NUR 254 Exam 2 | Actual Exam Questions and
Answers | 100% Correct
‣ Postpartum Hemorrhaging -✓✓Check the Peri-pads to determine how much the
patient is hemorrhaging
‣ Vaginal Delivery -✓✓Blood Loss 500ml
‣ C section Delivery -✓✓Blood Loss 1000ml
‣ Lochia -✓✓Postpartum Discharge
‣ Rubra -✓✓Lasts 3 to 5 days
‣ Serosa -✓✓Last 3 days to 2 weeks
‣ Alba -✓✓White or yellowish discharge
‣ Rubra -✓✓Red discharge
‣ Serosa -✓✓Pink discharge
‣ Discharge order -✓✓Rubra, Serosa, Alba
‣ Promote Uterine Contraction -✓✓Breast feeding
‣ Promote Uterine Contraction -✓✓Administration of Oxytocin
‣ Promote Uterine Contraction -✓✓Massage the uterus
‣ Uterus -✓✓Sits above the umbilicus immediately after delivery
‣ Uterus -✓✓Boggy after delivery
‣ Uterus -✓✓Back into normal position after 9 days (true pelvis)
‣ Location of the Fundus -✓✓Feel at the top
‣ Boggy Fundus -✓✓Treatment: Massage, massage, massage
‣ Lack of contraction of fundus -✓✓Cause: Full bladder
, ‣ Lack of contraction of fundus -✓✓Cause: Lack of feeling in the lower half of the
bladder due to epideral
‣ Deviates uterus to the side -✓✓Cause: Full bladder
‣ Difficulty emptying the bladder -✓✓Cause: Macrosomic baby
‣ Difficulty emptying the bladder -✓✓Cause: Twins
‣ Difficulty emptying the bladder -✓✓Treatment: Quick Catheterization
‣ Lack of contraction of Uterus -✓✓When was the last time you voided?
‣ Too much bleeding -✓✓Saturated peripad within and hour
‣ Perineum on fire (painful) -✓✓Treatment: First 24 hours use cold (ice). 10 mins on 10
mins off
‣ Perineum on fire (painful) -✓✓Treatment: After 24+ hours, warm water and heat (sitz
bath)
‣ Cleanse Perineum -✓✓Treatment: Peri bottle (warm water) to clean from front to back
‣ UTI -✓✓Prevention: Peri bottle (warm water) to clean from front to back
‣ UTI -✓✓Prevention: Pat perineum dry from front to back
‣ Toileting -✓✓Use peri bottle each time to cleanse the area from front to back
‣ Postpartum Bleeding -✓✓Cause: Lacerations and Tears
‣ Late Postpartum Bleeding at home -✓✓Cause: Retained Placenta
‣ Episiotomy -✓✓Assess to see how it is healing
‣ Source of infection -✓✓Episiotomy, tears, C section, uti, prolonged ruptured
membranes, long labor, foley catheter
‣ Temerature < 100.4 -✓✓Indicates dehydration, up to 24 hours after birth
‣ Dehydration (< 100.4 temp) -✓✓Push fluids
Answers | 100% Correct
‣ Postpartum Hemorrhaging -✓✓Check the Peri-pads to determine how much the
patient is hemorrhaging
‣ Vaginal Delivery -✓✓Blood Loss 500ml
‣ C section Delivery -✓✓Blood Loss 1000ml
‣ Lochia -✓✓Postpartum Discharge
‣ Rubra -✓✓Lasts 3 to 5 days
‣ Serosa -✓✓Last 3 days to 2 weeks
‣ Alba -✓✓White or yellowish discharge
‣ Rubra -✓✓Red discharge
‣ Serosa -✓✓Pink discharge
‣ Discharge order -✓✓Rubra, Serosa, Alba
‣ Promote Uterine Contraction -✓✓Breast feeding
‣ Promote Uterine Contraction -✓✓Administration of Oxytocin
‣ Promote Uterine Contraction -✓✓Massage the uterus
‣ Uterus -✓✓Sits above the umbilicus immediately after delivery
‣ Uterus -✓✓Boggy after delivery
‣ Uterus -✓✓Back into normal position after 9 days (true pelvis)
‣ Location of the Fundus -✓✓Feel at the top
‣ Boggy Fundus -✓✓Treatment: Massage, massage, massage
‣ Lack of contraction of fundus -✓✓Cause: Full bladder
, ‣ Lack of contraction of fundus -✓✓Cause: Lack of feeling in the lower half of the
bladder due to epideral
‣ Deviates uterus to the side -✓✓Cause: Full bladder
‣ Difficulty emptying the bladder -✓✓Cause: Macrosomic baby
‣ Difficulty emptying the bladder -✓✓Cause: Twins
‣ Difficulty emptying the bladder -✓✓Treatment: Quick Catheterization
‣ Lack of contraction of Uterus -✓✓When was the last time you voided?
‣ Too much bleeding -✓✓Saturated peripad within and hour
‣ Perineum on fire (painful) -✓✓Treatment: First 24 hours use cold (ice). 10 mins on 10
mins off
‣ Perineum on fire (painful) -✓✓Treatment: After 24+ hours, warm water and heat (sitz
bath)
‣ Cleanse Perineum -✓✓Treatment: Peri bottle (warm water) to clean from front to back
‣ UTI -✓✓Prevention: Peri bottle (warm water) to clean from front to back
‣ UTI -✓✓Prevention: Pat perineum dry from front to back
‣ Toileting -✓✓Use peri bottle each time to cleanse the area from front to back
‣ Postpartum Bleeding -✓✓Cause: Lacerations and Tears
‣ Late Postpartum Bleeding at home -✓✓Cause: Retained Placenta
‣ Episiotomy -✓✓Assess to see how it is healing
‣ Source of infection -✓✓Episiotomy, tears, C section, uti, prolonged ruptured
membranes, long labor, foley catheter
‣ Temerature < 100.4 -✓✓Indicates dehydration, up to 24 hours after birth
‣ Dehydration (< 100.4 temp) -✓✓Push fluids
