NSG 310 Exam 3 Study Guide with Questions and Correct Answers
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Course
NSG 310
Institution
NSG 310
Postpartum diaphoresis profuse sweating that occurs after birth, especially at night, to rid the body of fluid retained during pregnancy
Afterpains uncomfortable uterine cramping that occurs during the early postpartum period as a result of periodic relaxation and vigorous contractions
Prolactin ...
NSG 310 Exam 3 Study Guide with
Questions and Correct Answers
Postpartum diaphoresis ✅profuse sweating that occurs after birth, especially at night,
to rid the body of fluid retained during pregnancy
Afterpains ✅uncomfortable uterine cramping that occurs during the early postpartum
period as a result of periodic relaxation and vigorous contractions
Prolactin ✅the lactogenic hormone secreted by the pituitary grand of lactating women
Oxytocin ✅another pituitary hormone that is responsible for uterine contraction and the
let-down reflex
Episiotomy ✅surgical incision of the perineum to facilitate vaginal birth
Atony ✅failure of the uterine muscle to contract firmly, making the fundus soft or
boggy. This is the most frequent cause of excessive postpartum bleeding
Hemorrhoid ✅an anal varicosity
Involution ✅return of the uterus to a non pregnant state
Autolysis ✅the self-destruction of excess hypertrophied uterine tissue as a result of the
decrease in estrogen and progesterone levels following birth
Puerperium (4th trimester) ✅terms used interchangeably with "postpartum" to refer to
the period of recovery after childbirth that lasts approximately 6 weeks, although the
time can vary from woman to woman
Diastasic rect abdominis ✅separation of the abdominal wall muscles related to the
effect of the enlargement of the uterus on the abdominal musculature
Lochia ✅post childbirth uterine discharge or flow
Lochia rubra ✅the bright red, bloody uterine discharge that occurs for the first few days
following birth; it consists primarily of blood and decidual tissue and trophoblastic debris
and may contain small clots
Lochia serosa ✅the pink to brownish uterine discharge that begins about 3-4 days
after birth; it consists of old blood, serum, leukocytes, and tissue debris and continues
for 10-14 days (for some, 22-27 days)
,Lochia alba ✅the yellowish white flow that begins about 10 days after birth and
continues for 2-6 weeks or even longer; it consists of leukocytes, decidua, epithelial
cells, mucous, serum, and bacteria
Engorgement ✅term used to describe distended, firm, tender, and warm breasts
during the postpartum period
Subinvolution ✅failure of the uterus to return to a non pregnant state
Placental fragments and infection ✅the most common causes of subinvolution are
retained _____________ ______________ and ______________
Exogenous oxytocin (pitocin) ✅medication usually administered intravenously (IV) or
intramuscularly (IM) immediately after expulsion of the placenta to ensure that the
uterus remains firm and well contracted
Dyspareunia ✅discomfort or pain with intercourse
Kegel exercises ✅exercises that help to strengthen perineal muscles and encourage
healing
Colostrum ✅clear, yellowish fluid produced in the breasts before lactation
Pospartal diureses ✅increased production of urine that occurs in the postpartum
period to rid the body of excess tissue fluid retained during pregnancy
Pelvic relaxation ✅lengthening and weakening of the facial supports of pelvic
structures, which include the uterus, vagina, urethra, bladder, and rectum
A: fundus firm at 2cm above the umbilicus and to the right of midline (should be 1cm
and midline) ✅Q: a nurse has assessed a woman who gave birth vaginally 12 hours
ago. Which findings would require further assessment?
A: explain to the woman that the sweating represents her body's attempt to eliminate
the fluid that was accumulated during pregnancy (normal for postpartum diaphoresis)
✅Q: a woman, 24 hours after giving birth, complains to the nurse that her sleep was
interrupted the night before because of sweating and the need to have her gown and
bed linens changed. The nurse's first action is to..?
A: primipara who is bottle-feeding her 7 pound baby girl (most likely occurs with
multiparity, over distention of the uterus, breastfeeding, administration of a oxytocic)
✅Q: which woman at 24 hours following birth is least likely to experience afterpains?
, 4th trimester ✅the first 3 months after childbirth
Couplet care (also called mother-baby care or single room maternity care) ✅nursing
care management approach in which one nurse cares for both the mother and infant
Early postpartum discharge (also called shortened hospital stay or 1 day maternity stay)
✅term used for the decreasing length of hospital stays of mothers and their babies
after low-risk births
Oxytocic ✅classification of medications that stimulate contractions of the uterine
smooth muscle
Uterine atony ✅failure of the uterine muscle to contract firmly; it is the most frequent
cause for excessive bleeding following childbirth
Sitz bath ✅perineal treatment that involves sitting in warm water for approximately 20
min to soothe and cleanse the site and to increase blood flow, thereby enhancing
healing
Afterpains (post birth pains) ✅menstrual-like cramps experienced by many women as
the uterus contracts after childbirth
Splanchnic engorgement ✅dilation of the blood vessels supplying the intestines as a
result of the pain decrease in intraabdominal pressure after birth; it causes blood to pool
in the viscera and thereby contributes to a drop in blood pressure (orthostatic
hypotension) when the woman who has recently given birth sits or stands, first
ambulates, or takes a warm shower
Homans sign ✅complaint of pain in calf muscles when the foot is sharply dorsiflexed; it
could signal the presence of a deep vein thrombosis (DVT)
Kegel ✅exercises that can assist women to regain muscle tone that is often lost when
pelvic tissues are stretched and torn during pregnancy and birth
Engorgement ✅swelling of breast tissue caused by increased blood and lymph supply
to the breasts as the body begins the process of lactation; it occurs about 72-96 hours
after birth
Rubella ✅vaccine that can be given to postpartum women who's antibody titer is less
than 1:8 or whose EIA level is less than 0.8; it is used to prevent nonimmune women
from contracting this TORCH infection during a subsequent pregnancy
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