NSG 432 Exam 2 Set questions and answers
Involution
At the end of the third stage of labor
Within 12 hours the fundus
Autolysis
Subinvolution
Exogenous pitocin is given IV or IM
Afterpains
Lochia
Lochia rubra
Lochia serosa
Lochia alba
Fluid loss in postpartum
Colostrum
Mature milk
Ut...
Ans: Return of the uterus to a nonpregnant state after birth
2). At the end of the third stage of labor
Ans: The uterus is midline approximately 2 cm below the level of the umbilicus with the
fundus resting on the sacral promontory
3). Within 12 hours the fundus
Ans: Can rise to approximately 1 cm above the umbilicus
4). Autolysis
Ans: self-destruction of cells; decomposition of all tissues by enzymes of their own
formation
5). Subinvolution
Ans: Late postpartum bleeding; failure of the uterus to return to a nonpregnant state
due to retained placental fragments or infection... can be boggy
Tx: methergine, D&C, Antibiotic if infection
6). Exogenous pitocin is given iv or im
Ans: Immediately after expulsion of placenta so the uterus remains firm and well
contracted
7). Afterpains
Ans: Cramping that will resolve in 3-7 days
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, 8). Lochia
Ans: Post birth uterine discharge can last 4-8 weeks after birth
9). Lochia rubra
Ans: bright red discharge that may contain small clots from retained fragments of the
placenta or membranes; not uncommon to have increase of bleeding 7-14 days after birth
with sloughing and eschar
10). Lochia serosa
Ans: pink or brown after 3-4 days... old blood, serum, leukocytes, and tissue debris
11). Lochia alba
Ans: 10-14 days after birth, drainage becomes yellow to white... leukocytes, decidua,
epithelial cells, mucus, serum, and bacteria
12). Fluid loss in postpartum
Ans: postpartum diuresis caused by decreased estrogen levels and can have urine
output of 3000mL or more a day for 2-3 days
13). Colostrum
Ans: early milk, clear yellow fluid
14). Mature milk
Ans: 72-96 hours after birth
15). Uterine atony
Ans: The most common cause of postpartum hemorrhage. Failure of the uterine
muscle to contract firmly and often results from placental fragments because
overstretched. Relaxed uterus distends with blood clots and blood vessels in the placental
site are not clamped off and excessive bleeding
16). Homan's sign
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