NUR 325 - OB Exam 1 Study Questions and Correct Answers
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Course
NUR 325
Institution
NUR 325
What is the medical term for the postpartum period Puerperium
What is the postpartum period? A 6 week period that is after the delivery of an infant where the body recovers from all of the changes that occurred during pregnancy
What is the minimum stay in a hospital after a vaginal birth? 48 hour...
NUR 325 - OB Exam 1 Study Questions
and Correct Answers
What is the medical term for the postpartum period ✅Puerperium
What is the postpartum period? ✅A 6 week period that is after the delivery of an infant
where the body recovers from all of the changes that occurred during pregnancy
What is the minimum stay in a hospital after a vaginal birth? ✅48 hours
What is the minimum stay in a hospital after a cesarean section? ✅96 hours
What is the postpartum assessment composed of? ✅BUBBLE HE! Breast, Uterus,
Bowel, Bladder, Lochia, Episiotomy, Homan's Sign, Emotional Status
What are some nursing interventions for breasts during the postpartum period?
✅Breast feed for the first time 1-2 hours after birth, Feed baby on demand, and wear a
supportive bra
What type of milk comes in to the breasts within 24 hours after birth? ✅Colostrum (full
of antibodies and nutrients)
When does mature milk start to come in postpartum? ✅3-4 days after birth
What are some interventions for non-breastfeeding postpartum moms? ✅-DO NOT
stimulate the breasts to lactate (even hot water can cause release)
-Support the breasts with bra
- Ice the breasts
-Anti inflammatories and cabbage leaves can help
What is the process of the uterus returning back to normal called? ✅Involution Process
What does oxytocin do for the involution process for a postpartum mom? ✅Promotes
uterine contractions to make the uterus return to a smaller state
How often should you assess the postpartum uterus? ✅Every 8 hours
What do you assess for in a postpartum uterus? ✅Height, firmness and location.
-Uterus should be midline and firm postpartum
-Measure with fingers how far below/above it is from the umbilicus
, What is the top of the uterus called that you should assess for postpartum? ✅The
fundus; Should be right below the umbilicus
What effects the severity of afterpains? ✅-If mom is breast feeding or not
-How large baby was
-If there was more than one baby
-# of times mom has been pregnant
What is uterine atony? ✅Also called a 'boggy' uterus because the uterus loses its state
and relaxes; this is the most common cause of excessive bleeding
What causes uterine atony? ✅Full bladder or ineffective contractions (makes the
uterus tired)
What are some nursing interventions for uterine atony? ✅-Keep the bladder empty
-Massage the fundus until it becomes firm again
-Give oxytocin to firm uterus
When should the first void be after birth? ✅Within 8 hours of birth
IF a patient has a boggy uterus, how often should you reassess the uterus? ✅Every 30
minutes
What are some nursing interventions for postpartum bowel issues
(gaseous/constipated)? ✅-Increase fiber intake
-Stay hydrated
-Anti gas meds
-Ambulate
-Non-carbonated drinks
-last resort: laxatives
When should a postpartum mother have her first bowel movement? ✅Within 2-3 days
after childbirth
Why does the postpartum mother go through postpartal diuresis? ✅She pees/sweats
out the extra water that was needed during pregnancy. Can cause bladder distension
What are some nursing interventions for postpartal diuresis? ✅-Assess for bladder
distension
-Promote voiding
-Assess intake and output for the first 2 days
-Straight catheterization for quick relief
What is lochia? ✅This is the bleeding discharge that occurs post birth from the mom.
Some bleeding is normal and some clots are okay to have.
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