©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU 409: exam 2 Study Guide with
Complete Solutions
most pregnancy changes reverse within... - Ans:✔✔-6 weeks of delivery
what is involution - Ans:✔✔-the shrinking of the uterus
when does involution begin - Ans:✔✔-immediately after the birth
by what time does the uterus return to pre-pregnancy size - Ans:✔✔-6 weeks
uterine contraction after birth is a defense against... - Ans:✔✔-postpartum hemorrhage
why is oxytocin (pitocin) given to women after delivery - Ans:✔✔-to promote uterine contraction and
prevent hemorrhage
what may bladder distention contribute to... - Ans:✔✔-the uterus not contracting as expected
placenta site heals by... what does this allow for? - Ans:✔✔-sloughing of the decidua and not by forming
scar tissue
-allows for future pregnancy
Page 1/82
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is lochia - Ans:✔✔-the vaginal discharge after birth
lochia rubra appearance - Ans:✔✔-dark red
lochia rubra composition - Ans:✔✔-blood, decidua, and other pregnancy debris
lochia rubra duration - Ans:✔✔-3-4 days
lochia rubra abnormalities - Ans:✔✔--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 - Ans:✔✔-lighter red, pink, or brown
lochia serosa composition - Ans:✔✔-debris, old blood, white blood cells, and serum
lochia serosa duration - Ans:✔✔-10-14 days
lochia serosa abnormalities - Ans:✔✔--saturation of pad in 15 min or less
-foul odor (suggests infection)
Page 2/82
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-bright red blood for more than 1-2 hours
lochia alba appearance - Ans:✔✔-yellow or white
lochia alba composition - Ans:✔✔-white blood cells, serum, mucus, and bacteria
lochia alba abnormalities - Ans:✔✔--foul odor (suggests infection)
-bright red blood for more than 1-2 hours
blood loss during a vaginal delivery is typically between... - Ans:✔✔-200 to 500 mL and up to 1,000 mL
during a cesarean delivery
excess blood volume resolves... - Ans:✔✔-over the first few days after delivery through blood loss,
diuresis, and diaphoresis.
white blood cells elevate during... - Ans:✔✔-labor and immediate postpartum even without infection
postpartum nurses should ensure that patients are... - Ans:✔✔--hydrated
-monitor for temperature greater than 100.4 degrees
-assess for signs of infection
Page 3/82
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is there an increased risk for during the postpartum period... why? - Ans:✔✔-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? - Ans:✔✔-NURSES SHOULD ENCOURAGE EARLY
AND FREQUENT AMBULATION TO DECREASE RISK OF PE.
what are the first clinical signs of postpartum hemorrhage? - Ans:✔✔--hypotension
-tachycardia
-sight of blood
if a mother is rh negative and her infant is rh positive what should be administered? when? - Ans:✔✔-
globulin should be administered within 72 hours
women who are non-immune or equivocal will receive what vaccine in the immediate postpartum
period? - Ans:✔✔-MMR vaccine
after the MMR vaccine the woman needs to avoid pregnancy for... - Ans:✔✔-4 weeks
if patients receives both rhogam or MMR should recommend re-screening around... - Ans:✔✔-6-8 weeks
hormones of pregnancy drop quickly after the... - Ans:✔✔-the detachment of the placenta
Page 4/82
FIRST PUBLISH OCTOBER 2024
NU 409: exam 2 Study Guide with
Complete Solutions
most pregnancy changes reverse within... - Ans:✔✔-6 weeks of delivery
what is involution - Ans:✔✔-the shrinking of the uterus
when does involution begin - Ans:✔✔-immediately after the birth
by what time does the uterus return to pre-pregnancy size - Ans:✔✔-6 weeks
uterine contraction after birth is a defense against... - Ans:✔✔-postpartum hemorrhage
why is oxytocin (pitocin) given to women after delivery - Ans:✔✔-to promote uterine contraction and
prevent hemorrhage
what may bladder distention contribute to... - Ans:✔✔-the uterus not contracting as expected
placenta site heals by... what does this allow for? - Ans:✔✔-sloughing of the decidua and not by forming
scar tissue
-allows for future pregnancy
Page 1/82
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is lochia - Ans:✔✔-the vaginal discharge after birth
lochia rubra appearance - Ans:✔✔-dark red
lochia rubra composition - Ans:✔✔-blood, decidua, and other pregnancy debris
lochia rubra duration - Ans:✔✔-3-4 days
lochia rubra abnormalities - Ans:✔✔--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 - Ans:✔✔-lighter red, pink, or brown
lochia serosa composition - Ans:✔✔-debris, old blood, white blood cells, and serum
lochia serosa duration - Ans:✔✔-10-14 days
lochia serosa abnormalities - Ans:✔✔--saturation of pad in 15 min or less
-foul odor (suggests infection)
Page 2/82
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-bright red blood for more than 1-2 hours
lochia alba appearance - Ans:✔✔-yellow or white
lochia alba composition - Ans:✔✔-white blood cells, serum, mucus, and bacteria
lochia alba abnormalities - Ans:✔✔--foul odor (suggests infection)
-bright red blood for more than 1-2 hours
blood loss during a vaginal delivery is typically between... - Ans:✔✔-200 to 500 mL and up to 1,000 mL
during a cesarean delivery
excess blood volume resolves... - Ans:✔✔-over the first few days after delivery through blood loss,
diuresis, and diaphoresis.
white blood cells elevate during... - Ans:✔✔-labor and immediate postpartum even without infection
postpartum nurses should ensure that patients are... - Ans:✔✔--hydrated
-monitor for temperature greater than 100.4 degrees
-assess for signs of infection
Page 3/82
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is there an increased risk for during the postpartum period... why? - Ans:✔✔-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? - Ans:✔✔-NURSES SHOULD ENCOURAGE EARLY
AND FREQUENT AMBULATION TO DECREASE RISK OF PE.
what are the first clinical signs of postpartum hemorrhage? - Ans:✔✔--hypotension
-tachycardia
-sight of blood
if a mother is rh negative and her infant is rh positive what should be administered? when? - Ans:✔✔-
globulin should be administered within 72 hours
women who are non-immune or equivocal will receive what vaccine in the immediate postpartum
period? - Ans:✔✔-MMR vaccine
after the MMR vaccine the woman needs to avoid pregnancy for... - Ans:✔✔-4 weeks
if patients receives both rhogam or MMR should recommend re-screening around... - Ans:✔✔-6-8 weeks
hormones of pregnancy drop quickly after the... - Ans:✔✔-the detachment of the placenta
Page 4/82
