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Exam (elaborations)

NUR 340 Exam 4 Practice Questions and Correct Answers

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  • Course
  • NUR 340
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  • NUR 340

PP hemorrhage is characterized by blood loss greater than _____ for vaginal delivery and greater than ______ for c-section 1. 500 ml 2. 1000 ml Lab value that characterize PP hemorrhage 10% decrease in Hgb and Hct from baseline How to calculate 10% value for blood loss baseline value x 0.1 = # Ba...

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  • August 28, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 340
  • NUR 340
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NUR 340 Exam 4 Practice Questions and
Correct Answers
PP hemorrhage is characterized by blood loss greater than _____ for vaginal delivery
and greater than ______ for c-section ✅1. 500 ml
2. 1000 ml

Lab value that characterize PP hemorrhage ✅10% decrease in Hgb and Hct from
baseline

How to calculate 10% value for blood loss ✅baseline value x 0.1 = #
Baseline - # = value of 10% decrease

When does PP hemorrhage typically occur ✅within first 24 hours

What are the causes of PP hemorrhage (4) ✅the 4 T's
1. Tone weak (atony)
2. Tissue retained
3. Trauma
4. Thrombin

What are the risk factors for weak uterine tone (8) ✅1. Over distended uterus
2. Placenta previa
3. Precipitous labor
4. Dysfunctional labor
5 retained placental fragments
6. Infection
7. Medications
8. Distended bladder

What could cause over distended uterus (4) ✅1. Multiple gestation
2. Fetal macrasomia
3. Hydramnios
4. Fetal anomalies

What is precipitous labor ✅labor less than 3 hours

What medications could cause uterine atony (3) ✅1. Magnesium sulfate
2. Oxytocin with prolonged labor (20+ hours)
3. Anesthesia

What is the most common cause of uterine atony ✅distended bladder

, Retained placental fragments can lead to ✅subinvolution

What can cause subinvolution (3) ✅1. Excessive and early maternal activity
2. Uterine myoma/fibroids
3. Infection

Subinvolution ✅failure of uterus to return to non-pregnant state

Risk factors for trauma (4) ✅1. Lacerations
2. Hematoma
3. Inversion
4. Uterine rupture

What can cause hematomas (5) ✅1. Episiotomy
2. Assisted vaginal delivery
3. Nulliparity
4. Precipitous labor
5. Prolonged labor

What is the sign of a hematoma ✅unilateral swelling

What causes increased risk of inversion ✅abdominal surgery

Risk factors for thrombin (3) ✅1. Idiopathic thrombo purpura
2. Von willebrand disease
3. DIC

What is idiopathic thrombo purpura ✅autoimmune disorder of increase platelet
destruction

What is von Willebrand disease? ✅congenital bleeding disorder

What is DIC ✅depletion of platelets and coagulation factors

What is DIC related to (7) ✅1. Placental abruption
2. Amniotic fluid embolism
3. IUFD
4. Preeclampsia with severe features
5. HEELP
6. Sepsis
7. PPH

What is amniotic fluid embolism ✅particle from amniotic fluid enters blood stream and
ends in brain or lungs

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