NU 409 Exam 2 Guide With
Complete Solution
Most pregnancy changes reverse within... - ANSWER 6 weeks of delivery
what is involution - ANSWER the shrinking of the uterus
when does involution begin - ANSWER immediately after the birth
by what time does the uterus return to pre-pregnancy size - ANSWER 6
weeks
uterine contraction after birth is a defense against... - ANSWER postpartum
hemorrhage
why is oxytocin (pitocin) given to women after delivery - ANSWER to
promote uterine contraction and prevent hemorrhage
what may bladder distention contribute to... - ANSWER the uterus not
contracting as expected
placenta site heals by... what does this allow for? - ANSWER sloughing of the
decidua and not by forming scar tissue
-allows for future pregnancy
what is lochia - ANSWER the vaginal discharge after birth
lochia rubra appearance - ANSWER dark red
lochia rubra composition - ANSWER blood, decidua, and other pregnancy
debris
,lochia rubra duration - ANSWER 3-4 days
lochia rubra abnormalities - ANSWER -foul odor (suggests infection)
-saturation of pad in 15 min or less
-tissue
-clots larger than plums
-duration more than 4 days
lochia serosa appearance - ANSWER lighter red, pink, or brown
lochia serosa composition - ANSWER debris, old blood, white blood cells, and
serum
lochia serosa duration - ANSWER 10-14 days
lochia serosa abnormalities - ANSWER -saturation of pad in 15 min or less
-foul odor (suggests infection)
-bright red blood for more than 1-2 hours
lochia alba appearance - ANSWER yellow or white
lochia alba composition - ANSWER white blood cells, serum, mucus, and
bacteria
lochia alba abnormalities - ANSWER -foul odor (suggests infection)
-bright red blood for more than 1-2 hours
blood loss during a vaginal delivery is typically between... - ANSWER 200 to
500 mL and up to 1,000 mL during a cesarean delivery
excess blood volume resolves... - ANSWER over the first few days after
,delivery through blood loss, diuresis, and diaphoresis.
white blood cells elevate during... - ANSWER labor and immediate
postpartum even without infection
postpartum nurses should ensure that patients are... - ANSWER -hydrated
-monitor for temperature greater than 100.4 degrees
-assess for signs of infection
what is there an increased risk for during the postpartum period... why? -
ANSWER THERE IS AN INCREASED RISK OF DVT OR PE DURING THE
POSTPARTUM PERIOD DUE TO INCREASED CLOTTING ABILITY AND
IMMOBILITY.
what should nurses encourage to decrease risk of PE? - ANSWER NURSES
SHOULD ENCOURAGE EARLY AND FREQUENT AMBULATION TO DECREASE
RISK OF PE.
what are the first clinical signs of postpartum hemorrhage? - ANSWER
-hypotension
-tachycardia
-sight of blood
if a mother is rh negative and her infant is rh positive what should be
, administered? when? - ANSWER globulin should be administered within 72
hours
women who are non-immune or equivocal will receive what vaccine in the
immediate postpartum period? - ANSWER MMR vaccine
after the MMR vaccine the woman needs to avoid pregnancy for... - ANSWER
4 weeks
if patients receives both rhogam or MMR should recommend re-screening
around... - ANSWER 6-8 weeks
hormones of pregnancy drop quickly after the... - ANSWER the detachment
of the placenta
estrogen levels return to pre-pregnancy level within... - ANSWER 2 weeks in
women who are not breastfeeding
the taking-in phase - ANSWER where the mother recovers and takes a
passive, dependent role.
the taking-hold phase - ANSWER where the mother processes the birth
Complete Solution
Most pregnancy changes reverse within... - ANSWER 6 weeks of delivery
what is involution - ANSWER the shrinking of the uterus
when does involution begin - ANSWER immediately after the birth
by what time does the uterus return to pre-pregnancy size - ANSWER 6
weeks
uterine contraction after birth is a defense against... - ANSWER postpartum
hemorrhage
why is oxytocin (pitocin) given to women after delivery - ANSWER to
promote uterine contraction and prevent hemorrhage
what may bladder distention contribute to... - ANSWER the uterus not
contracting as expected
placenta site heals by... what does this allow for? - ANSWER sloughing of the
decidua and not by forming scar tissue
-allows for future pregnancy
what is lochia - ANSWER the vaginal discharge after birth
lochia rubra appearance - ANSWER dark red
lochia rubra composition - ANSWER blood, decidua, and other pregnancy
debris
,lochia rubra duration - ANSWER 3-4 days
lochia rubra abnormalities - ANSWER -foul odor (suggests infection)
-saturation of pad in 15 min or less
-tissue
-clots larger than plums
-duration more than 4 days
lochia serosa appearance - ANSWER lighter red, pink, or brown
lochia serosa composition - ANSWER debris, old blood, white blood cells, and
serum
lochia serosa duration - ANSWER 10-14 days
lochia serosa abnormalities - ANSWER -saturation of pad in 15 min or less
-foul odor (suggests infection)
-bright red blood for more than 1-2 hours
lochia alba appearance - ANSWER yellow or white
lochia alba composition - ANSWER white blood cells, serum, mucus, and
bacteria
lochia alba abnormalities - ANSWER -foul odor (suggests infection)
-bright red blood for more than 1-2 hours
blood loss during a vaginal delivery is typically between... - ANSWER 200 to
500 mL and up to 1,000 mL during a cesarean delivery
excess blood volume resolves... - ANSWER over the first few days after
,delivery through blood loss, diuresis, and diaphoresis.
white blood cells elevate during... - ANSWER labor and immediate
postpartum even without infection
postpartum nurses should ensure that patients are... - ANSWER -hydrated
-monitor for temperature greater than 100.4 degrees
-assess for signs of infection
what is there an increased risk for during the postpartum period... why? -
ANSWER THERE IS AN INCREASED RISK OF DVT OR PE DURING THE
POSTPARTUM PERIOD DUE TO INCREASED CLOTTING ABILITY AND
IMMOBILITY.
what should nurses encourage to decrease risk of PE? - ANSWER NURSES
SHOULD ENCOURAGE EARLY AND FREQUENT AMBULATION TO DECREASE
RISK OF PE.
what are the first clinical signs of postpartum hemorrhage? - ANSWER
-hypotension
-tachycardia
-sight of blood
if a mother is rh negative and her infant is rh positive what should be
, administered? when? - ANSWER globulin should be administered within 72
hours
women who are non-immune or equivocal will receive what vaccine in the
immediate postpartum period? - ANSWER MMR vaccine
after the MMR vaccine the woman needs to avoid pregnancy for... - ANSWER
4 weeks
if patients receives both rhogam or MMR should recommend re-screening
around... - ANSWER 6-8 weeks
hormones of pregnancy drop quickly after the... - ANSWER the detachment
of the placenta
estrogen levels return to pre-pregnancy level within... - ANSWER 2 weeks in
women who are not breastfeeding
the taking-in phase - ANSWER where the mother recovers and takes a
passive, dependent role.
the taking-hold phase - ANSWER where the mother processes the birth
