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NUR 254 EXAM 2 REVIEW PART 1 WITH VERIFIED SOLUTIONS.
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NUR 254 EXAM 2 REVIEW PART 1 WITH VERIFIED SOLUTIONS.
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NUR 254 EXAM 2 REVIEW PART 1 WITHVERIFIED SOLUTIONS
Postpartum Hemorrhaging - Correct Answer - Check the Peri-pads to determine how much the patient
is hemorrhaging
Vaginal Delivery - Correct Answer - Blood Loss 500ml
C section Delivery - Correct Answer - Blood Loss 1000ml
Lochia - Correct Answer - Postpartum Discharge
Rubra - Correct Answer - Lasts 3 to 5 days
Serosa - Correct Answer - Last 3 days to 2 weeks
Alba - Correct Answer - White or yellowish discharge
Rubra - Correct Answer - Red discharge
Serosa - Correct Answer - Pink discharge
Discharge order - Correct Answer - Rubra, Serosa, Alba
Promote Uterine Contraction - Correct Answer - Breast feeding
Promote Uterine Contraction - Correct Answer - Administration of Oxytocin
Promote Uterine Contraction - Correct Answer - Massage the uterus
Uterus - Correct Answer - Sits above the umbilicus immediately after delivery
Uterus - Correct Answer - Boggy after delivery
Uterus - Correct Answer - Back into normal position after 9 days (true pelvis)
Location of the Fundus - Correct Answer - Feel at the top
Boggy Fundus - Correct Answer - Treatment: Massage, massage, massage
, Lack of contraction of fundus - Correct Answer - Cause: Full bladder
Lack of contraction of fundus - Correct Answer - Cause: Lack of feeling in the lower half of the bladder
due to epideral
Deviates uterus to the side - Correct Answer - Cause: Full bladder
Difficulty emptying the bladder - Correct Answer - Cause: Macrosomic baby
Difficulty emptying the bladder - Correct Answer - Cause: Twins
Difficulty emptying the bladder - Correct Answer - Treatment: Quick Catheterization
Lack of contraction of Uterus - Correct Answer - When was the last time you voided?
Too much bleeding - Correct Answer - Saturated peripad within and hour
Perineum on fire (painful) - Correct Answer - Treatment: First 24 hours use cold (ice). 10 mins on 10
mins off
Perineum on fire (painful) - Correct Answer - Treatment: After 24+ hours, warm water and heat (sitz
bath)
Cleanse Perineum - Correct Answer - Treatment: Peri bottle (warm water) to clean from front to back
UTI - Correct Answer - Prevention: Peri bottle (warm water) to clean from front to back
UTI - Correct Answer - Prevention: Pat perineum dry from front to back
Toileting - Correct Answer - Use peri bottle each time to cleanse the area from front to back
Postpartum Bleeding - Correct Answer - Cause: Lacerations and Tears
Late Postpartum Bleeding at home - Correct Answer - Cause: Retained Placenta
Episiotomy - Correct Answer - Assess to see how it is healing
Source of infection - Correct Answer - Episiotomy, tears, C section, uti, prolonged ruptured membranes,
long labor, foley catheter
Temerature < 100.4 - Correct Answer - Indicates dehydration, up to 24 hours after birth
Dehydration (< 100.4 temp) - Correct Answer - Push fluids
After birth Vitals - Correct Answer - Pulse increased but begins to decrease, respiratory rate normal, bp
increased but decreasing
Bowel Movement - Correct Answer - 3 days max, after birth
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