Shadow Health Uncomplicated Delivery Daanis
LaFontaine QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2025
CASE STUDY: Daanis LaFontaine – Uncomplicated Vaginal Delivery
Patient Overview:
Daanis LaFontaine is a 26-year-old G1P1 who delivered a healthy baby boy 2
hours ago via spontaneous vaginal delivery. Her labor was uncomplicated, and
she received an epidural. Your role is to conduct a comprehensive postpartum
assessment and provide education on postpartum and newborn care.
1. What is the priority nursing assessment immediately after delivery?
Fundal firmness and location
Assessing the fundus helps ensure uterine contraction to prevent
postpartum hemorrhage.
2. The nurse notes that Daanis has a boggy fundus. What is the first nursing
action?
Massage the fundus
A boggy uterus may indicate uterine atony; massaging stimulates
contraction and reduces bleeding.
, 3. Which lochia pattern is expected 2 hours postpartum?
Lochia rubra
Lochia rubra is bright red, typically seen for the first 1–3 days postpartum.
4. Daanis is saturating one peripad per hour. What is the appropriate action?
Continue monitoring; this is within normal limits
Saturating one pad per hour or less is considered normal in the immediate
postpartum period.
5. Which vital sign finding would be concerning 2 hours after delivery?
BP 90/50, HR 122 bpm
Hypotension and tachycardia may indicate hypovolemia or hemorrhage.
6. What education should the nurse provide regarding uterine involution?
The uterus should descend 1 cm per day
This is the expected rate of involution postpartum.
7. Which symptom should Daanis report immediately?
Sudden, heavy vaginal bleeding
This may indicate postpartum hemorrhage and requires urgent
evaluation.
8. What is the expected position of the fundus 2 hours postpartum?
Firm, midline, at the level of the umbilicus
This is the normal position of the uterus immediately postpartum.
9. Daanis asks about perineal pain relief. What is the best suggestion?
Apply ice packs to the perineum
Cold therapy reduces swelling and pain in the first 24 hours postpartum.
LaFontaine QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2025
CASE STUDY: Daanis LaFontaine – Uncomplicated Vaginal Delivery
Patient Overview:
Daanis LaFontaine is a 26-year-old G1P1 who delivered a healthy baby boy 2
hours ago via spontaneous vaginal delivery. Her labor was uncomplicated, and
she received an epidural. Your role is to conduct a comprehensive postpartum
assessment and provide education on postpartum and newborn care.
1. What is the priority nursing assessment immediately after delivery?
Fundal firmness and location
Assessing the fundus helps ensure uterine contraction to prevent
postpartum hemorrhage.
2. The nurse notes that Daanis has a boggy fundus. What is the first nursing
action?
Massage the fundus
A boggy uterus may indicate uterine atony; massaging stimulates
contraction and reduces bleeding.
, 3. Which lochia pattern is expected 2 hours postpartum?
Lochia rubra
Lochia rubra is bright red, typically seen for the first 1–3 days postpartum.
4. Daanis is saturating one peripad per hour. What is the appropriate action?
Continue monitoring; this is within normal limits
Saturating one pad per hour or less is considered normal in the immediate
postpartum period.
5. Which vital sign finding would be concerning 2 hours after delivery?
BP 90/50, HR 122 bpm
Hypotension and tachycardia may indicate hypovolemia or hemorrhage.
6. What education should the nurse provide regarding uterine involution?
The uterus should descend 1 cm per day
This is the expected rate of involution postpartum.
7. Which symptom should Daanis report immediately?
Sudden, heavy vaginal bleeding
This may indicate postpartum hemorrhage and requires urgent
evaluation.
8. What is the expected position of the fundus 2 hours postpartum?
Firm, midline, at the level of the umbilicus
This is the normal position of the uterus immediately postpartum.
9. Daanis asks about perineal pain relief. What is the best suggestion?
Apply ice packs to the perineum
Cold therapy reduces swelling and pain in the first 24 hours postpartum.
