ESTUDYR
NUR 254 EXAM 2 REVIEW PART 1 MOST TESTED QUESTIONS
AND ANSWERS GRADED A+ WITH RATIONALES
1. Which nursing action is the priority when assessing for postpartum hemorrhage?
A. Checking blood pressure
B. Palpating the fundus
C. Inspecting peri-pads for amount of blood loss
D. Asking about pain level
Correct Answer: C
Rationale: Visual estimation of pad saturation is the fastest and most reliable initial assessment
of postpartum bleeding.
2. Normal blood loss for a vaginal delivery is:
A. 250 mL
B. 500 mL
C. 750 mL
D. 1000 mL
Correct Answer: B
Rationale: Blood loss ≥500 mL after vaginal delivery meets criteria for postpartum hemorrhage.
3. Normal blood loss for a cesarean delivery is:
A. 500 mL
B. 750 mL
C. 1000 mL
D. 1500 mL
Correct Answer: C
Rationale: Blood loss ≥1000 mL after C-section indicates postpartum hemorrhage.
4. Lochia is best defined as:
A. Infection of the uterus
B. Postpartum uterine discharge
,ESTUDYR
C. Vaginal bleeding from lacerations
D. Retained placental tissue
Correct Answer: B
Rationale: Lochia is the normal shedding of uterine lining after birth.
5. Lochia rubra normally lasts:
A. 1–2 days
B. 3–5 days
C. 7–10 days
D. 2 weeks
Correct Answer: B
Rationale: Rubra is red and blood-tinged during the early postpartum period.
6. Lochia serosa typically lasts:
A. 1–2 days
B. 3–5 days
C. 3 days to 2 weeks
D. Until 6 weeks
Correct Answer: C
Rationale: Serosa transitions from pink/brown before becoming alba.
7. White or yellow postpartum discharge is called:
A. Rubra
B. Serosa
C. Alba
D. Purulent
Correct Answer: C
8. Correct order of lochia progression is:
A. Alba → Serosa → Rubra
B. Rubra → Alba → Serosa
, ESTUDYR
C. Rubra → Serosa → Alba
D. Serosa → Rubra → Alba
Correct Answer: C
9. Which action promotes uterine contraction postpartum?
A. Hydration
B. Early ambulation
C. Breastfeeding
D. Ice packs
Correct Answer: C
Rationale: Breastfeeding releases oxytocin, which contracts the uterus.
10. A boggy uterus most commonly indicates:
A. Infection
B. Retained placenta
C. Uterine atony
D. Bladder rupture
Correct Answer: C
11. The FIRST nursing intervention for a boggy fundus is to:
A. Administer oxytocin
B. Insert Foley catheter
C. Massage the fundus
D. Call the provider
Correct Answer: C
12. A deviated uterus most often indicates:
A. Infection
B. Full bladder
C. Uterine rupture
D. Retained placenta
NUR 254 EXAM 2 REVIEW PART 1 MOST TESTED QUESTIONS
AND ANSWERS GRADED A+ WITH RATIONALES
1. Which nursing action is the priority when assessing for postpartum hemorrhage?
A. Checking blood pressure
B. Palpating the fundus
C. Inspecting peri-pads for amount of blood loss
D. Asking about pain level
Correct Answer: C
Rationale: Visual estimation of pad saturation is the fastest and most reliable initial assessment
of postpartum bleeding.
2. Normal blood loss for a vaginal delivery is:
A. 250 mL
B. 500 mL
C. 750 mL
D. 1000 mL
Correct Answer: B
Rationale: Blood loss ≥500 mL after vaginal delivery meets criteria for postpartum hemorrhage.
3. Normal blood loss for a cesarean delivery is:
A. 500 mL
B. 750 mL
C. 1000 mL
D. 1500 mL
Correct Answer: C
Rationale: Blood loss ≥1000 mL after C-section indicates postpartum hemorrhage.
4. Lochia is best defined as:
A. Infection of the uterus
B. Postpartum uterine discharge
,ESTUDYR
C. Vaginal bleeding from lacerations
D. Retained placental tissue
Correct Answer: B
Rationale: Lochia is the normal shedding of uterine lining after birth.
5. Lochia rubra normally lasts:
A. 1–2 days
B. 3–5 days
C. 7–10 days
D. 2 weeks
Correct Answer: B
Rationale: Rubra is red and blood-tinged during the early postpartum period.
6. Lochia serosa typically lasts:
A. 1–2 days
B. 3–5 days
C. 3 days to 2 weeks
D. Until 6 weeks
Correct Answer: C
Rationale: Serosa transitions from pink/brown before becoming alba.
7. White or yellow postpartum discharge is called:
A. Rubra
B. Serosa
C. Alba
D. Purulent
Correct Answer: C
8. Correct order of lochia progression is:
A. Alba → Serosa → Rubra
B. Rubra → Alba → Serosa
, ESTUDYR
C. Rubra → Serosa → Alba
D. Serosa → Rubra → Alba
Correct Answer: C
9. Which action promotes uterine contraction postpartum?
A. Hydration
B. Early ambulation
C. Breastfeeding
D. Ice packs
Correct Answer: C
Rationale: Breastfeeding releases oxytocin, which contracts the uterus.
10. A boggy uterus most commonly indicates:
A. Infection
B. Retained placenta
C. Uterine atony
D. Bladder rupture
Correct Answer: C
11. The FIRST nursing intervention for a boggy fundus is to:
A. Administer oxytocin
B. Insert Foley catheter
C. Massage the fundus
D. Call the provider
Correct Answer: C
12. A deviated uterus most often indicates:
A. Infection
B. Full bladder
C. Uterine rupture
D. Retained placenta
