OB/PEDS UPDATED QUESTIONS
AND ANSWERS 2026 STUDY GUIDE
COMPLETE SOLUTIONS VERIFIED
◉ Factors that interfere w/involution:.
Answer: prolonged labor
retained placenta/membranes
infection
over distention
close childbirth spacing
◉ Fundal Assessment / Massage - how to do it.
Answer: Anchor one hand on the lower uterine segment and use the
other hand to palpate the fundus.
Educate your patient on what your are checking for and why - This
procedure can be uncomfortable!
◉ Fundal Assessment / Massage - how often is it done?.
Answer: Immediately after birth
,then every 15min for an hour
then every 30min for the next hour
then every 4-6hours and as needed
◉ Fundal Assessment / Massage - normal findings.
Answer: Should feel rock hard (soft ball/cantaloupe)
Should be midline and near umbilicus.
(For ex. Fundus is firm, midline and U-1)
◉ What could a rising/displaced fundus indicate?.
Answer: Full Bladder! last time they voided? may deviate to left or right.
Uterine Atony: if the uterus is "boggy" or soft rather than firm, meaning
the muscles are not contracting, which can lead to excessive bleeding.
Retained Placental Tissue
◉ fundus documentation/assessment.
Answer: *time after birth* (1-2hrs, 12 hours, 24 hours)
,*location* (at the level of umbilicus, 1cm above umbilicus, 1cm below
umbilicus)
*documentation: U, U+1, U-1*, then U-2, U-3...
◉ first-line, immediate nursing action for hemorrhage?.
Answer: Perform a fundal massage. It helps stimulate uterine
contraction, which can reduce bleeding quickly.
◉ when is the fundus no longer palpable?.
Answer: 10 days postpartum
◉ lochia rubra.
Answer: Bright red, clots are normal
lasts for 3-4 days after delivery
◉ lochia serosa.
Answer: will see this days 4-10 after delivery
thin, pinkish brown
less flow than rubria, fewer clots
, ◉ lochia alba.
Answer: will see this days 10-28 after delivery
yellowish-white discharge
no blood or very little blood. no odor, no real flow
◉ scant lochia.
Answer: <1 inch stain
◉ light lochia.
Answer: 1-4 inch stain
◉ moderate lochia.
Answer: 4-6 inch stain
◉ large lochia.
Answer: pad fully saturated in 1 hour
◉ When to worry about lochia.
Answer: Saturating a pad every hour
AND ANSWERS 2026 STUDY GUIDE
COMPLETE SOLUTIONS VERIFIED
◉ Factors that interfere w/involution:.
Answer: prolonged labor
retained placenta/membranes
infection
over distention
close childbirth spacing
◉ Fundal Assessment / Massage - how to do it.
Answer: Anchor one hand on the lower uterine segment and use the
other hand to palpate the fundus.
Educate your patient on what your are checking for and why - This
procedure can be uncomfortable!
◉ Fundal Assessment / Massage - how often is it done?.
Answer: Immediately after birth
,then every 15min for an hour
then every 30min for the next hour
then every 4-6hours and as needed
◉ Fundal Assessment / Massage - normal findings.
Answer: Should feel rock hard (soft ball/cantaloupe)
Should be midline and near umbilicus.
(For ex. Fundus is firm, midline and U-1)
◉ What could a rising/displaced fundus indicate?.
Answer: Full Bladder! last time they voided? may deviate to left or right.
Uterine Atony: if the uterus is "boggy" or soft rather than firm, meaning
the muscles are not contracting, which can lead to excessive bleeding.
Retained Placental Tissue
◉ fundus documentation/assessment.
Answer: *time after birth* (1-2hrs, 12 hours, 24 hours)
,*location* (at the level of umbilicus, 1cm above umbilicus, 1cm below
umbilicus)
*documentation: U, U+1, U-1*, then U-2, U-3...
◉ first-line, immediate nursing action for hemorrhage?.
Answer: Perform a fundal massage. It helps stimulate uterine
contraction, which can reduce bleeding quickly.
◉ when is the fundus no longer palpable?.
Answer: 10 days postpartum
◉ lochia rubra.
Answer: Bright red, clots are normal
lasts for 3-4 days after delivery
◉ lochia serosa.
Answer: will see this days 4-10 after delivery
thin, pinkish brown
less flow than rubria, fewer clots
, ◉ lochia alba.
Answer: will see this days 10-28 after delivery
yellowish-white discharge
no blood or very little blood. no odor, no real flow
◉ scant lochia.
Answer: <1 inch stain
◉ light lochia.
Answer: 1-4 inch stain
◉ moderate lochia.
Answer: 4-6 inch stain
◉ large lochia.
Answer: pad fully saturated in 1 hour
◉ When to worry about lochia.
Answer: Saturating a pad every hour
