uterus can easily go back to - correct answer ✔✔ its pre pregnant state
After birth estrogen and progesterone levels - correct answer ✔✔ drop drastically
Oxytocin and prolactin levels - correct answer ✔✔ increased after birth
Subinvolution is - correct answer ✔✔ the failure of the uterus to get back to its non-pregnant
state
Two main causes of subinvolution are - correct answer ✔✔ -retained placental fragments
-infection
it does not matter how small the fragments are - correct answer ✔✔ it can still prevent the
uterus from contracting
After the placenta detaches it leaves a - correct answer ✔✔ wound on the uterus and it releases
drainage called lochia
Lochia does not - correct answer ✔✔ clot
Lochia should not have an - correct answer ✔✔ odor
Lochia rubra lasts - correct answer ✔✔ 1-3 days
Lochia serosa lasts - correct answer ✔✔ 4-14 days gets to a pinkish
, Lochia alba lasts until - correct answer ✔✔ 4-8 weeks yellowish whitish color
the hole where the placenta was has now healed
Anytime you see clots you know - correct answer ✔✔ something is going on
Anytime an odor is present you have to - correct answer ✔✔ educate the client to call the OB
doctor
Fundal checks are not only for - correct answer ✔✔ checking to see where the fundus is but
also checking the lochia and how much is coming out
A lot of times the flow of lochia is heavier the first - correct answer ✔✔ 24 hours after delivery
especially after they move
After delivery the - correct answer ✔✔ cervix remains open
12-18 hours after delivery the cervix - correct answer ✔✔ shortens and firms
2 fingers may still be able to be inserted into the cervix - correct answer ✔✔ 4-6 days after
delivery
Initially vagina perineum is - correct answer ✔✔ Edematous erythmatous
Estrogen deprivation causes - correct answer ✔✔ thinness of the vaginal mucosa and absence
of rugae
questions with complete solutions
Postpartum care starts in - correct answer ✔✔ stage 4
The first two hours are the most - correct answer ✔✔ crucial for baby and mom
When it is a vaginal delivery the hospital stay is - correct answer ✔✔ 1-2 days that time starts
after delivery
Primigravidas are often staying - correct answer ✔✔ there for 2 days
if the mother has a C section they are in the hospital for - correct answer ✔✔ 3 to 4 days
Vaginal delivery follow up visit is - correct answer ✔✔ 6 weeks after
C section delivery follow up visit is - correct answer ✔✔ 2 weeks after
Newborns have to follow up with the - correct answer ✔✔ PEDIATRICIAN (not OB doctor) 1-2
days after discharge
At this visit (1-2 days with pediatrician) they assess the baby for - correct answer ✔✔ jaundice
Involution is where the - correct answer ✔✔ uterus tries to get back to its non-pregnant state
which is the size of the fist
,Involution starts immediately after the - correct answer ✔✔ placenta has been delivered
Which drug is used to keep the uterus contracted - correct answer ✔✔ pitocin
Pitocin can be given - correct answer ✔✔ free flow
bolus
it does not have to be slowly on a pump
Pitocin has been refused by mothers because of - correct answer ✔✔ pain
Pitocin is given so the mom does not go into - correct answer ✔✔ post partum hemorrhage
It is recommended by ACOG that every patient recieve - correct answer ✔✔ pitocin
When the uterus contracts on itself it - correct answer ✔✔ stops bleeding
Where is the uterus located after the placenta has been delivered - correct answer ✔✔ 2 cm
BELOW the umbilicus
Where is the uterus 12 hours after delivery? - correct answer ✔✔ 1cm ABOVE the umbilicus
Where is the uterus 24 hours after delivery - correct answer ✔✔ AT THE UMBILICUS
Every 24 hours the uterus goes down like - correct answer ✔✔ 1cm
Multigravidas will experience more - correct answer ✔✔ abdominal cramping after delivery
because the uterus tends to lose elasticity
,With a primigravida the uterus can easily go back to - correct answer ✔✔ its pre pregnant state
After birth estrogen and progesterone levels - correct answer ✔✔ drop drastically
Oxytocin and prolactin levels - correct answer ✔✔ increased after birth
Subinvolution is - correct answer ✔✔ the failure of the uterus to get back to its non-pregnant
state
Two main causes of subinvolution are - correct answer ✔✔ -retained placental fragments
-infection
it does not matter how small the fragments are - correct answer ✔✔ it can still prevent the
uterus from contracting
After the placenta detaches it leaves a - correct answer ✔✔ wound on the uterus and it releases
drainage called lochia
Lochia does not - correct answer ✔✔ clot
Lochia should not have an - correct answer ✔✔ odor
Lochia rubra lasts - correct answer ✔✔ 1-3 days
Lochia serosa lasts - correct answer ✔✔ 4-14 days gets to a pinkish
, Lochia alba lasts until - correct answer ✔✔ 4-8 weeks yellowish whitish color
the hole where the placenta was has now healed
Anytime you see clots you know - correct answer ✔✔ something is going on
Anytime an odor is present you have to - correct answer ✔✔ educate the client to call the OB
doctor
Fundal checks are not only for - correct answer ✔✔ checking to see where the fundus is but
also checking the lochia and how much is coming out
A lot of times the flow of lochia is heavier the first - correct answer ✔✔ 24 hours after delivery
especially after they move
After delivery the - correct answer ✔✔ cervix remains open
12-18 hours after delivery the cervix - correct answer ✔✔ shortens and firms
2 fingers may still be able to be inserted into the cervix - correct answer ✔✔ 4-6 days after
delivery
Initially vagina perineum is - correct answer ✔✔ Edematous erythmatous
Estrogen deprivation causes - correct answer ✔✔ thinness of the vaginal mucosa and absence
of rugae
