Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
Lochia Rubra (red) - (ANSWER)Lochia _______ is mostly blood, fragments of decidua, and mucus and
starts in postpartum days 1-3
Lochia serosa (pink/brown) - (ANSWER)Lochia _____ is blood, mucus, and invading leukocytes and starts
in postpartum days 3-10.
Lochia Alba (white to yellow-white) - (ANSWER)Lochia ______ is non-odorous, mucus-like, with high
leukocyte counts and starts in postpartum days 10-14 days (can last 6 weeks.)
•The greatest risk in postpartum stage is *hemorrhage, shock, and infection* - (ANSWER)The greatest
risks to a postpartum mom
Oxytoxics - (ANSWER)___________ medications can be given to help promote contraction of the uterus
thus decreasing bleeding and chances of hemorrhage
*afterpains*
▪ breastfeeding increases the afterpains as oxytocin is released with nipple stimulation. -
(ANSWER)________are the contractions pains that help with involution of the uterus (similar to
menstrual cramps.)
▪ they can be much more painful for multiparas women and those with an over distended uterus
(polyhydramnios, multiple gestations, macrosomic infant, etc.).
▪ they are usually not as bad after the first few days.
▪ Lochia amount varies greatly from woman to woman.
▪ Mothers who breastfeed tend to have less lochial discharge than those who do not because the
natural release of the hormone oxytocin during breastfeeding strengthens uterine contractions.
▪ Lochial flow increases on exertion, especially the first few times a woman is out of bed but decreases
again with rest.
▪ Saturating a perineal pad in less than 1 hour is considered an abnormally heavy flow and should be
reported.
,Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
▪ Don't use tampons to halt the flow or this could lead to infection. - (ANSWER)Lochia Evaluation -
*Amount*
▪ Lochia should contain no exceedingly large clots as these may indicate a portion of the placenta has
been retained and is preventing closure of the maternal uterine blood sinuses.
▪ In any event, large clots denote poor uterine contraction, which needs to be corrected. -
(ANSWER)Lochia Evaluation - *Consistency*
▪ Lochia is red for the first 1 to 3 days (lochia rubra), pinkish-brown from days 4 to 10 (lochia serosa), and
then white (lochia alba) for as long as 6 weeks after birth.
▪ The pattern of lochia (rubra to serosa to alba) should not reverse as this suggests a placental fragment
has been retained or uterine contraction is decreasing and new bleeding is beginning. - (ANSWER)Lochia
Evaluation - *Pattern*
▪ Lochia should not have an offensive odor as this suggests the uterus has become infected.
▪ Immediate intervention is needed to halt postpartal infection. - (ANSWER)Lochia Evaluation - *Odor*
▪ Lochia should never be absent during the first 1 to 3 weeks as absence of lochia, like presence of an
offensive odor, may indicate postpartal infection.
▪ Lochia may be scant in amount after cesarean delivery, but it is never altogether absent. -
(ANSWER)Lochia Evaluation - *Absence*
•Scant - less than 2.5cm
•Light - less than 10cm
•Moderate - more than 10cm
•Heavy - one pad saturated within 2 hours
•Excessive - one pad saturated in 15mins or less - (ANSWER)Name the 5 types of lochia amounts and
their measurements
*It decreases by one fingerbreadth, or 1 cm, per day*
,Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
▪ Right after birth it's at the umbilicus
▪ For example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.
▪ In the average woman, by the ninth or tenth day, the uterus will have contracted so much that it is
withdrawn into the pelvis and can no longer be detected by abdominal palpation -
(ANSWER)Postpartum: *Fundal Height Changes*
▪ Palpate the fundus of the uterus by placing one hand on the base of the uterus, just above the
symphysis pubis, and the other at the umbilicus.
▪ Press in and downward with the hand at the umbilicus until you "bump" against a firm globular mass in
the abdomen: the uterine fundus - (ANSWER)How do you palpate the fundus?
episiotomy - (ANSWER)incision made into the perineum to enlarge the vaginal opening to help with
delivery
laceration - (ANSWER)a tear during labor
•Promote measures for the client to help soften her stool (stool softeners or high fiber foods like fruit,
fluids)
•Sitz baths
•NO Enemas or Suppositories
•Analgesics
•Ice packs for comfort
•Educate on proper cleaning to prevent infection
- wash hands before and after
- use squeeze bottle filled with warm water after each void to cleanse perineal area
- clean from front to back
- blot dry not wipe - (ANSWER)Nursing Care: *Laceration/Episiotomy*
, Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
•If fundus is displaced, then the bladder needs to be emptied.
•Pressure from the trauma of delivery cause urinary retention so it is important to monitor I&O and to
promote getting up and using the restroom every 2-3 hours - (ANSWER)Postpartum: *Bladder
Assessment*
epidurals
spinal tap
urinary catheters
vaginal swelling/trauma from birth - (ANSWER)Causes of *Urinary Retention*
mastitis - (ANSWER)Is an infection of the breast involving the interlobular connective tissue and is
usually unilateral
•Localized heat and swelling
•Pain; tender axillary lymph nodes
•Elevated temperature
•Complaints of flulike symptoms
"wedge"
•When mastitis is the issue, your symptoms may be similar to having a clogged duct, but they will be
more intense, especially if the clogged duct is the reason for the mastitis. Because the symptoms are so
similar, it is important to start treating the clog as soon as you notice it - (ANSWER)S/S: *Mastitis*
•Milk stasis from blocked duct
•Nipple trauma
•Poor breastfeeding techniques
•Poor hygiene - (ANSWER)Risk Factors: *Mastitis*
Lochia Rubra (red) - (ANSWER)Lochia _______ is mostly blood, fragments of decidua, and mucus and
starts in postpartum days 1-3
Lochia serosa (pink/brown) - (ANSWER)Lochia _____ is blood, mucus, and invading leukocytes and starts
in postpartum days 3-10.
Lochia Alba (white to yellow-white) - (ANSWER)Lochia ______ is non-odorous, mucus-like, with high
leukocyte counts and starts in postpartum days 10-14 days (can last 6 weeks.)
•The greatest risk in postpartum stage is *hemorrhage, shock, and infection* - (ANSWER)The greatest
risks to a postpartum mom
Oxytoxics - (ANSWER)___________ medications can be given to help promote contraction of the uterus
thus decreasing bleeding and chances of hemorrhage
*afterpains*
▪ breastfeeding increases the afterpains as oxytocin is released with nipple stimulation. -
(ANSWER)________are the contractions pains that help with involution of the uterus (similar to
menstrual cramps.)
▪ they can be much more painful for multiparas women and those with an over distended uterus
(polyhydramnios, multiple gestations, macrosomic infant, etc.).
▪ they are usually not as bad after the first few days.
▪ Lochia amount varies greatly from woman to woman.
▪ Mothers who breastfeed tend to have less lochial discharge than those who do not because the
natural release of the hormone oxytocin during breastfeeding strengthens uterine contractions.
▪ Lochial flow increases on exertion, especially the first few times a woman is out of bed but decreases
again with rest.
▪ Saturating a perineal pad in less than 1 hour is considered an abnormally heavy flow and should be
reported.
,Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
▪ Don't use tampons to halt the flow or this could lead to infection. - (ANSWER)Lochia Evaluation -
*Amount*
▪ Lochia should contain no exceedingly large clots as these may indicate a portion of the placenta has
been retained and is preventing closure of the maternal uterine blood sinuses.
▪ In any event, large clots denote poor uterine contraction, which needs to be corrected. -
(ANSWER)Lochia Evaluation - *Consistency*
▪ Lochia is red for the first 1 to 3 days (lochia rubra), pinkish-brown from days 4 to 10 (lochia serosa), and
then white (lochia alba) for as long as 6 weeks after birth.
▪ The pattern of lochia (rubra to serosa to alba) should not reverse as this suggests a placental fragment
has been retained or uterine contraction is decreasing and new bleeding is beginning. - (ANSWER)Lochia
Evaluation - *Pattern*
▪ Lochia should not have an offensive odor as this suggests the uterus has become infected.
▪ Immediate intervention is needed to halt postpartal infection. - (ANSWER)Lochia Evaluation - *Odor*
▪ Lochia should never be absent during the first 1 to 3 weeks as absence of lochia, like presence of an
offensive odor, may indicate postpartal infection.
▪ Lochia may be scant in amount after cesarean delivery, but it is never altogether absent. -
(ANSWER)Lochia Evaluation - *Absence*
•Scant - less than 2.5cm
•Light - less than 10cm
•Moderate - more than 10cm
•Heavy - one pad saturated within 2 hours
•Excessive - one pad saturated in 15mins or less - (ANSWER)Name the 5 types of lochia amounts and
their measurements
*It decreases by one fingerbreadth, or 1 cm, per day*
,Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
▪ Right after birth it's at the umbilicus
▪ For example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.
▪ In the average woman, by the ninth or tenth day, the uterus will have contracted so much that it is
withdrawn into the pelvis and can no longer be detected by abdominal palpation -
(ANSWER)Postpartum: *Fundal Height Changes*
▪ Palpate the fundus of the uterus by placing one hand on the base of the uterus, just above the
symphysis pubis, and the other at the umbilicus.
▪ Press in and downward with the hand at the umbilicus until you "bump" against a firm globular mass in
the abdomen: the uterine fundus - (ANSWER)How do you palpate the fundus?
episiotomy - (ANSWER)incision made into the perineum to enlarge the vaginal opening to help with
delivery
laceration - (ANSWER)a tear during labor
•Promote measures for the client to help soften her stool (stool softeners or high fiber foods like fruit,
fluids)
•Sitz baths
•NO Enemas or Suppositories
•Analgesics
•Ice packs for comfort
•Educate on proper cleaning to prevent infection
- wash hands before and after
- use squeeze bottle filled with warm water after each void to cleanse perineal area
- clean from front to back
- blot dry not wipe - (ANSWER)Nursing Care: *Laceration/Episiotomy*
, Rasmussen - MCN - Exam 2 2026 With 100% Accurate Answers
•If fundus is displaced, then the bladder needs to be emptied.
•Pressure from the trauma of delivery cause urinary retention so it is important to monitor I&O and to
promote getting up and using the restroom every 2-3 hours - (ANSWER)Postpartum: *Bladder
Assessment*
epidurals
spinal tap
urinary catheters
vaginal swelling/trauma from birth - (ANSWER)Causes of *Urinary Retention*
mastitis - (ANSWER)Is an infection of the breast involving the interlobular connective tissue and is
usually unilateral
•Localized heat and swelling
•Pain; tender axillary lymph nodes
•Elevated temperature
•Complaints of flulike symptoms
"wedge"
•When mastitis is the issue, your symptoms may be similar to having a clogged duct, but they will be
more intense, especially if the clogged duct is the reason for the mastitis. Because the symptoms are so
similar, it is important to start treating the clog as soon as you notice it - (ANSWER)S/S: *Mastitis*
•Milk stasis from blocked duct
•Nipple trauma
•Poor breastfeeding techniques
•Poor hygiene - (ANSWER)Risk Factors: *Mastitis*
