Nurse 4030 - postpartum care Exam
Questions With 100% Correct Answer
Postpartum period
Ans:>> periodof time between birth and when reproductive organs
return to their normal state
- traditionally lasts 4-6 weeks
- ACOG recommend care continues for 12 weeks
Quiz uterine involution
Ans:>> uterusis returning to normal size, starts immediately after third
stage of labor
- after first 24 hours, uterus should descend by 1-2 cm (1-2
fingerbreadths) every 24 hours
- by 2 weeks uterus is not palpable, by 6 weeks returns to non-pregnant
location
,Quiz contractions PP
Ans:>> afterpains/afterbirth
cramps occur b/c when placenta is delivered
a gaping wound remains and contractions are needed to clamp BV and
stop bleeding
- afterpains are more noticeable by multiparous moms or moms w/
multiple/large babies due to poor uterine tone, overdistended uterus
- if irregular contractions, give pitocin
Quiz BF and involution
Ans:>> bf releases natural oxytocin which aids in contractions
Quiz uterine size w/ subsequent pregnancies
Ans:>> with each pregnancy, the uterine size increases slightly
Quiz what helps to promote involution?
, Ans:>> -
voiding (full bladder prevents uterine contraction, may have to
straight cath or use foley)
- fundal massage :)
- breastfeeding (releases oxytocin)
- meds (oxytocin, methergine, hemabate, cytotec)
Quiz subinvolution
Ans:>> uterus
fails to return to non-pregnant state due to ineffective
uterine contractions
- uterus will feel boggy, abnormally large, and fundus will be higher
than it should be
Quiz risks associated w/ subinvolution
Ans:>> -
associated w/ prolonged and increased bleeding (lochia rubra
may last longer than 3 days)
- cause of late PPH
Quiz subinvolution causes
Questions With 100% Correct Answer
Postpartum period
Ans:>> periodof time between birth and when reproductive organs
return to their normal state
- traditionally lasts 4-6 weeks
- ACOG recommend care continues for 12 weeks
Quiz uterine involution
Ans:>> uterusis returning to normal size, starts immediately after third
stage of labor
- after first 24 hours, uterus should descend by 1-2 cm (1-2
fingerbreadths) every 24 hours
- by 2 weeks uterus is not palpable, by 6 weeks returns to non-pregnant
location
,Quiz contractions PP
Ans:>> afterpains/afterbirth
cramps occur b/c when placenta is delivered
a gaping wound remains and contractions are needed to clamp BV and
stop bleeding
- afterpains are more noticeable by multiparous moms or moms w/
multiple/large babies due to poor uterine tone, overdistended uterus
- if irregular contractions, give pitocin
Quiz BF and involution
Ans:>> bf releases natural oxytocin which aids in contractions
Quiz uterine size w/ subsequent pregnancies
Ans:>> with each pregnancy, the uterine size increases slightly
Quiz what helps to promote involution?
, Ans:>> -
voiding (full bladder prevents uterine contraction, may have to
straight cath or use foley)
- fundal massage :)
- breastfeeding (releases oxytocin)
- meds (oxytocin, methergine, hemabate, cytotec)
Quiz subinvolution
Ans:>> uterus
fails to return to non-pregnant state due to ineffective
uterine contractions
- uterus will feel boggy, abnormally large, and fundus will be higher
than it should be
Quiz risks associated w/ subinvolution
Ans:>> -
associated w/ prolonged and increased bleeding (lochia rubra
may last longer than 3 days)
- cause of late PPH
Quiz subinvolution causes
