NUR 254 Exam 2 Practice Questions and Correct Answers
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Course
NUR 254
Institution
NUR 254
Lochia Rubra bright red bleeding 3-4 days after birth
Lochia Serosa light brown/pink lasts 4-10 days
Lochia Alba yellow/white discharge 10 days after delivery
Postpaturm Uterus 12 hrs: 1 cm above umbilicus - fundus descends 1-2cm every 24 hrs.
vagina after birth - vaginal dryness (use lube)
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NUR 254 Exam 2 Practice Questions and
Correct Answers
Lochia Rubra ✅bright red bleeding 3-4 days after birth
Lochia Serosa ✅light brown/pink lasts 4-10 days
Lochia Alba ✅yellow/white discharge 10 days after delivery
Postpaturm Uterus ✅12 hrs: 1 cm above umbilicus
- fundus descends 1-2cm every 24 hrs.
vagina after birth ✅- vaginal dryness (use lube)
episiotomy ✅heals within 2-3 weeks (may take 4-6)
- proper hygiene
- prevent infection
hemorrhoids ✅- witch hazel
- stool softener
- sitz bath
pelvic muscle support ✅- stress incontenance
- takes 6 months
**kegel exercises**
Nonbreastfeeding mothers ✅- ovulation occurs 27 days after birth
- use of birth control
- breast binder, fitted bra, cabbage leaves, avoid nipple stimulation, avoid suckling
Urinary ✅have mom void before fundal rubs
Appetite ✅- make sure bowel sounds are present
Vitals after birth ✅temp: < 100.4
pulse: 50-90, elevated first hr, bradycardia normal (40-50 bpm)
respirations: within normal range (16-20)
BP: increase 5%, hypotension normal after birth
Blood components ✅WBC: 5,000-15,000
, HGB: 12-18
Hematocrit: 37-52
platelets: 150-400
RBC: 4.6-6.1
varicose veins: common in pregnancy
Immune system ✅-lupus/ MS
- high risk for flare-ups
Hypovolemic Shock ✅SXS: lots of bleeding, pt states feeling funny, seeing star, light
headed, cool, clammy, pulse increase, BP decreases
NI: uterine atony- massage, oxygen, put on side/ elevate legs, IV, blood, monitor VS,
monitor urine output
Postpartum blues/ depression ✅PP Blues- 2 weeks or less
Depression- > 2 weeks
Assessing Attachment Behaviors ✅- do parents reach for baby when handing them
baby
- do they call baby by name
- do parents feel at ease holding baby
- how do parents handle fussy baby
promote skin-skin, how to hold baby, change/feed baby
NI for episiotomy, lacerations, and hemorrhoids ✅cleansing, ice packs, squeeze bottle,
sitz bath, topical applications (witch hazel)
SXS of lacerations ✅- slow trickle, oozing, frank hemorrhage
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