NSG 333 Exam 3 QUESTIONS WITH ANSWERS

NSG 333 Exam 3 QUESTIONS WITH |\ |\ |\ |\ |\ |\




ANSWERS

A woman gave birth to an infant boy 10 hours ago. Where does
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the nurse expect to locate this woman's fundus?
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a. 1 cm above umbilicus
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b. 2 cm below the umbilicus
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c. Midway between the umbilicus and symphysis pubis
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d. Nonpalpable abdominally
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a. 1 cm above umbilicus
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The fundus descends approx. 1-2 cm every 24 hours. Within 12
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hours after delivery the fundus may be approximately 1 cm
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above the umbilicus. By the 6th postpartum week the fundus is
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normally halfway between the symphysis pubis and the
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umbilicus. The fundus should be easily palpated using the
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maternal umbilicus as a reference point.
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What are the most common causes of subinvolution of the
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uterus?


a. Postpartum hemorrhage and infection
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,b. Multiple gestation and postpartum hemorrhage
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c. Uterine tetany and overproduction of oxytocin
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d. Retained placental fragments and infection
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d. Retained placental fragments and infection
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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
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may be caused by an infection and result in hemorrhage. Multiple
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gestations may cause uterine atony, resulting in postpartum
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hemorrhaging. Uterine tetany and overproduction of oxytocin do |\ |\ |\ |\ |\ |\ |\ |\


not cause subinvolution.
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Which client is most likely to experience strong and
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uncomfortable afterpains? |\




a. A woman who experienced oligohydramnios
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b. A woman who is gravida 4, para 4004
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c. A woman who is bottle-feeding her infant
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d. A women whose infant weighed 5 pounds 3 oz
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b. A woman who is gravida 4, para 4004
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Afterpains are more common in multiparous women. In a woman
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who experienced polyhydramnios, afterpains are more noticeable
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because the uterus was greatly distended. Breastfeeding may
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cause the afterpains to intensify. In a women who delivered a
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,large infant, afterpains are more noticeable because the uterus
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was greatly distended.
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A woman gave birth to a healthy infant boy 5 days ago. What
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type of lochia does the nurse expect to find when evaluating this
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client?


a. Lochia rubra
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b. Lochia sangra
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c. Lochia alba
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d. Lochia serosa
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d. Lochia serosa
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Lochia serosa, which consists of blood, serum, leukocytes, and
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tissue debris, generally occurs around day 4 after childbirth.
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Lochia rubra consists of blood and decidual and trophoblastic
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debris. The flow generally lasts 3-4 days and pales, becoming
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pink or brown. Lochia sangra is not a real term. Lochia alba
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occurs in most women after day 10 and can continue up to 6
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weeks after childbirth. |\ |\




Which hormone remains elevated in the immediate postpartum
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period of the breastfeeding woman?
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, a. Estrogen
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b. Progesterone
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c. Prolactin
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d. Human placental lactogen
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c. Prolactin
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Prolactin levels in the blood progressively increase throughout
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pregnancy. In women who breastfeed, prolactin levels remain
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elevated into the sixth week after birth. Estrogen levels decrease
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significantly after expulsion of the placenta, reaching their lowest
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levels 1 week into the postpartum period. Progesterone levels
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decrease significantly after expulsion of the placenta, reaching
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their lowest levels 1 week into the postpartum period. Human
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placental lactogen levels dramatically decrease after expulsion of
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the placenta.
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Two days ago a woman gave birth to a full-term infant. Last night
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she awakened several times to urinate and noted that her gown
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and bedding were wet from profuse diaphoresis. Which
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physiologic alteration is the cause for the diaphoresis and
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diuresis that this client is experiencing?
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a. Elevated temp caused by postpartum infection
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b. Increased basal metabolic rate after giving birth
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c. Loss of increased blood volume associated with pregnancy
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d. Increased venous pressure in the lower extremities
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