Exam Study Review

Question 1

Assessment for postpartum mom

Answer 1

To be done every 4-6 hours
Remember BUBBLELE
CHECK:
BREASTS
UTERUS
BLADDER
LOCHIA
ECCHYMOSIS
EDEMA

VITAL SIGNS

Question 2

Breast assessment

Answer 2

Observe for:
Redness
Tender areas
Fissures
Sore nipples

Question 3

Uterus assessment

Answer 3

Observe for:
Firmness
Height of fundus and location
Check bladder distention if fundus is not midline

Question 4

Bowel assessment

Answer 4

Report lack of bowel sounds or constipation;distented hemorrhoids may be seen

Question 5

Bladder assessment

Answer 5

Observe for:
Burning or pain on urination

Question 6

Lochia assessment

Answer 6

Observe for large clots and heavy pad saturation

Question 7

ECCHYMOSIS assessment

Answer 7

Observe:
Vulvar hematoma
Perineal bruising; hemorrhoids
–>REEDA assessment

Question 8

Emotions or bonding with newborn assessment

Answer 8

Observe for:
Postpartum blues, infant contact

Question 9

Vital signs assessment

Answer 9

Abnormalities may be consistent with comorbidities

Question 10

Six complications nursing care after birth

Answer 10

Shock
hemorrhage
thromboembolic disorders
peripheral infections and mastitis subvolution of the uterus
trauma - hematomas, lacerations, placental fragments
mood disorders - perinatal anxiety, perinatal depression, and perinatal psychosis

Question 11

Hypovolemic Shock

Answer 11

When blood is depleted and cannot fill the circulatory system
Death can occur if blood loss doesn’t stop and if the blood volume is not corrected

Question 12

Hemorrhage

Answer 12

Lower uterine segment does not contract as effectively to compressed bleeding vessels bleeding into

uterine muscle fibers damages them inhibiting uterine contraction after birth

Question 13

Thromboembolic disorders

Answer 13

Venous thromboembolism (VTE)
–> involve things from the feet to the femoral area characterized by paying calf tenderness like edema color changes and pain when walking

deep vein thrombosis (DVT)
–>

pulmonary embolism (PE)

Question 14

Puerperal infections and mastitis

Question 15

Subvolution of the uterus

Question 16

Trauma - hematomas

Question 17

Trauma - lacerations

Question 18

Trauma’s placental fragments

Question 19

Mood disorders - perinatal anxiety

Answer 19

Irrational fear, worry, and tension

physical symptoms:
trembling
nausea
vomiting
dizziness
dyspnea and
insomnia

Question 20

Perinatal depression

Question 21

Perinatal psychosis

Question 22

The risk factors for postpartum hemorrhage (4 T’s)

Answer 22

Tone
trauma
tissue
thrombin

Question 23

A poorly contracted (_______) uterus must be massaged to prevent _______.

Answer 23

Boggy
Hemorrhage

Question 24

T/F. It is essential that an uncontracted uterus be pushed down.

Answer 24

False.
It should NOT be pushed down.