Maternal Child Nursing Exam 3 2026 Questions and Answers
Graded A+
How often do you assess vitals on the postpartum mother following delivery? - Correct answer-- Q15 minutes 1st hour
- Q30 min 2nd hour
- Qhr for 3rd & 4th hour
- then Q4hrs 8hrs until discharge
lochia - Correct answer-- vaginal discharge that follows childbirth
How would you document/note the amount of lochia you observe? - Correct answer-- scant (< 1in of peri pad in hour)
- light (1 to 4 in peri pad in hour)
- moderate (4 to 6in peri pad in hour)
- heavy (saturated in 1 hour)
Lochia rubra - Correct answer-- Bright red, 1-3 days after delivery
Lochia serosa - Correct answer-- Pinkish/brown, lasts day 4-10 postpartum
Lochia alba - Correct answer-- Yellowish, white cream color. Lasts approx 10-21 days
afterpains - Correct answer-- Cramping pain after childbirth caused by alternating relaxation and contraction of uterine
muscles.
When does involution begin? - Correct answer-- Immediately after delivery the body begins to return to its normal pre-
pregnant state
How would you expect the uterus to go through involution? - Correct answer-- immediately after delivery at or slightly
above umbilicus
- day two after delivery fundus is at or just below umbilicus
- by two weeks postpartum you can no longer palpate
- measured by finger breadths above or below the umbilicus
How would you expect the cervix to go through involution? - Correct answer-- soft & dilated immediately after birth
- gradual closing over the first few days post partum
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, - never closes completely
How would you expect the vagina to go through involution? - Correct answer-- decrease in estrogen levels causes vaginal
tissue to become fragile
- resolves around 6-10 weeks postpartum
- lubrication is reduced due to hormonal infulences
Involution of the perineum - Correct answer-- may appear bruised & swollen after vaginal delivery
- episiotomy site should be approximated
- lacerations repaired & edges clean/even
BUBBLE HE - Correct answer-- Breasts
- Uterus
- Bladder
- Bowels
- Lochia
- Episiotomy
- Homan's Sign
- Emotional Status
REEDA - Correct answer-- Redness
- Edema
- Ecchymosis
- Drainage
- Approximation
Perineum care after birth: - Correct answer-- wash hands/wear gloves
- wipe from front to back when using tissue
- remove & apply peri-pads front to back
- TUCKs
- Sitz bath
© COPYRIGHT 2026,ALL RIGHTS RESERVED 2
Graded A+
How often do you assess vitals on the postpartum mother following delivery? - Correct answer-- Q15 minutes 1st hour
- Q30 min 2nd hour
- Qhr for 3rd & 4th hour
- then Q4hrs 8hrs until discharge
lochia - Correct answer-- vaginal discharge that follows childbirth
How would you document/note the amount of lochia you observe? - Correct answer-- scant (< 1in of peri pad in hour)
- light (1 to 4 in peri pad in hour)
- moderate (4 to 6in peri pad in hour)
- heavy (saturated in 1 hour)
Lochia rubra - Correct answer-- Bright red, 1-3 days after delivery
Lochia serosa - Correct answer-- Pinkish/brown, lasts day 4-10 postpartum
Lochia alba - Correct answer-- Yellowish, white cream color. Lasts approx 10-21 days
afterpains - Correct answer-- Cramping pain after childbirth caused by alternating relaxation and contraction of uterine
muscles.
When does involution begin? - Correct answer-- Immediately after delivery the body begins to return to its normal pre-
pregnant state
How would you expect the uterus to go through involution? - Correct answer-- immediately after delivery at or slightly
above umbilicus
- day two after delivery fundus is at or just below umbilicus
- by two weeks postpartum you can no longer palpate
- measured by finger breadths above or below the umbilicus
How would you expect the cervix to go through involution? - Correct answer-- soft & dilated immediately after birth
- gradual closing over the first few days post partum
© COPYRIGHT 2026,ALL RIGHTS RESERVED 1
, - never closes completely
How would you expect the vagina to go through involution? - Correct answer-- decrease in estrogen levels causes vaginal
tissue to become fragile
- resolves around 6-10 weeks postpartum
- lubrication is reduced due to hormonal infulences
Involution of the perineum - Correct answer-- may appear bruised & swollen after vaginal delivery
- episiotomy site should be approximated
- lacerations repaired & edges clean/even
BUBBLE HE - Correct answer-- Breasts
- Uterus
- Bladder
- Bowels
- Lochia
- Episiotomy
- Homan's Sign
- Emotional Status
REEDA - Correct answer-- Redness
- Edema
- Ecchymosis
- Drainage
- Approximation
Perineum care after birth: - Correct answer-- wash hands/wear gloves
- wipe from front to back when using tissue
- remove & apply peri-pads front to back
- TUCKs
- Sitz bath
© COPYRIGHT 2026,ALL RIGHTS RESERVED 2
