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What describes regular uterine activity? - ANSWER-
Contractions that become
more frequent with increased duration
and intensity
What is uterine contraction described by? - ANSWER-
Frequency, intensity,
duration, and
resting tone
How are uterine contractions assessed? - ANSWER-
Through palpation or
through use of external and internal
electronic monitors
What are the 3 ways of describing contractions based
on palpation? -
ANSWER-Mild: slightly tense fundus that is easy to indent
with the fingertips
,Moderate: firm fundus that is difficult to indent with the
fingertips
Strong: rigid, board-like fundus that is almost impossible to
indent with the
fingertips
What is the most accurate way of assessing the intensity of
uterine contractions
and resting tone of the uterus? - ANSWER-Through the
use of internal
electronic
monitoring
The nurse considers uterine activity in the context of what? -
ANSWER-Its effect
on cervical effacement and dilation, and on
the station
Where can the FHR be heard the loudest? - ANSWER-Over
the back of the
fetus
Why is it essential to assess FHR after the rupture of the
membranes? -
ANSWER-This is the most common time for the umbilical
cord to prolapse
,How long does the postpartum period last? - ANSWER-1 year
Where will the fundus be within the first 12 hours of birth? -
ANSWER-1 cm
above the
umbilicus
Where will the fundus be 1 day postpartum? - ANSWER-1
fingerbreadth under
the
umbilicus
The fundus should be shrinking how many cm per day? -
ANSWER-1-2 cm
When should the fundus no longer be palpable postpartum?
- ANSWER-10
days
postpartum
What is a priority in early postpartum? - ANSWER-
Maintaining good uterine
tone
What are 2 nursing interventions for maintaining uterine tone in
early postpartum? - ANSWER-Massaging the fundus to keep it
firm and keeping the bladder empty by making sure a regular
voiding schedule is kept
, What is lochia? - ANSWER-Uterine discharge postpartum
composed of vessels
from the placenta site and debris from
the decidua
What is lochia like the first 2 hours postpartum? -
ANSWER-Like a heavy
menstrual
period
What are the 3 types of lochia? - ANSWER-Rubra, serosa, and
alba
What is rubra? How long does it last? - ANSWER-Bright red
lochia; 1-3 days
What is serosa? How long does it last? - ANSWER-Pinkish-
brown lochia; 4-10
days
What is alba? How long does it last? - ANSWER-Whiteish-
yellow lochia; 10-14
days
What can help decrease lochia flow? - ANSWER-Pitocin
What is abnormal in lochia? - ANSWER-Malodor