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NURS 6700 Final Questions with Correct Answers.
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NURS 6700 Final Questions with Correct Answersthe postpartum period is? Correct Answer-the interval between brith and
the return of the reproductive organs to their normal non pregnant state
this period is sometimes referred to as the puerperium, or fourth
trimester of pregnancy
A nurse is assessing a postpartum client for fundal height, location, and
consistency. The fundus is noted to be displaced laterally to the right,
and there is uterine atony. The nurse should identify which of the
following conditions as a cause of uterine atony?
a. poor involution
b. urinary retention
c. hemorrhage
d. infection Correct Answer-b
What happens when the uterus involutes? Correct Answer-at the end of
the third stage of labor, the uterus is in the midline approximately 2cm
below the level of the umbilicus, with the fundus resting on the sacral
promontory.
Within 12 hours the fundus can rise to approximately 1cm above the
umbilicus
,by 24 hours after birth the uterus is about the same size as it was at 20
weeks of gestation
involution progresses rapidly during the next few days
the fundus descends 1 to 2 cm every 24 hours
by the sixth postpartum day the fundus is normally located halfway
between the umbilicus and the symphysis pubis
the uterus should not be palpable abdominally after 2 weeks and should
have returned to its non pregnant location by 6 weeks after birth
the return of the uterus to a non pregnant state after birth is called?
Correct Answer-involution
when does involution take place? Correct Answer-this process begins
immediately after expulsion of the placenta with contraction of the
uterine smooth muscle
the uterus which at full term weighs approximately 11 times its pre
pregnancy weight, involutes to approximately? Correct Answer-500g by
1 week after birth and to 300g by 2 weeks after brith
,by 4 weeks postpartum it weights approximately 100g which is the non
pregnant size
increased estrogen and progesterone levels are responsible for
stimulating the massive growth of the uterus during pregnancy. Uterine
growth results from both hyperplasia (an increase in the number of
muscle cells) and hypertrophy (an enlargement of the existing cells).
After brith the decrease in these hormones causes? Correct Answer-
autolysis which is the self destruction of excess hypertrophied tissue
sub involution is? Correct Answer-the failure of the uterus to return to a
non pregnant state due to ineffective uterine contractions
the most common cause of sub involution is? Correct Answer-retained
placental fragments and infection
The characteristics of post birth uterine discharge known as lochia,
correlate with? Correct Answer-uterine involution and changes in the
endometrium
most women experience lochia for 4 to 6 weeks after brith
for the first 2 hours after birth what are the characteristics of lochia?
Correct Answer-the amount of uterine discharge should be about that of
a heavy menstrual period
, after that time local flow will steadily decrease in amount and the
characteristics appearance of the lochia will change
describe the rubra lochia Correct Answer-appearance: red
timing after birth: 1-2 days
contents: blood from placental site, trophoblastic tissue debris, vernix,
lanugo, meconium
describe serosa lochia Correct Answer-appearance: pinkish-brown
timing after birth: 4-10 days
contents: blood, wound exudate, RBCs, WBCs, trophoblastic tissue
debris, cervical mucus, microorganisms
describe alba lochia Correct Answer-appearance: whitish-yellow
time after birth: 10-14 days, can last 3-6 weeks
contents: WBCs, trophoblastic tissue debris
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