NUR 201 Test 7
1. ROM
Answer rupture of membranes
- postpartum care begins immediately after birth and continues for about
weeks
Answer six
- hypospadias
Answer abnormal congenital opening of the male urethra on the undersurface of the penis
4. PROM
Answer premature rupture of membranes
5. TOLAC/VBAC
Answer Trial of labor after cesarean/ Vaginal birth after cesarean
- nullipara
Answer no births (a woman who has not given birth to a viable offspring)
- primpara
Answer First pregnancy with a viable infant 1 / 4
- multipara
Answer woman who has delivered more than one viable infant
9. G/TPAL
Answer Gravida (pregnancies) T (Term)
P (Preterm) A (Abortions) L (Living)
- Postpartum care
Answer The care the mother receives during the six to eight weeks following the birth of her baby, emphasis is on teaching and wellness rather than on "problems".
- fundus
Answer rounded upper portion of the uterus
- lochia
Answer vaginal discharge following childbirth rubra
dark red, day 1-3
serosa
pink, day 4-10
alba
white, 10 days - 6 weeks 2 / 4
- perineum
Answer in females, the area between the anus and the vagina
- involution of the uterus
Answer the uterus returns to its normal nonpregnant size
- decidua
Answer the endometrium of the uterus during pregnancy
- breastfeeding, early ambulation, and complete expulsion of placenta will
involution of the uterus
Answer enhance
- prolonged labor (>48-96 hours), incomplete placenta expulsion, and anes- thesia/epidural
will involution of the uterus
Answer delay
- fundal/abdominal area is assessed for (3) things
Answer firmness, height, position
- normal fundal/abdominal findings
Answer soft, doughy, rectus muscle intact, may be tender when palpated, fundus will be firm and midline
- assess for diastasis recti by asking mother to off bed
so that you can assess the rectus 3 / 4
Answer lift head
- After birth, the fundus will be located
Answer between the umbilicus and symphysis pubis and is firm and midline
- use pad of and fingers to assess fundus
Answer index and middle
- boggy uterus
Answer a uterus that feels soft and spongy, rather than firm and well contracted.
- heavy bleeding r/t atony interventions
Answer start sanitary pad count for estimated blood loss (EBL), oxygenation via face mask, uterine massage, IV access with 18g
- Primary postpartum hemorrhage
Answer occurs in the first 24 hours after delivery
- oxytocin (Pitocin)
Answer IV
30 units in 500ML fluid IM
- / 4