Certified Wound Ostomy Nurse (CWON) Practice Test

What are the initial phases of partial thickness wound repair?

1. Inflammation, Proliferation, Resolution

2. Inflammation, Epithelial Cell Migration, Remodeling

3. Inflammatory response, Epithelial Cell Proliferation and Migration, Normal Skin Layer Reestablishment

4. Surface preparation, Cell attachment, Healing

The correct answer is: Inflammatory response, Epithelial Cell Proliferation and Migration, Normal Skin Layer Reestablishment

The initial phases of partial thickness wound repair are accurately described by the sequence of the inflammatory response, epithelial cell proliferation and migration, and normal skin layer reestablishment. In partial thickness wounds, the healing process begins with the inflammatory response, which serves to protect the body from infection and set the stage for healing by ensuring a proper environment for restorative processes. This response includes the release of various cytokines and recruitment of immune cells to the area, facilitating cleanup of debris and pathogens. Following this, epithelial cell proliferation and migration occur. Epithelial cells at the wound edges begin to proliferate and migrate across the wound bed to cover the area, a critical step in re-establishing the protective barrier of the skin. This is essential for reducing the risk of infection and restoring normal skin function. The final aspect of this process is the reestablishment of normal skin layers, which involves the differentiation of the newly migrated cells into the various types of skin cells necessary to restore the skin's integrity. This step solidifies the functional restoration of the skin layers. This thorough description of the initial phases of partial thickness wound repair underscores their critical roles in ensuring effective wound healing.