©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 326 – Final Exam Practice
Questions and Answers
What is Postpartum? - Ans:✔✔-after delivery for 6 weeks
What is Involution? - Ans:✔✔-the return of the uterus to a non pregnant state after birth
What is Lochia? - Ans:✔✔-shed uterine epithelial cells
-Rubra: d1-3 bloody
-Serosa: d4-10, pink or pinkish brown
-Alba: d11-21, white or cream colored
What is the amount of lochia? - Ans:✔✔--Scant: less than 2.5 cm stain
-Light: less than 10 cm stain
-Moderate: greater than 10cm stain
-Heavy: one pad is saturated within 2 hrs
-Excessive: pad is saturated in 15 minutes
Page 1/112
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What will we assess during postpartum, BU-? - Ans:✔✔-vital signs, pain status, breasts, uterus,
bladder/bowel, lochia, DVT risk, Episiotomy/Perineum, emotional attachment, bonding, Taking - In,
Taking - Hold, Letting - Go, baby feeding (breast and bottle)
*B-U-B-B-L-E-D-E-P
How often do we assess? - Ans:✔✔-First hour: every 15 mins
Second hour: every 30 mins
First 24 hrs: every 4 hours
After 24 hours: every 8 hours
*always on indication!
Mom's Vital Signs during postpartum? - Ans:✔✔--vital signs rarely altered
-temperature sometimes slightly elevated in the first 24 hours because of dehydration which can causes
elevated WBC (temperature greater than 100.4 2x in 24hrs need evaluation)
-Pulse (50-70 bpm)
Page 2/112
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Resprations (16-20 bpm)
-Blood pressure greater than 140/90 is DANGER SIGN
-Pain rate 0-10
Is it normal for WBCs to increase during postpartum period? - Ans:✔✔-Yes!
Inspecting the breast tissue, what are we assessing? - Ans:✔✔--size, shape, contour
-nipples: cracks, redness, bleeding
-Are the nipples inverted or everted?
-Palpate the breasts for soft, filling, engorged
-Palpate for the nodules, masses, clogged ducts
-Colostrum: clear yellow "early milk"
-Engorgement/mastitis
What is Lactation? - Ans:✔✔-secretion of milk from the breasts
-"there's nothin there" - reassure the mom, her breasts will fill of colostrum, rich, thick early milk
What happens if mom decides not to breastfeed? - Ans:✔✔--Risk for engorgement (occurs after 3-4 days
PP, resolves 1-2 days AFTER milk comes in)
Page 3/112
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Breasts become full, hard, red, tender
-Frequent emptying will resolve engorgement but can become cyclical
What are Relief measures if a mom is not breastfeeding? - Ans:✔✔--Tight Bra
-Cool compress
-Don't stimulate the breasts
-Cabbage leaves
Assessing the uterus during PP? - Ans:✔✔--checking fundal height (at the umbilicus, 1 FH below
umbilicus, 1 FH above umbilicus, etc.)
-determine involution (going back to pre-pregnancy)
-midline & firm
-if the uterus is displaced up and to the right it could be that she needs to void
-Boggy uterus indicates uterine atony
-Atony leads to postpartum hemorrhage
**LIFE THREATENING! MASSAGE THE FUNDUS
Page 4/112
FIRST PUBLISH OCTOBER 2024
NURS 326 – Final Exam Practice
Questions and Answers
What is Postpartum? - Ans:✔✔-after delivery for 6 weeks
What is Involution? - Ans:✔✔-the return of the uterus to a non pregnant state after birth
What is Lochia? - Ans:✔✔-shed uterine epithelial cells
-Rubra: d1-3 bloody
-Serosa: d4-10, pink or pinkish brown
-Alba: d11-21, white or cream colored
What is the amount of lochia? - Ans:✔✔--Scant: less than 2.5 cm stain
-Light: less than 10 cm stain
-Moderate: greater than 10cm stain
-Heavy: one pad is saturated within 2 hrs
-Excessive: pad is saturated in 15 minutes
Page 1/112
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
What will we assess during postpartum, BU-? - Ans:✔✔-vital signs, pain status, breasts, uterus,
bladder/bowel, lochia, DVT risk, Episiotomy/Perineum, emotional attachment, bonding, Taking - In,
Taking - Hold, Letting - Go, baby feeding (breast and bottle)
*B-U-B-B-L-E-D-E-P
How often do we assess? - Ans:✔✔-First hour: every 15 mins
Second hour: every 30 mins
First 24 hrs: every 4 hours
After 24 hours: every 8 hours
*always on indication!
Mom's Vital Signs during postpartum? - Ans:✔✔--vital signs rarely altered
-temperature sometimes slightly elevated in the first 24 hours because of dehydration which can causes
elevated WBC (temperature greater than 100.4 2x in 24hrs need evaluation)
-Pulse (50-70 bpm)
Page 2/112
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Resprations (16-20 bpm)
-Blood pressure greater than 140/90 is DANGER SIGN
-Pain rate 0-10
Is it normal for WBCs to increase during postpartum period? - Ans:✔✔-Yes!
Inspecting the breast tissue, what are we assessing? - Ans:✔✔--size, shape, contour
-nipples: cracks, redness, bleeding
-Are the nipples inverted or everted?
-Palpate the breasts for soft, filling, engorged
-Palpate for the nodules, masses, clogged ducts
-Colostrum: clear yellow "early milk"
-Engorgement/mastitis
What is Lactation? - Ans:✔✔-secretion of milk from the breasts
-"there's nothin there" - reassure the mom, her breasts will fill of colostrum, rich, thick early milk
What happens if mom decides not to breastfeed? - Ans:✔✔--Risk for engorgement (occurs after 3-4 days
PP, resolves 1-2 days AFTER milk comes in)
Page 3/112
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-Breasts become full, hard, red, tender
-Frequent emptying will resolve engorgement but can become cyclical
What are Relief measures if a mom is not breastfeeding? - Ans:✔✔--Tight Bra
-Cool compress
-Don't stimulate the breasts
-Cabbage leaves
Assessing the uterus during PP? - Ans:✔✔--checking fundal height (at the umbilicus, 1 FH below
umbilicus, 1 FH above umbilicus, etc.)
-determine involution (going back to pre-pregnancy)
-midline & firm
-if the uterus is displaced up and to the right it could be that she needs to void
-Boggy uterus indicates uterine atony
-Atony leads to postpartum hemorrhage
**LIFE THREATENING! MASSAGE THE FUNDUS
Page 4/112
