Exam (elaborations)
NUR 254 ( LATEST 2024 / 2025 ) OB EXAM 2 | QUESTIONS AND ANSWERS INCLUDED
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NUR 254 ( LATEST 2024 / 2025 ) OB EXAM 2 | QUESTIONS AND ANSWERS INCLUDED
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NUR 254 OB Exam 21. Infections
Answer
temp up to 100.4 is normal during first 24 hrs postpartum because dehydration. Dehydration
greater than 100.4 F after 24 hrs pp indicates infection
2. Hemorrhage
Answer
-can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased pulse rate,
decrease bp
3. treatment for engorgement
Answer
breastfeed frequently, use warm soaks, apply warm packs before breastfeeding, apply ice packs
between feeding
4. if client is breastfeeding
Answer
calorie needs increase by 200-500 calories/day
- the client may require increased fluids
5. chorioamnionitis
Answer
- inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged rupture of the
membranes
6. Rubra
, Answer
bright red 1-3 days after delivery
7. Serosa
Answer
brownish pink discharge 4-10 days
8. Alba
Answer
white discharge 11-14 days
9. Fundal Assessment
Answer
-Done to ensure it is contracted, feel location, and tone (firm or boggy)
- have a client empty bladder
10. afterpains
Answer
Cramping pain after childbirth caused by alternating relaxation and contraction of uterine
muscles.
11. after delivery palpate the fundus
Answer
day 1 - u minus 1 day 2 - u minus 2
12. fundus deviated to the right
Answer
assist to empty bladder
13. Early postpartum hemorrhage
Answer
-occurs within 24 hours of birth
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