NUR 254 EXAM 2 TESTED QUESTIONS
AND COMPLETE SOLUTIONS
◉ Rubins Maternal Tasks Phase 3
Answer: Letting Go
Letting others hold or care for baby
◉ Uterine Atony
Answer: inability of the uterus to contract effectively
◉ Early Postpartum Hemorrhage
Answer: First 24 hours
Common Cause: Uterine Atony
◉ Late Postpartum Hemorrhage
Answer: 24 hours to 12 weeks after birth.
Cause- retained placenta
◉ Postpartum Hemorrhage Management
Answer: Fundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
Surgical Intervention
, Fluid Replacement
◉ Hematomas
Answer: Discoloration of perineum, perineal pain, edema, rectal
pressure, bleeding
MD notified, surgical management vs. monitoring
Vulvar hematomas most common
◉ Thrombophlebitis & Thrombosis
Answer: S/s: calf pain, leg tenderness, swelling, redness, heat
Tests: D-dimer, Doppler vo scan, MRI
Medication: NSAIDS, Heparin
Major Complication- PE
◉ Endometritis
Answer: inflammation of the inner lining of the uterus
S/s- temp >100.4, pelvic pain, uterine tenderness, heavy & foul
smelling Lochia, chills, increased WBCs
◉ Mastitis
Answer: S/s- fever, warm, tender, hard breast, enlarged auxiliary
lymph node, chills, generalized aching, headache, malaise
Management- Abx, rest, increased fluids, comfort measures
AND COMPLETE SOLUTIONS
◉ Rubins Maternal Tasks Phase 3
Answer: Letting Go
Letting others hold or care for baby
◉ Uterine Atony
Answer: inability of the uterus to contract effectively
◉ Early Postpartum Hemorrhage
Answer: First 24 hours
Common Cause: Uterine Atony
◉ Late Postpartum Hemorrhage
Answer: 24 hours to 12 weeks after birth.
Cause- retained placenta
◉ Postpartum Hemorrhage Management
Answer: Fundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
Surgical Intervention
, Fluid Replacement
◉ Hematomas
Answer: Discoloration of perineum, perineal pain, edema, rectal
pressure, bleeding
MD notified, surgical management vs. monitoring
Vulvar hematomas most common
◉ Thrombophlebitis & Thrombosis
Answer: S/s: calf pain, leg tenderness, swelling, redness, heat
Tests: D-dimer, Doppler vo scan, MRI
Medication: NSAIDS, Heparin
Major Complication- PE
◉ Endometritis
Answer: inflammation of the inner lining of the uterus
S/s- temp >100.4, pelvic pain, uterine tenderness, heavy & foul
smelling Lochia, chills, increased WBCs
◉ Mastitis
Answer: S/s- fever, warm, tender, hard breast, enlarged auxiliary
lymph node, chills, generalized aching, headache, malaise
Management- Abx, rest, increased fluids, comfort measures
