ESTUDYR
NUR 254 EXAM 2 UPDATED WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. The postpartum period is best defined as:
A. The first 24 hours after delivery
B. The first week after birth
C. The six weeks after birth when parents and newborn adjust
D. The time until lochia stops
✅Answer: C
Rationale: The postpartum (puerperium) period lasts approximately 6 weeks, allowing
physiologic and psychosocial adaptation.
2. Which assessments are part of early maternal postpartum assessment?
A. Neurologic and respiratory only
B. Vital signs, fundus, lochia, perineum
C. Fundus only
D. Emotional status only
✅Answer: B
Rationale: Early postpartum assessment focuses on hemodynamic stability and uterine
involution.
3. Bright-red lochia occurring 1–3 days postpartum is:
A. Alba
B. Serosa
C. Rubra
D. A sign of hemorrhage
✅Answer: C
Rationale: Lochia rubra is normal for days 1–3 and is bright red.
,ESTUDYR
4. Pinkish-brown lochia from days 4–10 is:
A. Rubra
B. Serosa
C. Alba
D. Endometritis
✅Answer: B
Rationale: Lochia serosa indicates normal healing progression.
5. Whitish-yellow lochia lasting up to 6 weeks is:
A. Rubra
B. Serosa
C. Alba
D. Infection
✅Answer: C
Rationale: Lochia alba occurs after day 10 and may last several weeks.
6. A postpartum temperature above 100.4°F indicates:
A. Normal milk production
B. Dehydration
C. Probable infection
D. Normal postpartum change
✅Answer: C
Rationale: Fever >100.4°F after the first 24 hours is abnormal.
7. Continuous heavy lochia suggests:
A. Normal involution
B. Subinvolution
C. Endometritis
D. Urinary retention
✅Answer: C
Rationale: Persistent bleeding with foul odor suggests uterine infection.
, ESTUDYR
8. Normal uterine involution includes:
A. Fundus below umbilicus at 24 hours
B. Palpable uterus at 4 weeks
C. At umbilicus at 24 hrs; not palpable at 2 weeks
D. Firm fundus at 6 weeks
✅Answer: C
Rationale: Uterus descends 1 cm/day postpartum.
9. The BUBBLE-HE mnemonic includes all EXCEPT:
A. Breasts
B. Uterus
C. Heart
D. Emotional status
✅Answer: C
Rationale: Heart is not part of BUBBLE-HE.
10. COLA assessment for lochia stands for:
A. Color, odor, length, amount
B. Color, odor, last void/BM, amount
C. Consistency, odor, lochia, amount
D. Color only
✅Answer: B
Rationale: COLA evaluates bleeding characteristics.
11. Saturating a pad in 15 minutes indicates:
A. Normal lochia rubra
B. Dehydration
C. Postpartum hemorrhage
D. End of involution
✅Answer: C
Rationale: Rapid saturation is life-threatening hemorrhage.
NUR 254 EXAM 2 UPDATED WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. The postpartum period is best defined as:
A. The first 24 hours after delivery
B. The first week after birth
C. The six weeks after birth when parents and newborn adjust
D. The time until lochia stops
✅Answer: C
Rationale: The postpartum (puerperium) period lasts approximately 6 weeks, allowing
physiologic and psychosocial adaptation.
2. Which assessments are part of early maternal postpartum assessment?
A. Neurologic and respiratory only
B. Vital signs, fundus, lochia, perineum
C. Fundus only
D. Emotional status only
✅Answer: B
Rationale: Early postpartum assessment focuses on hemodynamic stability and uterine
involution.
3. Bright-red lochia occurring 1–3 days postpartum is:
A. Alba
B. Serosa
C. Rubra
D. A sign of hemorrhage
✅Answer: C
Rationale: Lochia rubra is normal for days 1–3 and is bright red.
,ESTUDYR
4. Pinkish-brown lochia from days 4–10 is:
A. Rubra
B. Serosa
C. Alba
D. Endometritis
✅Answer: B
Rationale: Lochia serosa indicates normal healing progression.
5. Whitish-yellow lochia lasting up to 6 weeks is:
A. Rubra
B. Serosa
C. Alba
D. Infection
✅Answer: C
Rationale: Lochia alba occurs after day 10 and may last several weeks.
6. A postpartum temperature above 100.4°F indicates:
A. Normal milk production
B. Dehydration
C. Probable infection
D. Normal postpartum change
✅Answer: C
Rationale: Fever >100.4°F after the first 24 hours is abnormal.
7. Continuous heavy lochia suggests:
A. Normal involution
B. Subinvolution
C. Endometritis
D. Urinary retention
✅Answer: C
Rationale: Persistent bleeding with foul odor suggests uterine infection.
, ESTUDYR
8. Normal uterine involution includes:
A. Fundus below umbilicus at 24 hours
B. Palpable uterus at 4 weeks
C. At umbilicus at 24 hrs; not palpable at 2 weeks
D. Firm fundus at 6 weeks
✅Answer: C
Rationale: Uterus descends 1 cm/day postpartum.
9. The BUBBLE-HE mnemonic includes all EXCEPT:
A. Breasts
B. Uterus
C. Heart
D. Emotional status
✅Answer: C
Rationale: Heart is not part of BUBBLE-HE.
10. COLA assessment for lochia stands for:
A. Color, odor, length, amount
B. Color, odor, last void/BM, amount
C. Consistency, odor, lochia, amount
D. Color only
✅Answer: B
Rationale: COLA evaluates bleeding characteristics.
11. Saturating a pad in 15 minutes indicates:
A. Normal lochia rubra
B. Dehydration
C. Postpartum hemorrhage
D. End of involution
✅Answer: C
Rationale: Rapid saturation is life-threatening hemorrhage.
