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NUR 4445 ( LATEST 2024 / 2025 ) EXAM THREE COMPLETE OVERVIEW | QUESTIONS AND ANSWERS INCLUDED
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NUR 4445 ( LATEST 2024 / 2025 ) EXAM THREE COMPLETE OVERVIEW | QUESTIONS AND ANSWERS INCLUDED
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NUR 4445 Exam Three COMPLETEOVERVIEW
1. What 4 things can indicate that the placenta has separated?
Answer
1. Uterine contraction
2. Gush of blood
3. Lengthening of cord
4. Vaginal fullness
2. What medications may be delivered after delivery of the placenta?
Answer
Pitocin, methergine, hemabate and cytotec.
3. What non-pharmacological actions can the nurse take to promote increase of circulating
oxytocin and contraction?
Answer
Fundal massage and breastfeeing.
4. How long does the 4th stage of labor usually last?
Answer
1-4 hours after birth.
5. Nursing priorities for lacerations include?
Answer
- Offer ice
- Pericare
- REEDA
6. Nursing priorities in the 4th stage of labor are?
Answer
,- Nonexcessive bleeding
- Firm fundus
- VSS
- Bonding / BF
7. First degree lacerations are described as?
Answer
Limited to fourchette, perineal skin and vaginal membrane.
8. Second degree lacerations are described as?
Answer
Involves perineal skin, vaginal membrane, underlying fascia and perineal muscles.
9. Third degree lacerations are described as?
Answer
Through perineal skin, vaginal membrane, perineal body, and anal sphincter.
10. Fourth degree lacerations are described as?
Answer
Same as third, but extends through rectal mucosa to rectal lumen.
11. What interventions would promote comfort for a woman who had a lacer- ation?
Answer
Stool softener, ice and peri bottles.
12. What layer does the placenta normally attach to?
Answer
Uterine endometrium.
13. Hemorrhaging is a complication of placenta attachment when...
Answer
It attaches to the myometrium.
14. Chronic villi attaching directly to the myometrium is known as?
,Answer
Placenta accrete.
15. The myometrium being invaded by the placenta is known as?
Answer
Placenta increta.
16. The myometrium being penetrated by the placenta is known as?
Answer
Placenta percreta.
17. A placenta percreta has a high incidence of?
Answer
Abdominal hysterectomy.
18. Accessory lobes that develop on the placenta and can cause a hemorrhage is known as?
Answer
Succenturiate placenta.
19. A double fold of chorion and amnion forming a ring around the umbilical cord on the fetal
side and can cause fetal loss is known as?
Answer
Circumvallate placenta.
20. The umbilical cord being inserted near the placental margin and increased PTL and bleeding
is known as?
Answer
Battledore placenta.
21. The vessels of the umbilical cord dividing some distance from the placenta and placental
membranes and can cause hemorrhaging is known as?
Answer
, Vela- mentous insertion.
22. TRUE OR FALSE
Retention of the placenta beyond 30 minutes after birth is a normal occurrence.
Answer
FALSE! Oxytocin may need to be administered.
23. What assessment findings will be present in Uterine Atony?
Answer
- Boggy, higher fundus.
- Copious, bright red lochia.
- CLOTS
24. What assessment findings will be present in lacerations?
Answer
- Firm uterus
- Continuous bright red blood
- NO CLOTS
25. What assessment findings will be present in hematomas?
Answer
- Unilateral purple discoloration
- Vaginal/Rectal pressure
- Pain, no voiding
26. What assessment findings will be present in Uterine Inversion?
Answer
- Pain, shock
- Unpalpable uterus
27. What interventions are priority for Uterine Atony?
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