Week 3 - NURS 306 Final Exam with All
Correct Answers Graded A+ 2026
Updated.
Lochia Rubra - Answer Bright red bloody discharge. Flows like heavy period. Some small clots
are normal. Large clots or saturating a more than a pad an hour is abnormal
- bloody with small clots
- moderate to scant amount
- increased flow on standing or breast feeding
- fleshy odor
Lasts 3-4 days
deviations from normal with lochia rubra - Answer - large clots
- heavy amounts, saturates pad within one hour (signs of possible hemorrhage, excessively
heavy; saturates pad within 15 minutes
- foul odor
Lochia Serosa - Answer Brownish pink discharge. May seem more like stringy clumps than like
fresh menstrual blood. Flow more like the end of a period
- pink or brown color
- scant amount
- increased flow during physical activity
- fleshy odor
Lasts 4-10 days
Lochia Alba - Answer White or yellow discharge. No blood clots. Can be spotty
- scant amount
- fleshy odor
Lasts 10-28 days
when to check lochia - Answer - every 15 minutes for first hour during delivery
- every 1 hr for the next four hours
,- every 4-8 hours depending on policy
lochia serosa deviations from normal - Answer - continuation of rubra after day 4
- heavy amount; saturates pad within 1 hour (sign of possible hemorrhage), excessively heavy;
saturates pad within 15 minutes
- foul odor
lochia alba deviations from normal - Answer - bright red bleeding, saturates pad within 1
hour (sign of possible late postpartum hemorrhage)
- foul odor
Mercer's four stages of becoming a mother - Answer 1) Commitment, attachment, and
preparation for an infant during pregnancy
2) Acquaintance with and increasing attachment to the infant, learning how to care for the
infant and physical restoration during the early weeks after birth
3) Moving toward a new normal during the first 4 months
4) Achievement of a maternal identity around 4 months
Rubin's Maternal Phases - Answer 1. taking in phase (directly after delivery, mom is taking
the whole experience of becoming a mom now, mom's traumatic experience about labor only)
2. taking hold phase (understanding they had the baby, telling them about the baby and asking
nurse how to handle them, "can you teach me how?"
3. letting go phase (phase of letting go of their old life)
taking-in phase - Answer - a period if dependent behaviors, occurs during the first 24-48
hours after birth and includes
-the woman is focused on her personal comfort and physical changes
- the woman relives and speaks of the birth experience
- woman adjusts to psychological changes
- woman is dependent on others for her and her infant's immediate needs
- woman has a decreased ability to make decisions
- woman concentrates on personal physical healing
, taking-hold phase - Answer - the movement between dependent and independent
behaviors, follows the taking-inphase
- can lasts weeks
- focus moves from self to the infant
-woman begins to be independent
- increased ability to make decisions
- woman is interested in the infant's cues and needs
- gives up the pregnancy role and initiates taking on the maternal role
- woman is eager to learn; it is an excellent time to initiate postpartum teaching
- begins to like the role of a mother
- may have feelings in inadequacy and overwhelm
- needs verbal reassurance that she is meeting her infant's needs
- may show signs of blues and fatigue
- begins to let more of the outside world in
letting-go phase - Answer - movement from independence to the new role of mother is fluid
and interchangeabl with the taking-hold phase
-grieving and letting go of old relationship behaviors in favor of ne ones
- incorporating the infant into her life whereby the baby becomes a separate entity from her
- accepting the infant into her life whereby the baby becomes a separate entity from her
- accepting the infant as he or she really is
- giving up the fantasy of what it would or could have been
- independence returns; may go back to work or school
- feelings of grief, guilt, or anxiety maybe
- reconnection/growth in a relationships with partner
fatherhood - Answer - men do not fantasize about being a father in early states
- during pregnancy, men mentally evaluate how they were fathered and how they want to
father, but the reality of becoming a father may not occur until child is born
adolescent parent nursing actions - Answer - assess level of knowledge for appropriate
teachings
- present information at an age-appropriate level
Correct Answers Graded A+ 2026
Updated.
Lochia Rubra - Answer Bright red bloody discharge. Flows like heavy period. Some small clots
are normal. Large clots or saturating a more than a pad an hour is abnormal
- bloody with small clots
- moderate to scant amount
- increased flow on standing or breast feeding
- fleshy odor
Lasts 3-4 days
deviations from normal with lochia rubra - Answer - large clots
- heavy amounts, saturates pad within one hour (signs of possible hemorrhage, excessively
heavy; saturates pad within 15 minutes
- foul odor
Lochia Serosa - Answer Brownish pink discharge. May seem more like stringy clumps than like
fresh menstrual blood. Flow more like the end of a period
- pink or brown color
- scant amount
- increased flow during physical activity
- fleshy odor
Lasts 4-10 days
Lochia Alba - Answer White or yellow discharge. No blood clots. Can be spotty
- scant amount
- fleshy odor
Lasts 10-28 days
when to check lochia - Answer - every 15 minutes for first hour during delivery
- every 1 hr for the next four hours
,- every 4-8 hours depending on policy
lochia serosa deviations from normal - Answer - continuation of rubra after day 4
- heavy amount; saturates pad within 1 hour (sign of possible hemorrhage), excessively heavy;
saturates pad within 15 minutes
- foul odor
lochia alba deviations from normal - Answer - bright red bleeding, saturates pad within 1
hour (sign of possible late postpartum hemorrhage)
- foul odor
Mercer's four stages of becoming a mother - Answer 1) Commitment, attachment, and
preparation for an infant during pregnancy
2) Acquaintance with and increasing attachment to the infant, learning how to care for the
infant and physical restoration during the early weeks after birth
3) Moving toward a new normal during the first 4 months
4) Achievement of a maternal identity around 4 months
Rubin's Maternal Phases - Answer 1. taking in phase (directly after delivery, mom is taking
the whole experience of becoming a mom now, mom's traumatic experience about labor only)
2. taking hold phase (understanding they had the baby, telling them about the baby and asking
nurse how to handle them, "can you teach me how?"
3. letting go phase (phase of letting go of their old life)
taking-in phase - Answer - a period if dependent behaviors, occurs during the first 24-48
hours after birth and includes
-the woman is focused on her personal comfort and physical changes
- the woman relives and speaks of the birth experience
- woman adjusts to psychological changes
- woman is dependent on others for her and her infant's immediate needs
- woman has a decreased ability to make decisions
- woman concentrates on personal physical healing
, taking-hold phase - Answer - the movement between dependent and independent
behaviors, follows the taking-inphase
- can lasts weeks
- focus moves from self to the infant
-woman begins to be independent
- increased ability to make decisions
- woman is interested in the infant's cues and needs
- gives up the pregnancy role and initiates taking on the maternal role
- woman is eager to learn; it is an excellent time to initiate postpartum teaching
- begins to like the role of a mother
- may have feelings in inadequacy and overwhelm
- needs verbal reassurance that she is meeting her infant's needs
- may show signs of blues and fatigue
- begins to let more of the outside world in
letting-go phase - Answer - movement from independence to the new role of mother is fluid
and interchangeabl with the taking-hold phase
-grieving and letting go of old relationship behaviors in favor of ne ones
- incorporating the infant into her life whereby the baby becomes a separate entity from her
- accepting the infant into her life whereby the baby becomes a separate entity from her
- accepting the infant as he or she really is
- giving up the fantasy of what it would or could have been
- independence returns; may go back to work or school
- feelings of grief, guilt, or anxiety maybe
- reconnection/growth in a relationships with partner
fatherhood - Answer - men do not fantasize about being a father in early states
- during pregnancy, men mentally evaluate how they were fathered and how they want to
father, but the reality of becoming a father may not occur until child is born
adolescent parent nursing actions - Answer - assess level of knowledge for appropriate
teachings
- present information at an age-appropriate level
