Week 3: NURS 306: Postpartum & New
Parenting Exam and All Correct
Answers Graded A+ 2026 Edition.
Postpartum Period - Answer *Occurs from*:
-Delivery through 6 wks
*Physiological changes occur*
*Nurse role*
-assess for complications
-promote health
>education
Vitals - Answer 15 min for 1st hour
30 min for 2nd hour
4 hours every next 22 hrs
q Shift after 1st 24 hrs (or per facility)
EPDS - Answer Scale to measure *Postpartum depression*
Edinburgh Postpartum Depression Scale
10-item questionare
Maternal Mortality - Answer America ranks 48th/184
Postpartum Hemorrhage (PPH)
*Secondary to*:
-*Amniotic embolism*
>extremely rare & high mortality
,>amniotic sac ruptures and amniotic fluid enters the blood stream to create an anaphylactic
reaction
-*Pulmonary embolism*
>clot dislodges and enters the lungs
Reproductive System (*Uterus*-Physiological changes) - Answer *Involution*:uterus contacts
to return to the prepregnancy size
-uterine contraction
-atrophy of the uterine muscles
-decreased size of uterine cells
placental site will start to heal decreasing the risk of hemorrhage via contractions
Takes 6-8 weeks post delivery
-depends on delivery type
*After pains can occur*
Reproductive System (*Uterus*-Assessments) - Answer Assess uterus: (changing frequency)
-location
-position
-tone
Monitor
15 min for 1st hour
30 min for 2nd hour
4 hours every next 22 hrs
q Shift after 1st 24 hrs (or per facility)
*Make sure when assessing the uterus place one hand under*
Reproductive System (*Uterus*-Expected findings) - Answer *Location/Position*: fundus
-After birth: midway between the umbilicus and symphysis pubis (firm & midline)
,-W/N 12 hrs of placenta: level of the umbilicus or 1 cm above (firm & midline)
-W/N 24 hrs: 1 cm below (firm & midline)
-After: uterus descends 1 cm per day
>by day 14 the fundus has descended & is not palpable
*Tone*:
-should be firm
>boggy (soft or nonpalpable) indicates-at risk for excessive blood loss
*After pains * 6-8 days
-more common with multiparaous women & increase w/ each birth
Reproductive System (*Uterus*-Nursing Actions) - Answer Frequent uterus/fundus
assessment
*Distended uterus/fudus*
-void bladder
>encourage void
>straight cath
*Boggy uterus*
-massage fundus
-possible oxytocin
>promotes contraction via smooth muscle to prevent hemorrhaging
*After pains*
-empty bladder (decreases after pains)
-apply warm blanket
-relaxation & warm compress
-analgesics (metformin/ibuprofen)
, Utero atony - Answer when the uterus is stretched beyond it's normal capacity & fails to
contract after birth of the baby
*can be caused by*:
-polyhydramnios
-multipara
-blood clots
-placenta retention
is a high risk of postpartum hemorrhaging
Uterine (fundal) assessment - Answer Is the actual fundal massage
measured by the fingerbreadth(s) above/below
Should be midline
U-1=below (good)
U+1=above (bad=inverted)
-deviated uterus can be due to a full bladder that moves the uterus to the right
>encourage urination
>void the patient
-bleeding can cause the uterus to deviate
Endometrium (*Physiological changes*) - Answer the endometrium (mucous membrane)
undergoes exfoliation & regeneration through necrosis of the superficial layer
Lochia is the bloody discharge
Endometrium (*Lochia*/Expected findings) - Answer Bloody discharge
Types:
Parenting Exam and All Correct
Answers Graded A+ 2026 Edition.
Postpartum Period - Answer *Occurs from*:
-Delivery through 6 wks
*Physiological changes occur*
*Nurse role*
-assess for complications
-promote health
>education
Vitals - Answer 15 min for 1st hour
30 min for 2nd hour
4 hours every next 22 hrs
q Shift after 1st 24 hrs (or per facility)
EPDS - Answer Scale to measure *Postpartum depression*
Edinburgh Postpartum Depression Scale
10-item questionare
Maternal Mortality - Answer America ranks 48th/184
Postpartum Hemorrhage (PPH)
*Secondary to*:
-*Amniotic embolism*
>extremely rare & high mortality
,>amniotic sac ruptures and amniotic fluid enters the blood stream to create an anaphylactic
reaction
-*Pulmonary embolism*
>clot dislodges and enters the lungs
Reproductive System (*Uterus*-Physiological changes) - Answer *Involution*:uterus contacts
to return to the prepregnancy size
-uterine contraction
-atrophy of the uterine muscles
-decreased size of uterine cells
placental site will start to heal decreasing the risk of hemorrhage via contractions
Takes 6-8 weeks post delivery
-depends on delivery type
*After pains can occur*
Reproductive System (*Uterus*-Assessments) - Answer Assess uterus: (changing frequency)
-location
-position
-tone
Monitor
15 min for 1st hour
30 min for 2nd hour
4 hours every next 22 hrs
q Shift after 1st 24 hrs (or per facility)
*Make sure when assessing the uterus place one hand under*
Reproductive System (*Uterus*-Expected findings) - Answer *Location/Position*: fundus
-After birth: midway between the umbilicus and symphysis pubis (firm & midline)
,-W/N 12 hrs of placenta: level of the umbilicus or 1 cm above (firm & midline)
-W/N 24 hrs: 1 cm below (firm & midline)
-After: uterus descends 1 cm per day
>by day 14 the fundus has descended & is not palpable
*Tone*:
-should be firm
>boggy (soft or nonpalpable) indicates-at risk for excessive blood loss
*After pains * 6-8 days
-more common with multiparaous women & increase w/ each birth
Reproductive System (*Uterus*-Nursing Actions) - Answer Frequent uterus/fundus
assessment
*Distended uterus/fudus*
-void bladder
>encourage void
>straight cath
*Boggy uterus*
-massage fundus
-possible oxytocin
>promotes contraction via smooth muscle to prevent hemorrhaging
*After pains*
-empty bladder (decreases after pains)
-apply warm blanket
-relaxation & warm compress
-analgesics (metformin/ibuprofen)
, Utero atony - Answer when the uterus is stretched beyond it's normal capacity & fails to
contract after birth of the baby
*can be caused by*:
-polyhydramnios
-multipara
-blood clots
-placenta retention
is a high risk of postpartum hemorrhaging
Uterine (fundal) assessment - Answer Is the actual fundal massage
measured by the fingerbreadth(s) above/below
Should be midline
U-1=below (good)
U+1=above (bad=inverted)
-deviated uterus can be due to a full bladder that moves the uterus to the right
>encourage urination
>void the patient
-bleeding can cause the uterus to deviate
Endometrium (*Physiological changes*) - Answer the endometrium (mucous membrane)
undergoes exfoliation & regeneration through necrosis of the superficial layer
Lochia is the bloody discharge
Endometrium (*Lochia*/Expected findings) - Answer Bloody discharge
Types:
