Proliferative Phase

Question 1

Periwound skin color
Acute Proliferative Phase
2

Answer 1

Continuity with adjacent skin.

Hemosiderin staining if recovering chronic wound

Question 2

Periwound skin color
Chronic Proliferative Phase
3

Answer 2

Continuity with adjacent skin
Paler than adjacent skin
Hemosiderin staining

Question 3

Periwound skin color
Absense of Proliferative Phase
3

Answer 3

Hemosiderin staining if chronic wound.
Halo of erythema if in chronic inflammatory phase.
Ecchymosis

Question 4

Edema and Induration

Acute Proliferative Phase

Answer 4

Absent

Question 5

Edema and Induration

Chronic Proliferative Phase

Answer 5

Gelatinous edema can be present, signifying trauma.

Question 6

Edema and Induration

Absense of Proliferative Phase

Answer 6

Minimal edema present

Question 7

Tissue Temperature

Acute Proliferative Phase

Answer 7

Temp can be minimally elevated if wound is well-perfused.

Question 8

Tissue Temperature

Chronic Proliferative Phase

Answer 8

Minimal change

Question 9

Tissue Temperature

Absence of Proliferative Phase

Answer 9

Minimal change or coolness.

Question 10

Pain
Acute Proliferative Phase
2

Answer 10

Pain-free or minimal pain

Inappropriate indicator in presence of neuropathy

Question 11

Pain

Chronic Proliferative Phase

Answer 11

Painful, can indicate local inflammation; if intense, consider infection

Question 12

Pain
Absence of Proliferative Phase
2

Answer 12

Minimal or absent.

Intense if infection is present

Question 13

Wound Tissue
Acute Proliferative Phase
6

Answer 13

1. Shiny, bright red to pink granulation
2. Sustained reduction in wound depth.
3. Sustained wound contraction
4. Reduced size
5. Covering of yellow fibrinous membrane on granulation tissue.
6. Livid red.

Question 14

Wound Tissue
Chronic Proliferative Phase
4

Answer 14

1. Hypergranulation
2. Desiccation (dark red color)
3. Poor vascularization (pale pink)
4. Ecchymosis on granulation.

Question 15

Wound Tissue
Absense of Proliferative Phase
6

Answer 15

1. Necrotic tissue–stuck in chronic inflammatory phase.
2. Ecchymosis on granulation inflammation restarting.
3. Dull red–desiccated granulation.
4. Pale pink granulation
5. Lacking change in wound depth.
6. Unsustained contraction–no reduction in size of surface area.

Question 16

Undermining/Tunneling
Acute Proliferative Phase
2

Answer 16

Can be present in deep wounds

Closes as proliferation progresses

Question 17

Undermining/Tunneling
Chronic Proliferative Phase
3

Answer 17

Can be present in deep wounds
Fails to close or can extend
Has potential for infection and abscess.

Question 18

Undermining/Tunneling
Absence of Proliferative Phase
3

Answer 18

Can be present in deep wounds
Fails to close or can extend
Has potential for infection and abscess.

Question 19

Wound Edges
Acute Proliferative Phase
7

Answer 19

1. Soft to firm.
2. Flexible to touch
3. Rolled if full-thickness
4. Change in wound shape from irregular to regular
5. Reduction in size of surface area.
6. Drawing together.
7. Adherence of wound edges by end of phase.

Question 20

Wound Edges
Chronic Proliferative Phase
4

Answer 20

Tight drawing together to reduce size–contracture
Absence of continuity of wound bed and edges.
Fibrotic
Ecchymosis on wound edge

Question 21

Wound Edges
Absense of Proliferative Phase
4

Answer 21

Unchanged size.
Rolled or jagged, irregular edges.
No change of shape–not drawing together.
Absense of continuity of wound bed and edges.

Question 22

Wound Drainage

Acute Proliferative Phase

Answer 22

Serosanguineous or serous in moderate to minimal amount for wound size.

Question 23

Wound Drainage
Chronic Proliferative Phase
3

Answer 23

Yellow gelatinous following trauma.
Infection: viscous malodorous, red/brown, green, purulent.
Large amount.

Question 24

Wound Drainage
Absense of Proliferative Phase
2

Answer 24

Serous drainage, scant to minimal amounts

Desiccated and dry.