Exam (elaborations)
NURS 6700 FINAL EXAM QUESTIONS AND CORRECT SOLUTIONS LATEST UPDATE
- Course
- Institution
NURS 6700 FINAL EXAM QUESTIONS AND CORRECT SOLUTIONS LATEST UPDATE...
[Show more]
Content preview
NURS 6700 FINAL EXAM QUESTIONS AND CORRECTSOLUTIONS LATEST UPDATE
Involution
Return of the uterus to non-pregnant states
after 12 hours, approximately 1 cm above the umbilicus
drops 1-2 cm per 24 hours
returns to normal size and location approximately 4-6 weeks
help prevent hemorrhage
Subinvolution
failure of the uterus to return to non-pregnant state
risk for PPH
Lochia rubra
dark red blood
first 1-4 days postpartum
full of blood from placental site, tissue debris, vernix and possibly meconium
Lochia serosa
pinkish-brown
4-10 days postpartum
blood, wound exudate, RBCs, WBCs,
Lochia alba
whitish yellow
10-28 days postpartum, can last up to 3-6 weeks
WBCs and tissue debris
Hemorrhoids
,swollen veins in the aus
Tx: topical anesthetics, witch hazel
Lacerations
1st degree- laceration that extends through the skin and structures superficial to
muscles
2nd degree- laceration that extend through muscles of the perineum.
3rd- laceration that continues through the anal sphincter
4th laceration that also involves the anterior rectal wall .
Tx: stitches, heal in around 2-3 weeks
increased risk of infection
Episiotomy
surgical incision of the perineum to enlarge the vagina and so facilitate delivery during
childbirth
midline: associated with 3rd-4th tears
mediolateral: more painful
Hematomas: vaginal, vulvar, and retroperitoneal
Collection of blood in the connective tissue
pain is the most common symptom
retroperitoneal ones are rare but life-threatening
must be surgically evacuated
Comfort measures for lacerations, episiotomies, and hemorrhoids
Cleanse: wash perineum daily with mild soap and warm water
clean front to back from symphysis pubis to anus
Change pads with each void/BM
Ice: apply covered ice pack to perineum front to back
Squeeze bottle: warm water, pat dry after
Sitz bath: warm water that cover perineum
, Topicals
Return of menses:
Breastfeeding: can take up to 4-7 months
Non-breastfeeding: 6-10 weeks
Milk and Colostrum
Colostrum begins to fill in around 16 weeks gestation
Postpartum it is what the baby gets for first 1-3 days
Milk will come in after 72-96 hours
mature milk around 10 days
Breastfeeding rules
every 2-3 hours
8-12 times per day
minimum of 15 minutes (30-40 normally)
supply and demand, empty breast each feeding
breast milk storage
6 month frozen
2-4 ounce bags
room temp for 4 hours
never refreeze milk
fridge for 4 days
Mastitis
red, tender area one one or both breasts
painful to breastfeed
flu-like s/s: fever, chills, body aches
requires antibiotics to cure
continue breastfeeding
Engorgement:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now