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NUR 406 ( LATEST 2024 / 2025 ) EXAM 16 | QUESTIONS AND ANSWERS INCLUDED
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NUR 406 ( LATEST 2024 / 2025 ) EXAM 16 | QUESTIONS AND ANSWERS INCLUDED
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NUR 406 Exam 161. the time period after birth to 6 weeks postpartum consisting of rapid phys- ical and
psychological changes
Answer
fourth trimester
2. rapid reduction of uterus to non-pregnant state that takes approximately 6 weeks
the reason we do fundal checks is to assess this
Answer
involution
3. Where would you expect to find the fundus immediately after delivery of the placenta?
Answer
Midline and halfway between symphysis pubic and umbilicus
4. Where would you expect to find the fundus immediately after delivery of the placenta?
Answer
Midline at level with the umbilicus
5. 12 hours after delivery, you would expect the fundus to be midline and decreasing by each
day.
Answer
1 fingerbreadth
6. What are the two main causes of the fundus being higher than expected and/or shifted to one
side?
Answer
Full bladder; PPH
7. Lochia--vaginal discharge that occurs after birth
--dark red that occurs for the first 2-3 days
, --pinkish that occurs from 3rd to 10th day
--white and occurs from 10th day to 6 weeks PP
Answer
rubra; seroa; alba
8. After delivery, the cervix, vaginal, and perineum may be .
Answer
bruised
9. For non-breastfeeding moms, menstruation can occur weeks
after delivery.
Answer
7-12
10. lack of return of period in breastfeeding moms that can be used as a birth control if
Answer
the baby is fully/nearly fully breastfed, baby does not go more than 4 hours for a day feeding or 6
hours for night feedings, mom's monthly periods have not returned, and the baby is under 6
months of age
Answer
lactation amenorrhea
11. Hunger and thirst is common after birth, but the may be
slug- gish due to progesterone, decreased abd muscle tone, and evacuation during labor.
Therefore, constipation and hemorrhoids are common.
Answer
bowels
12. Women with C-section are permitted to be on a diet after
deliv- ery, but this diet should not be advanced until present.
Answer
Clear liquid; BS
13. Moms are at risk for after delivery due to changes to the bladder
surrounding pregnancy/delivery.
,Answer
urinary retention
14. If an epidural is administered during labor, neural bladder function may be inhibited.
Therefore, pts may need to be cathed if no void in
hours or bladder is noted.
Answer
8; distention
15. normal physical finding in which the body rids itself of 2,000-3,000 urine in the first 12-24
hours after delivery
Answer
puerperal diuresis
16. Temperature may go up to in the first 24 hours after delivery. This is
normal. Otherwise women should be afebrile.
Answer
100.4
17. is normal for women to experience in the first 48 hours after birth, in addition to
transient rises in SBP/DBP for first few days.
However, hypotension may be a sign of hypovolemia secondary to PPH.
Answer
orthostatic hypotension; late
18. (50-70 bpm) is common in the first 6-10 days after birth due to physiologic
reasons. But (>100 bpm) is uncommon and may be r/t hypovolemia, infection, fear, or pain.
Answer
Bradycardia; tachycardia
19. is difficult to interpret the first 48 hours after birth. A Hgb decreas- ing by more
than g/dL and/or Hct decreasing by more than % compared to baseline could indicate
significant blood loss.
, Answer
H&H; 1.5; 4
20. Pregnancy-associated activation of coagulation factors may continue after birth, which
increases the risk for .
Answer
VTE
21. Nonpathologic usually occurs, that may obscure a dx of infec- tion.
Answer
leukocytosis
22. Failure of a woman to have puerperal diuresis can lead to , be
Answer
Pulmonary edema
23. There is an increased need for consumption in early postpartum due
to mild anemia, lactation, and psychological factors.
Answer
oxygen
24. are common in the PP due to fluid shifts, stress, PIH, and/or CSF leaks from
epidurals.
Answer
Headaches
25. There should be a lb weight loss immediately at birth and an additional
lb loss during early PP due to diuresis. Therefore, women should return to pre-pregnancy
weight by 6-8 weeks after birth if she only gained the recommended amount for her baseline
weight.
Answer
10-12; 5
26. condition that occurs immediately after birth due to an unknown cause, that is not
worrisome as long as a fever doesn't accompany it
Answer
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