Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

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What defines the maturation or remodeling phase in wound healing?

  1. Replacement of epithelial cells

  2. Restructure and strengthening of scar tissue

  3. Initiation of inflammation

  4. Increased blood supply to the area

The correct answer is: Restructure and strengthening of scar tissue

The maturation or remodeling phase in wound healing is characterized by the restructuring and strengthening of scar tissue. During this phase, which can last for months to years, the collagen fibers within the wound undergo realignment and cross-linking, enhancing the tensile strength of the new tissue. The primary goal of this stage is to restore the integrity and function of the tissue as much as possible, making it more resilient. While epithelial cell replacement is essential in the earlier phases of healing, including the inflammatory and proliferative phases, the maturation phase focuses specifically on the architecture and strength of the healed tissue. Similarly, the initiation of inflammation and increased blood supply are critical in the initial phases of healing but do not occur during the maturation phase. Understanding this phase is crucial for effective wound management and promoting optimal healing outcomes.

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