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NURS 6700 Final Exam Questions and Answers |100% Pass

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NURS 6700 Final Exam Questions and Answers |100% Pass the postpartum period is? - Answer-the interval between brith and the return of the reproductive organs to their normal non pregnant state this period is sometimes referred to as the puerperium, or fourth trimester of pregnancy A nurse is a...

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NURS 6700 Final Exam Questions and
Answers |100% Pass

the postpartum period is? - Answer✔✔-the interval between brith and the return of the reproductive

organs to their normal non pregnant state this period is sometimes referred to as the puerperium, or

fourth trimester of pregnancy


A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted

to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the

following conditions as a cause of uterine atony?




a. poor involution




b. urinary retention




c. hemorrhage




d. infection - Answer✔✔-b




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What happens when the uterus involutes? - Answer✔✔-at the end of the third stage of labor, the uterus

is in the midline approximately 2cm below the level of the umbilicus, with the fundus resting on the

sacral promontory.




Within 12 hours the fundus can rise to approximately 1cm above the umbilicus




by 24 hours after birth the uterus is about the same size as it was at 20 weeks of gestation




involution progresses rapidly during the next few days




the fundus descends 1 to 2 cm every 24 hours




by the sixth postpartum day the fundus is normally located halfway between the umbilicus and the

symphysis pubis




the uterus should not be palpable abdominally after 2 weeks and should have returned to its non

pregnant location by 6 weeks after birth


the return of the uterus to a non pregnant state after birth is called? - Answer✔✔-involution




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when does involution take place? - Answer✔✔-this process begins immediately after expulsion of the

placenta with contraction of the uterine smooth muscle


the uterus which at full term weighs approximately 11 times its pre pregnancy weight, involutes to

approximately? - Answer✔✔-500g by 1 week after birth and to 300g by 2 weeks after brith




by 4 weeks postpartum it weights approximately 100g which is the non pregnant size


increased estrogen and progesterone levels are responsible for stimulating the massive growth of the

uterus during pregnancy. Uterine growth results from both hyperplasia (an increase in the number of

muscle cells) and hypertrophy (an enlargement of the existing cells). After brith the decrease in these

hormones causes? - Answer✔✔-autolysis which is the self destruction of excess hypertrophied tissue


sub involution is? - Answer✔✔-the failure of the uterus to return to a non pregnant state due to

ineffective uterine contractions


the most common cause of sub involution is? - Answer✔✔-retained placental fragments and infection


The characteristics of post birth uterine discharge known as lochia, correlate with? - Answer✔✔-uterine

involution and changes in the endometrium




most women experience lochia for 4 to 6 weeks after brith


for the first 2 hours after birth what are the characteristics of lochia? - Answer✔✔-the amount of uterine

discharge should be about that of a heavy menstrual period



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after that time local flow will steadily decrease in amount and the characteristics appearance of the

lochia will change


describe the rubra lochia - Answer✔✔-appearance: red




timing after birth: 1-2 days




contents: blood from placental site, trophoblastic tissue debris, vernix, lanugo, meconium


describe serosa lochia - Answer✔✔-appearance: pinkish-brown




timing after birth: 4-10 days




contents: blood, wound exudate, RBCs, WBCs, trophoblastic tissue debris, cervical mucus,

microorganisms


describe alba lochia - Answer✔✔-appearance: whitish-yellow




time after birth: 10-14 days, can last 3-6 weeks




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