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Exam (elaborations)

NURS 326 – Final Exam Practice Questions and Answers

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  • NURS 2024/2025
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  • NURS 2024/2025

©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/112 -Resprations (16-20 bpm) -Blood pressure greater than 140/90 is DANGER SIGN -Pain rate 0-10 Is it normal for WBCs to increase during postpartum period? - Ans:-Yes! Inspecting the breast tissue, w...

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  • October 24, 2024
  • 112
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 2024/2025
  • NURS 2024/2025
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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NURS 326 – Final Exam Practice
Questions and Answers


What is Postpartum? - Ans:✔✔-after delivery for 6 weeks


What is Involution? - Ans:✔✔-the return of the uterus to a non pregnant state after birth


What is Lochia? - Ans:✔✔-shed uterine epithelial cells


-Rubra: d1-3 bloody


-Serosa: d4-10, pink or pinkish brown


-Alba: d11-21, white or cream colored


What is the amount of lochia? - Ans:✔✔--Scant: less than 2.5 cm stain


-Light: less than 10 cm stain


-Moderate: greater than 10cm stain


-Heavy: one pad is saturated within 2 hrs


-Excessive: pad is saturated in 15 minutes

Page 1/112

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




What will we assess during postpartum, BU-? - Ans:✔✔-vital signs, pain status, breasts, uterus,

bladder/bowel, lochia, DVT risk, Episiotomy/Perineum, emotional attachment, bonding, Taking - In,

Taking - Hold, Letting - Go, baby feeding (breast and bottle)




*B-U-B-B-L-E-D-E-P


How often do we assess? - Ans:✔✔-First hour: every 15 mins


Second hour: every 30 mins


First 24 hrs: every 4 hours


After 24 hours: every 8 hours




*always on indication!


Mom's Vital Signs during postpartum? - Ans:✔✔--vital signs rarely altered


-temperature sometimes slightly elevated in the first 24 hours because of dehydration which can causes

elevated WBC (temperature greater than 100.4 2x in 24hrs need evaluation)


-Pulse (50-70 bpm)




Page 2/112

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




-Resprations (16-20 bpm)


-Blood pressure greater than 140/90 is DANGER SIGN


-Pain rate 0-10


Is it normal for WBCs to increase during postpartum period? - Ans:✔✔-Yes!


Inspecting the breast tissue, what are we assessing? - Ans:✔✔--size, shape, contour


-nipples: cracks, redness, bleeding


-Are the nipples inverted or everted?


-Palpate the breasts for soft, filling, engorged


-Palpate for the nodules, masses, clogged ducts


-Colostrum: clear yellow "early milk"


-Engorgement/mastitis


What is Lactation? - Ans:✔✔-secretion of milk from the breasts


-"there's nothin there" - reassure the mom, her breasts will fill of colostrum, rich, thick early milk


What happens if mom decides not to breastfeed? - Ans:✔✔--Risk for engorgement (occurs after 3-4 days

PP, resolves 1-2 days AFTER milk comes in)

Page 3/112

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




-Breasts become full, hard, red, tender


-Frequent emptying will resolve engorgement but can become cyclical


What are Relief measures if a mom is not breastfeeding? - Ans:✔✔--Tight Bra


-Cool compress


-Don't stimulate the breasts


-Cabbage leaves


Assessing the uterus during PP? - Ans:✔✔--checking fundal height (at the umbilicus, 1 FH below

umbilicus, 1 FH above umbilicus, etc.)


-determine involution (going back to pre-pregnancy)


-midline & firm


-if the uterus is displaced up and to the right it could be that she needs to void


-Boggy uterus indicates uterine atony


-Atony leads to postpartum hemorrhage




**LIFE THREATENING! MASSAGE THE FUNDUS

Page 4/112

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