Exam (elaborations)
NUR 4445 ( LATEST 2024 / 2025 ) OB EXAM 3 | ALL Q&AS BRAND NEW GUARANTEED A+++
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NUR 4445 ( LATEST 2024 / 2025 ) OB EXAM 3 | ALL Q&AS BRAND NEW GUARANTEED A+++
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NUR 4445 OB Exam 31. What is the 3rd stage of labor?
Answer
delivery of placenta
2. What indicates that the placenta has separated?
Answer
-ctx of uterus/abd. rises
-gush of blood
-lengthening of cord
-vaginal fullness/urge to push per mom
3. What medications may be delivered after the delivery of the placenta?
Answer
-
-Pitocin
-Methergine
-Hemabate (oxytocics)
-Cytotec
4. How often are maternal assessments during 4th stage?
Answer
VS
q 15 x 1 hour, q 30 x 1 hour (temp hourly)
Fundus
Same Perineum
Same
Lacerations
,offer ice (ice x 24 hours) Pericare!
REEDA
Lochia Pain
Breastfeeding I & O
Hourly
5. Nursing priorities for 4th stage labor?
Answer
-ensure patient is not bleeding exces- sively
-fundus remains firm
-VSS
-help with bonding/breastfeeding
6. What would you do if you find the fundus to be higher in the abdomen and displaced to the
right?
Answer
Have the patient empty their bladder
7. 3rd and 4th stage labor complications include
Answer
-perineal lacerations
-placenta and umbilical issues
-early postpart hemorrhages
8. Perineal Lacerations
Answer
First Degree
limited to fourchette, perineal skin, and vaginal mucous membrane
9. Perineal Lacerations
Answer
Second Degree
, Involves the vaginal mucosa, perineal skin, underlying fascia, muscles of perineal body and
may extend upwards/both sides of vagina
10. Perineal Laceration
Answer
Third Degree
extends through perineal skin, mucous, perineal body, and involves anal sphincter
11. Perineal Laceration
Answer
Fourth Degree
same as third, extends through rectal mucosa to the lumen of rectum
12. Placenta issues
Answer
-placenta accrete
-placenta increta
-placenta percreta
13. Placenta accrete
Answer
chorionic villi attached to uterine myometrium
14. Placenta increta
Answer
myometrium invaded
15. Placenta percreta
Answer
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