NUR 340 Exam 4 Practice Questions and Correct Answers
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Course
NUR 340
Institution
NUR 340
PP hemorrhage is characterized by blood loss greater than _____ for vaginal delivery and greater than ______ for c-section 1. 500 ml 2. 1000 ml
Lab value that characterize PP hemorrhage 10% decrease in Hgb and Hct from baseline
How to calculate 10% value for blood loss baseline value x 0.1 = # Ba...
NUR 340 Exam 4 Practice Questions and
Correct Answers
PP hemorrhage is characterized by blood loss greater than _____ for vaginal delivery
and greater than ______ for c-section ✅1. 500 ml
2. 1000 ml
Lab value that characterize PP hemorrhage ✅10% decrease in Hgb and Hct from
baseline
How to calculate 10% value for blood loss ✅baseline value x 0.1 = #
Baseline - # = value of 10% decrease
When does PP hemorrhage typically occur ✅within first 24 hours
What are the causes of PP hemorrhage (4) ✅the 4 T's
1. Tone weak (atony)
2. Tissue retained
3. Trauma
4. Thrombin
What are the risk factors for weak uterine tone (8) ✅1. Over distended uterus
2. Placenta previa
3. Precipitous labor
4. Dysfunctional labor
5 retained placental fragments
6. Infection
7. Medications
8. Distended bladder
What could cause over distended uterus (4) ✅1. Multiple gestation
2. Fetal macrasomia
3. Hydramnios
4. Fetal anomalies
What is precipitous labor ✅labor less than 3 hours
What medications could cause uterine atony (3) ✅1. Magnesium sulfate
2. Oxytocin with prolonged labor (20+ hours)
3. Anesthesia
What is the most common cause of uterine atony ✅distended bladder
, Retained placental fragments can lead to ✅subinvolution
What can cause subinvolution (3) ✅1. Excessive and early maternal activity
2. Uterine myoma/fibroids
3. Infection
Subinvolution ✅failure of uterus to return to non-pregnant state
What can cause hematomas (5) ✅1. Episiotomy
2. Assisted vaginal delivery
3. Nulliparity
4. Precipitous labor
5. Prolonged labor
What is the sign of a hematoma ✅unilateral swelling
What causes increased risk of inversion ✅abdominal surgery
Risk factors for thrombin (3) ✅1. Idiopathic thrombo purpura
2. Von willebrand disease
3. DIC
What is idiopathic thrombo purpura ✅autoimmune disorder of increase platelet
destruction
What is von Willebrand disease? ✅congenital bleeding disorder
What is DIC ✅depletion of platelets and coagulation factors
What is DIC related to (7) ✅1. Placental abruption
2. Amniotic fluid embolism
3. IUFD
4. Preeclampsia with severe features
5. HEELP
6. Sepsis
7. PPH
What is amniotic fluid embolism ✅particle from amniotic fluid enters blood stream and
ends in brain or lungs
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