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NUR 218 Nursing Care During Postpartum Exam Questions and Answers
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puerperium - Answer-The period after completion of the third stage of labor until involution of the uterus is complete, usually 6 weeks. What is sometimes called the "fouth trimester" - Answer-puerperium 2 major, pshysiologic complications the nurse must be alert for in postpartum assessment ...

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  • October 20, 2024
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NUR 218 Nursing Care During
Postpartum Exam Questions and
Answers
puerperium - Answer-The period after completion of the third stage of labor until
involution of the uterus is complete, usually 6 weeks.

What is sometimes called the "fouth trimester" - Answer-puerperium

2 major, pshysiologic complications the nurse must be alert for in postpartum
assessment - Answer-hemorrhage
hypovolemic shock

Lochia Rubra is expected from birth until __ days later - Answer-3

How long after birth should nurse expect to see firm fundus at the level of umbilicus -
Answer-within a few hours

Right after delivery, what is expected in uterine assessment - Answer-grapefruit size
mass midway between symphysis and umbilicus

expect rate of descent in postpartal fundal height assessment - Answer-1 cm per day
(or 1 finger breadth per day)

Term used when uterus fails to involute at expected rate - Answer-subinvolution

4 signs of subinvolution - Answer-boggy on palpation
above umbilicus (or higher than previous assessment)
deviated to side (not midline)
increased lochia

Type of lochia expected on days 4-10 - Answer-Lochia serosa (pink to brown)

expected timing Lochia Alba - Answer-may be seen in pp days 11-21

When is cervix considered closed (postpartum) - Answer-When lochia flow ceases (may
be up to 21 days postpartum)

T or F. By the end of postpartum week 1, internal exam will show only 2 fingers can
enter the cervical os - Answer-False- only 1 fingertip (expected finding)

T or F. postpartum exam will find a thickened vaginal mucosa due to swelling - Answer-
False- thin vaginal mucosa with no ruggae is expected

, T or F. after the first vaginal delivery vaginal muscle tone is never completely restored -
Answer-TRUE

T or F. Other than muscle tone, the vagina is expected to be "back to normal" 4-6
months after delivery. - Answer-False. 3-4 weeks. (it is the perineum should be healed
by 4-6 months)

A new mom who breastfeeds her neonate and supplements his diet with formula should
expect to resume menses how long after birth? - Answer-4-6 weeks just like non-
breadtfeeding moms.

T or F. Exclusively breastfeeding delays menses at least 3-6 momths, but
supplementing moms follow the same schedulefor menses return and ovulation as
those who don't BF - Answer-True

When will a postpartum mom ovulate again? - Answer-Breastfeeding: 3-6 months
Non-breastfeeding: as early as 27 days (average 70 days)

T or F. Progesterone and Prolactin levels are elevated in the postpartum female -
Answer-False: Pregestrone Falls

What is thin milk and when is it expected - Answer-Also called "transitional milk" light
yellow milk is expected after from ~ day 2 until ~ day 14

What type of breast milk may be bluish? - Answer-Mature milk, 2 weeks+ postpartum

T or F. Maternal Tachycardia is expected in the first 2 postpartal weeks - Answer-False,
bradycardia due to decreased cardiac workload.

T or F. A c-section mom loses 2x as much blood as in a vaginal delivery. - Answer-
True- about 1 Liter is lost in c section

T or F. Pregnancy can make your feet permanently larger - Answer-TRUE

T or F. An focused exercise program is needed to correct diastasis abdominus rectus -
Answer-False. Exercise will help bring muscles closer to midline, but will never
completely restore to prepregnancy state

What does the Newborn & Mother Health Protection Act of 1996 ensure for new moms?
- Answer-48 hours hospital stay for vaginal birth, 96 hours for c section

Frequency of VS, uterine and lochia assessment in the 4 fours after birth - Answer-1st
hour: Every 15 minutes
2nd hour: Every 30 minutes
3rd & 4th hour: once per hour

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