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NUR 406 ( LATEST 2024 / 2025 ) EXAM 19 | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 406 ( LATEST 2024 / 2025 ) EXAM 19 | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 406 Exam 191. what can complications during pregnancy/delivery can interfere with?
Answer
ma- ternal attachment & family coping
2. who are PP complications are most common in?
Answer
- high risk pregnancy
- dysfunctional labor/required medical or surgical intervention
- inadequate PP lifestyle (rest, nutrition, social support & hygeine)
3. what amount of blood loss is considered PP hemorrhage? vaginal delivery-
Answer
> 500ml
4. what amount of blood loss is considered PP hemorrhage? C-section
Answer
> 1000ml
5. when does early PP hemorrhage occur?
Answer
first 24 hrs
6. when does late PP hemorrhage occur?
Answer
24 hrs - 6 wks PP
7. risk factors for PP hemorrhage
Answer
- uterine atony
,- lacerations/episiotomy
- retained placental fragments
- vulvar/vaginal hematoma
- uterine inversion
- coagulation disorders
8. what is the #1 cause of PP hemorrhage?
Answer
uterine atony ("boggy" uterus)
-the uterus is soft & week --> doesn't contract like it should
9. what causes uterine atony?
Answer
- grand multiparty
- full/distended bladder
- use of Pitocin during labor
- intra-amniotic infection
10. uterine inversion
Answer
placenta pulls the uterus out w/ it
11. interventions for PP hemorrhage
Answer
#1
fundal massage & call for assistance
- obtain PP hemorrhage cart
- empty bladder (catheter)
- quantify blood loss (weigh pads/chucks)
- oxytocin/Mg
-supplemental O2
- fluid bolus
, - Jada, Bakari, Bi-manual compression
- emotional support
12. fundal massage in PP hemorrhage
Answer
massage uterus until firm --> express clots
13. what is thrombophlebitis?
Answer
when a blood clot causes a blockage in the vein
14. how to prevent thrombophlebitis?
Answer
- early ambulation
- SCDs
- IV heparin prn
15. S/S thrombophlebitis
Answer
- sluggish flow rate
- edema
- tender & cord-like veins
- warmth
- erythema at site
- extremities below blockage may be pale
16. cervical lacerations
Answer
occur if pushing prior to complete dilation
-repaired with suture
17. nursing management for lacerations
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