NUR 125 EXAM 5 QUESTIONS WITH ALL CORRECT ANSWERS
Syphyllis should be treated with what? - Answer-Penicillin G; IM used for primary, secondary and early latent syphyllis
What are the common predisposing factors for PPH? - Answer-1. Overdistention of uterus
2. Multiparity (5 or more)
3. Preci...
NUR 125 EXAM 5 QUESTIONS WITH ALL
CORRECT ANSWERS
Syphyllis should be treated with what? - Answer-Penicillin G; IM used for primary,
secondary and early latent syphyllis
What are the common predisposing factors for PPH? - Answer-1. Overdistention of
uterus
2. Multiparity (5 or more)
3. Precipitate labor or delivery
4. Prolonged labor
5. Use of forceps or vacuum
6. C-section birth
7. Manual removal of placenta
8. Uterine inversion
9. Placenta previa
10. Drugs such as oxytocin, prostaglandins, tocolytics, or mag
11. General anesthesia
12. Chorioamnionitis
13. Clotting disorders
14. Previous PPH or uterine surgery
15. Disseminated intravascular coagulation
16. Uterine leiomyomas (fibroids)
What are 5 interventions for PPH? - Answer-1. Massage the fundus until firm and to
expel clots
2. Have mother urinate or insert catheter
3. IV oxytocin
4. Methergine
5. Hemabate
What is one of the main contraindications r/t methergine? - Answer-Should not be used
if dx with hypertension
If a woman is experiencing excessive vaginal bleeding, but has a firm fundus, what is
suspected? - Answer-Tear or laceration of cervix or birth canal; notify HCP
What are 2 causes of late PPH? - Answer-1. Most common: subinvolution
2. Fragments of placenta that remain attached to the myometrium when the placenta is
delivered
Subinvolution - Answer-Delayed return of the uterus to its nonpregnant size and
consistency
, What teaching should be done for women with late PPH? - Answer-How to assess the
fundus and normal characteristics and duration of lochia flow. They should be instructed
to contact HCP if bleeding persists or becomes unusually heavy
What are 5 s/s of hypovolemic shock? - Answer-1. Tachycardia
2. Dec. BP
3. Oliguria
4. Pale, cool skin
5. Inc. respirations
What are interventions for hypovolemic shock? - Answer-1. Locate and control bleeding
2. Insert a second IV line with a large gauge for possible blood transfusion
3. Infusion of fluids to produce a urinary output of at least 30mL/hr
4. Vasopressors may be needed for low BP
5. Uterine packing; ligation of the uterine, ovarian, or hypogastric artery; or
hysterectomy
What are 7 s/s of thrombosis? - Answer-1. Redness
2. Warmth
3. Swelling
4. Tenderness
5. Positive Homan's sign (pain in calf and popliteal region when foot is dorsiflexed
6. Stiffness
7. Pain when walking
What are 4 ways to prevent DVTs? - Answer-1. Ambulate frequently and as early as
possible
2. SCUDS
3. TEDS
4. Enoxaparin (Lovenox)
Puerperal infections - Answer-Bacterial infections after childbirth
What are some risk factors of puerperal infections? - Answer-1. HX of previous
infections
2. Colonization of lower GI tract by pathogenic organisms
3. C-section birth
4. Trauma
5. Prolonged rupture of membranes
6. Prolonged labor
7. Catheterization
8. Excessive number of vaginal exams
9. Retained placental fragments
10. Hemorrhage
11. Poor general health (excessive fatigue, anemia, frequent minor illnesses)
12. Poor nutrition
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