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Exam (elaborations)

Mom-Baby Clinical With 100% Correct Answers 2025/2026

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MOM-BABY CLINICAL WITH 100% CORRECT ANSWERS 2025/2026

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MOM-BABY CLINICAL WITH 100%
CORRECT ANSWERS 2025/2026

Gravida - ANS ✔✔refers to the # of times a woman has been pregnant, does not matter at what
point the pregnancy terminated or how many babies were born from the pregnancy



Primigravida - ANS ✔✔Pregnant once



Nulligravida - ANS ✔✔never has been pregnant



Para or Parity - ANS ✔✔refers to # of pregnancies that ended in birth of a fetus or fetuses after
20 weeks



Primipara - ANS ✔✔a woman who is giving birth for the first time.



Multipara - ANS ✔✔a woman who has had more than one pregnancy resulting in viable
offspring



Nullipara - ANS ✔✔a woman that has never given birth



TPAL System - ANS ✔✔used to further define para/parity



T - ANS ✔✔# of term infants born (37 wks or >)



P - ANS ✔✔# of preterm infants born (after 20 wks, before completion of 37 wks)

,A - ANS ✔✔# of pregnancies ending in abortions (< 20 wks)



L - ANS ✔✔# of living children to whom the woman has given birth



2 pregnancies, 1 ended in term stillbirth, 1 was born term and alive - ANS ✔✔G2 P2001



A woman delivers one living child at 28 weeks, has 2 first trimester pregnancy losses, one loss at
24 weeks and has one adopted child - ANS ✔✔G4 P0221



Review before entering room- POSTPARTUM - ANS ✔✔Name, age, parity

Labor and birth history, type of delivery, complications. Episiotomy or laceration, repaired or not

# of hours or days since delivery

V.S. (BP, TPR)



Steps for postpartum assessment - ANS ✔✔Enter room, introduce instructor to everyone in the
room



State purpose of your visit, assure privacy per woman's desire, close door/curtain



Ask when she last voided & changed her pad



Wash hands, obtain gloves and any other supplies you anticipate you will need



Postpartum assessment from top to bottom - ANS ✔✔7 B's (brain, breast, belly, bladder,
bottom, blood, bowels) & Extremities

,BRAIN - ANS ✔✔Ask about her/their birth experience, respond to parental cues

Inquire about how she is currently doing, comfort level

Assess mother/infant attachment, parental attachment



BREAST - ANS ✔✔method of infant feeding, colostrum present, filling or not, condition of the
nipples



BELLY - ANS ✔✔Abdomen/soft, diastasis(muscle separation); Fundus: firm, midline, location in
relation to navel



BLADDER - ANS ✔✔palpable, voiding spontaneously, emptying bladder



BOTTOM - ANS ✔✔perineal assessment per REEDA(Redness, Edema, Ecchymosis, Discharge,
Approximation), visualize



REEDA - ANS ✔✔Ecchymosis- bruising

- "eckeemosis"



BLOOD - ANS ✔✔lochia-"lokeea" (vaginal discharge after giving birth (puerperium) containing
blood, mucus, and uterine tissue), observe and describe amount, color, odor, clots



BOWELS - ANS ✔✔check for hemorrhoids, ask re: BM



EXTREMITIES - ANS ✔✔Homan's sign(flex foot and squeeze calf with other hand), check
extremities for warmth, color, edema, pain



POSTPARTUM Teaching and Feedback Options - ANS ✔✔Involution (shrinking of uterus after
childbirth)

, Comfort measures

Mood changes, PP depression Medications

Discharge planning

Sexuality, fertility

Breastfeeding

Peri care

Nutrition

Activity, PP exercises (Kegels, abdominal) Attachment

Family involvement



POSTPARTUM: C/S - ANS ✔✔(ask type of anesthesia used)

Has she been out of bed?

Pneumo boots in place?

I&O

V.S. includes listening to heart and lungs (lower lobes),

distention & bowel sounds,

assess incision (REEDA).

Ask regarding passing flatus;

encourage cough and deep breathe,

incentive spirometer (IS),

ambulation - (any dizziness, weakness),

pain management



NEWBORN ASSESSMENT: history - ANS ✔✔Route of delivery,

birth weight in grams,

gestational age in wks.,

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