NSG-432 MATERNAL PHYSIOLOGIC
CHANGES- CARE OF POST PARTUM
FAMILY EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A. Involution - CORRECT-ANSWERS- Uterus contraction after placenta is out
- Return of the uterus to a non-pregnant state after birth
- End of third stage, fundus is midline & 2 cm BELOW the umbilicus, weight
approximately 1000 gm
- Within 12 hours the fundus is ABOVE 1 cm above the umbilicus
- The Pitocin given helps the uterus contract (prevent hemorrhage) When there is a
decrease of the Pitocin it will relax and rise back up
- In 24 hours, uterus size of 20 week gestation - Returns to umbilical level
B. Sub-Involution - CORRECT-ANSWERSThe uterus is prevented from staying
contraction
- Failure of the uterus to return to pre-pregnancy state
C. Cause:
1. Retained placenta fragments
2. Infection: Causes edema so it can't contract
D. Post-Partum Hemorrhage - CORRECT-ANSWERSVaginal: 500cc >
E. C-Section: 1000cc >
F. Greater than this is considered a hemorrhage
G. The Umbilicus - CORRECT-ANSWERSIs the landmark to measure where the uterus is
H. Importance of Post Partum care - CORRECT-ANSWERSSafety of baby and mother
- The first 2 hours are crucial
I. Post Partum Includes: - CORRECT-ANSWERSThe time between birth and the return of
organs to their prepregnant state
J. After Pains in Multigravidas - CORRECT-ANSWERSMore noticeable in multigravidas
- It takes longer to stay contracted (Uterus)
- Because it has lost its elasticity
K. Where the placenta was attached - CORRECT-ANSWERSThere is an open wound
, - The uterus will contract to prevent that bleeding
- Will be healed in 6 weeks
L. Lochia - CORRECT-ANSWERSDrainage from the placenta wound- where it was
attached
- Does NOT clot
- Looks like blood but there are no clots in the fluid
- Should NOT have an odor- may be a sign of infection if it does
M. Time of Lochia - CORRECT-ANSWERSRubra: 1-3 days
- Bright red
- May be heavy in the first 24 hours
N. Serosa: Day 4-14 days
- More pink/yellow color
O. Alba: 6-8 weeks
- White vaginal discharge
P. Fundal Check - CORRECT-ANSWERS- Important to do in the first 2 hours
- Sees if the uterus is staying contracted to prevent PP Hemorrhage
- 15 min x 4 = 1 hour
- 30 min x 2 = 2nd hour
Q. Completes the 2 hour check
R. Bakri Balloon - CORRECT-ANSWERSCan hold 500 cc and applies pressure, keep the
uterus open
- Like a fully cath
- Helps to control bleeding (PP Hemorrhage)
- Stays in 24 hours
S. The Cervix - CORRECT-ANSWERS- The cervix is soft immediately after birth
- Within 12-18 hours post partum, it shortens and firms
- 2 fingers may be inserted into cervix for 4-6 days
T. Estrogen Deprivation - CORRECT-ANSWERS- Thinness of the vaginal mucosa and
absence of reggae
- Initially the introitus is edematous and erythematous
CHANGES- CARE OF POST PARTUM
FAMILY EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A. Involution - CORRECT-ANSWERS- Uterus contraction after placenta is out
- Return of the uterus to a non-pregnant state after birth
- End of third stage, fundus is midline & 2 cm BELOW the umbilicus, weight
approximately 1000 gm
- Within 12 hours the fundus is ABOVE 1 cm above the umbilicus
- The Pitocin given helps the uterus contract (prevent hemorrhage) When there is a
decrease of the Pitocin it will relax and rise back up
- In 24 hours, uterus size of 20 week gestation - Returns to umbilical level
B. Sub-Involution - CORRECT-ANSWERSThe uterus is prevented from staying
contraction
- Failure of the uterus to return to pre-pregnancy state
C. Cause:
1. Retained placenta fragments
2. Infection: Causes edema so it can't contract
D. Post-Partum Hemorrhage - CORRECT-ANSWERSVaginal: 500cc >
E. C-Section: 1000cc >
F. Greater than this is considered a hemorrhage
G. The Umbilicus - CORRECT-ANSWERSIs the landmark to measure where the uterus is
H. Importance of Post Partum care - CORRECT-ANSWERSSafety of baby and mother
- The first 2 hours are crucial
I. Post Partum Includes: - CORRECT-ANSWERSThe time between birth and the return of
organs to their prepregnant state
J. After Pains in Multigravidas - CORRECT-ANSWERSMore noticeable in multigravidas
- It takes longer to stay contracted (Uterus)
- Because it has lost its elasticity
K. Where the placenta was attached - CORRECT-ANSWERSThere is an open wound
, - The uterus will contract to prevent that bleeding
- Will be healed in 6 weeks
L. Lochia - CORRECT-ANSWERSDrainage from the placenta wound- where it was
attached
- Does NOT clot
- Looks like blood but there are no clots in the fluid
- Should NOT have an odor- may be a sign of infection if it does
M. Time of Lochia - CORRECT-ANSWERSRubra: 1-3 days
- Bright red
- May be heavy in the first 24 hours
N. Serosa: Day 4-14 days
- More pink/yellow color
O. Alba: 6-8 weeks
- White vaginal discharge
P. Fundal Check - CORRECT-ANSWERS- Important to do in the first 2 hours
- Sees if the uterus is staying contracted to prevent PP Hemorrhage
- 15 min x 4 = 1 hour
- 30 min x 2 = 2nd hour
Q. Completes the 2 hour check
R. Bakri Balloon - CORRECT-ANSWERSCan hold 500 cc and applies pressure, keep the
uterus open
- Like a fully cath
- Helps to control bleeding (PP Hemorrhage)
- Stays in 24 hours
S. The Cervix - CORRECT-ANSWERS- The cervix is soft immediately after birth
- Within 12-18 hours post partum, it shortens and firms
- 2 fingers may be inserted into cervix for 4-6 days
T. Estrogen Deprivation - CORRECT-ANSWERS- Thinness of the vaginal mucosa and
absence of reggae
- Initially the introitus is edematous and erythematous
