ExamI2:INUR2633/INURI2633I(LatestI2024
/I2025IUpdate)IMaternalIChildIHealth
IGuide|IQuestionsIandIVerifiedIAnswers|I
100%ICorrect|IGradeIA-IRasmussen
Q:IEpisiotomy
Answer:
I1-ItoI2-
inchIsurgicalIincisionImadeIinItheImuscularIareaIbetweenItheIvaginaIandItheIanusI(theIperineu
m)ItoIenlargeItheIvaginalIopeningIbeforeIbirth
EpisiotomyIedgesIhaveIbecomeIfusedI(theIedgesIhaveIsealed)IbyItheIfirstI24IhoursIafterIbirth
Q:IMidlineIepisiotomy
Answer:
IStraightIincisionIextendingItowardItheIanus
Q:IMediolateralIepisiotomy
Answer:
IExtendsIdownwardIandItoItheIside
Q:IEarlyIEpisiotomyICare
Answer:
IIceIforIfirstI24Ihours:IprovidesIlocalIanesthesiaIandIpromotesIvasoconstrictionIwhileIreducing
IedemaIandItheIincidenceIofIperipheralIbleeding
MoistIheat—
SitzIbath:I20IminutesIthreeItoIfourItimesIperIday.IincreasesIcirculationItoItheIperineum,Ienhan
cesIbloodIflowItoItheItissues,IreducesIedema,IandIpromotesIhealing.
,DryIheat—hotIpacks
Q:IREEDA
Answer:
IRedness
EdemaIEcchymosisIDischarge
I
Approximation
AIbrightIredItrickleIofIbloodIfromItheIepisiotomyIsiteIinItheIearlyIpostpartumIperiodIisIaInorm
alIfinding
InitialIhealingIoccursI2-3Iwks,IcompleteIhealingIwithinI4-6Imonths
Q:IDVT
Answer:
IUnilateralIlegIpain,Iswelling,Iwarmth,Iredness
ClinicalIsignsIareINOTIreliable,IvenographyIorIDopplerIUSIshouldIbeIperformed
Q:IDVTIprevention
Answer:
IAmbulateIearlyI&Ifrequently,IavoidIprolongedIimmobility,Iele-
IvateIlegsIwhenIsitting,IavoidIcrossingIlegs,IdrinkI2-
3LIofIfluid/day,InoIsmoking,IwearIantiembolicIstockings
Q:INursingIcareIofIDVT
Answer:
I-BedIrestI&IelevationIofIaffectedIextremityIaboveIheart
-NoIpillowsIorIkneeIgatchIunderIknees
-ApplyIwarmImoistIcompresses
-DoInotImassageIlegs
, -
AdministerIanalgesics,IanticoagulantsI(heparin,Iwarfarin)IasIprescribed.IImplementIbleedingIpr
ecautions
Q:IHomans'Isign
Answer:
IDorsiflexIfootIandIaskIaboutIpain
-ControversialI/InoIlongerIconsideredIBestIPractice
Q:IPostpartumIbluesIsymptoms
Answer:
ILastsI<=I10Idays
Crying,Iinsomnia,IdecreasedIappetite,IfeelingIofI"letdown"
ResolvesIwithoutIintervention
Q:IPostpartumIdepressionIsymptoms
Answer:
IOccursIwithinI6ImonthsIofIdeliveryIPersistentIfeelingsIofIsadness,IintenseImoodIswings,IlackI
ofIappetite,IrejectionIofIinfant,IflatIaffect,Ianxiety/panicIattacks.
TypicallyIrequiresIintervention
Q:IPostpartumIpsychosisIsymptoms
Answer:
IOccursIwithinI2-3Iwks
HistoryIofIbipolarIdiseaseIisIkeyIriskIfactor
Confusion,Ihallucinations,Idelusions,Iparanoia
PatientI&IinfantIatIriskIforIharm
Q:IPostpartumIbloodIloss
