RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
1. Lochia Rubra (red) ✔✔ correct answer Lochia___ s mostly blood, fragments of decidua, and mucus and starts in postpartum days 1-3
2. Lochia serosa (pink/brown) ✔✔ correct answer Lochia is blood, mucus, and invading leukocytes and starts in postpartum days 3-10.
3. Lochia Alba (white to yellow-white) ✔✔ correct answer Lochia is non-odorous, mucus-like, with high leukocyte counts
and starts in postpartum days 10-14 days (can last 6 weeks.)
4. •The greatest risk in postpartum stage is *hemorrhage, shock, and infec- tion* ✔✔correct answer The greatest risks
to a postpartum mom
5. Oxytoxics ✔✔ correct answer medications can be given to help promote contraction of the uterus thus decreasing bleeding and chances of hemorrhage
6. *afterpains*
ªbreastfeeding increases the afterpains as oxytocin is released with nipple stimulation. ✔✔ correct answer
ar
e the contractions pains that help with involution of the uterus (similar to menstrual cramps.)
ªthey can be much more painful for multiparas women and those with an over distended uterus (polyhydramnios, multiple gestations, macrosomic infant, etc.).
ªthey are usually not as bad after the first few days.
7. ªLochia amount varies greatly from woman to woman.
ªMothers 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.
ªLochial flow increases on exertion, especially the first few times a woman is out of bed but decreases again
with rest.
ªSaturating a perineal pad in less than 1 hour is considered an abnormally heavy flow and should be
reported. ªDon't use tampons to halt the flow or this could lead to infection. ✔✔ correct answer LochiaEvaluation
- *Amount*
8. ªLochia 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.
,RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
ªIn any event, large clots denote poor uterine contraction, which needs to be corrected. ✔✔correct answer Lochia Evaluation -
*Consistency*
9. ªLochia 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.
ªThe 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. ✔✔correct answer LochiaEvaluation-
*Pattern*
10. ªLochia should not have an offensive odor as this suggests the uterus has become infected.
ªImmediate intervention is needed to halt postpartal infection. ✔✔correct answer Lochia Evaluation-
*Odor*
11. ªLochia 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. ªLochia may be scant in amount after cesarean delivery, but it
is never
alto- gether absent. ✔✔correct answer Lochia Evaluation - *Absence*
12. •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 ✔✔ correct answer Name the 5 types of lochia amounts and their measurements
13. *It decreases by one fingerbreadth, or 1 cm, per day*
ªRight after birth it's at the umbilicus
ªFor example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.
ªIn 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 ✔✔correct answer Postpartum ✔✔
correct answer
*Fundal Height Changes*
,RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
14. ªPalpate 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.
ªPress in and downward witEh the hand at the umbilicus until you "bump" against a firm globular mass in the
abdomen ✔✔correct answr the uterine fundus ✔✔correct answer How do you palpate the fundus?
15. episiotomy ✔✔correct answer incision made into the perineum to enlarge the vaginal opening to help with delivery
16. laceration ✔✔ correct answer a tear during labor
17. •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 ✔✔correct answer Nursing Care ✔✔correct answer *Laceration/Episiotomy*
18. •If fundus is displaced, then the bladder needs to be emptied.
• Pressure from the trauma of delivery cause urinary retention so it is impor- tant to monitor I&O and to
promote getting up and using the restroom every 2-3 hours ✔✔correct answer Postpartum ✔✔correct answer *Bladder
Assessment*
19. epidurals spinal
tap urinary catheters
vaginal swelling/trauma from birth ✔✔correct answer Causes of *Urinary Retention*
20. mastitis ✔✔correct answer Is an infection of the breast involving the interlobular connective tissue and is usually unilateral
21. •Localized heat and swelling
,RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
• Pain; tender axillary lymph nodes
1. Lochia Rubra (red) ✔✔ correct answer Lochia___ s mostly blood, fragments of decidua, and mucus and starts in postpartum days 1-3
2. Lochia serosa (pink/brown) ✔✔ correct answer Lochia is blood, mucus, and invading leukocytes and starts in postpartum days 3-10.
3. Lochia Alba (white to yellow-white) ✔✔ correct answer Lochia is non-odorous, mucus-like, with high leukocyte counts
and starts in postpartum days 10-14 days (can last 6 weeks.)
4. •The greatest risk in postpartum stage is *hemorrhage, shock, and infec- tion* ✔✔correct answer The greatest risks
to a postpartum mom
5. Oxytoxics ✔✔ correct answer medications can be given to help promote contraction of the uterus thus decreasing bleeding and chances of hemorrhage
6. *afterpains*
ªbreastfeeding increases the afterpains as oxytocin is released with nipple stimulation. ✔✔ correct answer
ar
e the contractions pains that help with involution of the uterus (similar to menstrual cramps.)
ªthey can be much more painful for multiparas women and those with an over distended uterus (polyhydramnios, multiple gestations, macrosomic infant, etc.).
ªthey are usually not as bad after the first few days.
7. ªLochia amount varies greatly from woman to woman.
ªMothers 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.
ªLochial flow increases on exertion, especially the first few times a woman is out of bed but decreases again
with rest.
ªSaturating a perineal pad in less than 1 hour is considered an abnormally heavy flow and should be
reported. ªDon't use tampons to halt the flow or this could lead to infection. ✔✔ correct answer LochiaEvaluation
- *Amount*
8. ªLochia 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.
,RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
ªIn any event, large clots denote poor uterine contraction, which needs to be corrected. ✔✔correct answer Lochia Evaluation -
*Consistency*
9. ªLochia 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.
ªThe 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. ✔✔correct answer LochiaEvaluation-
*Pattern*
10. ªLochia should not have an offensive odor as this suggests the uterus has become infected.
ªImmediate intervention is needed to halt postpartal infection. ✔✔correct answer Lochia Evaluation-
*Odor*
11. ªLochia 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. ªLochia may be scant in amount after cesarean delivery, but it
is never
alto- gether absent. ✔✔correct answer Lochia Evaluation - *Absence*
12. •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 ✔✔ correct answer Name the 5 types of lochia amounts and their measurements
13. *It decreases by one fingerbreadth, or 1 cm, per day*
ªRight after birth it's at the umbilicus
ªFor example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.
ªIn 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 ✔✔correct answer Postpartum ✔✔
correct answer
*Fundal Height Changes*
,RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
14. ªPalpate 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.
ªPress in and downward witEh the hand at the umbilicus until you "bump" against a firm globular mass in the
abdomen ✔✔correct answr the uterine fundus ✔✔correct answer How do you palpate the fundus?
15. episiotomy ✔✔correct answer incision made into the perineum to enlarge the vaginal opening to help with delivery
16. laceration ✔✔ correct answer a tear during labor
17. •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 ✔✔correct answer Nursing Care ✔✔correct answer *Laceration/Episiotomy*
18. •If fundus is displaced, then the bladder needs to be emptied.
• Pressure from the trauma of delivery cause urinary retention so it is impor- tant to monitor I&O and to
promote getting up and using the restroom every 2-3 hours ✔✔correct answer Postpartum ✔✔correct answer *Bladder
Assessment*
19. epidurals spinal
tap urinary catheters
vaginal swelling/trauma from birth ✔✔correct answer Causes of *Urinary Retention*
20. mastitis ✔✔correct answer Is an infection of the breast involving the interlobular connective tissue and is usually unilateral
21. •Localized heat and swelling
,RASMUSSEN MCN EXAM 2 QUESTIONS AND CORRECT ANSWERS LATEST GUIDE 2026/2027 GRADED A+
• Pain; tender axillary lymph nodes
