NUR353 Exam 2 2025 Questions and
Answers 100% Pass
Postpartum Period - ✔✔-Begins after the delivery of the placenta and lasts for
approximately 6 weeks
-Marked by physiologic and psychological changes
Involution of the Uterus - ✔✔-Involution: refers to the changes the reproductive organ,
particularly the uterus undergo after childbirth to return to their nonpregnant size and
condition
-The location of the uterine fundus (top of the uterus) helps determine whether
involution is progressing normally
Uterine Involution Chart - ✔✔-Immediately following birth: midway between
symphysis pubis and umbilicus
-6 to 12 hours: even with the umbilicus
-24 hours: 1 cm below
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,-3 days: 3 cm below umbilicus
-6 days: 6 cm below umbilicus
-14 days: non palpable
Afterpains - ✔✔-Intermittent contractions, a source of discomfort for many women
-More acute for multiparas
-Stronger during breastfeeding
-Self limiting and decrease after 48 hours
-Use analgesics and heating pad prn to control discomfort
Types of Lochia - ✔✔-Rubra: deep, red mixture of mucus, tissue, and blood, lasts 3-4
days after birth
-Serosa: pink to brown in color, lasts 3-10 days
-Alba: white to light brown, lasts 10-14+ days
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,Lochia - ✔✔-Average last 3-6 weeks
-Good pericare
-As it progresses becomes paler and more serous
SEEK CARE:
-Foul odor: infection
-Resumption of bright red after it subsided: possible retained placenta
Measuring Lochia - ✔✔-Scant: < 1 inch stain in 1 hour
-Light: 1-4 inch stain in 1 hour
-Moderate: 4-6 inch stain in 1 hour
-Heavy: saturated pad in 1 hour
-Excessive: saturated pad in 15 minutes
Factors That Facilitate Uterine Involution - ✔✔1. Complete expulsion of placenta
2. Complication free labor and birth process
3. Breast feeding
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, 4. Early ambulation
Factors That Inhibit Uterine Involution - ✔✔1. Prolonged labor and difficult birth
2. Incomplete expulsion of placenta
3. Uterine infection
4. Over distention of uterine muscles
5. Full bladder
6. Anesthesia
7. Close childbirth spacing
Perineum - ✔✔-After childbirth vaginal walls are often edematous
-Some women have an episiotomy
-Episiotomy: surgical incision of the perineal area to enlarge the birth canal
-More common is perineal lacerations:
1st to 4th degree
-Hemorrhoids (distended rectal veins) are common
Postpartum Perineal Care - ✔✔-Nursing management: assessment
-Possibility of infection and hematoma
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 4
Answers 100% Pass
Postpartum Period - ✔✔-Begins after the delivery of the placenta and lasts for
approximately 6 weeks
-Marked by physiologic and psychological changes
Involution of the Uterus - ✔✔-Involution: refers to the changes the reproductive organ,
particularly the uterus undergo after childbirth to return to their nonpregnant size and
condition
-The location of the uterine fundus (top of the uterus) helps determine whether
involution is progressing normally
Uterine Involution Chart - ✔✔-Immediately following birth: midway between
symphysis pubis and umbilicus
-6 to 12 hours: even with the umbilicus
-24 hours: 1 cm below
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,-3 days: 3 cm below umbilicus
-6 days: 6 cm below umbilicus
-14 days: non palpable
Afterpains - ✔✔-Intermittent contractions, a source of discomfort for many women
-More acute for multiparas
-Stronger during breastfeeding
-Self limiting and decrease after 48 hours
-Use analgesics and heating pad prn to control discomfort
Types of Lochia - ✔✔-Rubra: deep, red mixture of mucus, tissue, and blood, lasts 3-4
days after birth
-Serosa: pink to brown in color, lasts 3-10 days
-Alba: white to light brown, lasts 10-14+ days
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
,Lochia - ✔✔-Average last 3-6 weeks
-Good pericare
-As it progresses becomes paler and more serous
SEEK CARE:
-Foul odor: infection
-Resumption of bright red after it subsided: possible retained placenta
Measuring Lochia - ✔✔-Scant: < 1 inch stain in 1 hour
-Light: 1-4 inch stain in 1 hour
-Moderate: 4-6 inch stain in 1 hour
-Heavy: saturated pad in 1 hour
-Excessive: saturated pad in 15 minutes
Factors That Facilitate Uterine Involution - ✔✔1. Complete expulsion of placenta
2. Complication free labor and birth process
3. Breast feeding
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
, 4. Early ambulation
Factors That Inhibit Uterine Involution - ✔✔1. Prolonged labor and difficult birth
2. Incomplete expulsion of placenta
3. Uterine infection
4. Over distention of uterine muscles
5. Full bladder
6. Anesthesia
7. Close childbirth spacing
Perineum - ✔✔-After childbirth vaginal walls are often edematous
-Some women have an episiotomy
-Episiotomy: surgical incision of the perineal area to enlarge the birth canal
-More common is perineal lacerations:
1st to 4th degree
-Hemorrhoids (distended rectal veins) are common
Postpartum Perineal Care - ✔✔-Nursing management: assessment
-Possibility of infection and hematoma
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 4
