NSG 432 EXAM 2 (GCU) NEWEST 2026 | NSG432
NURSING CARE OF THE CHILDBEARING FAMILY EXAM
1. What is involution?
A) The descent of the fetus into the pelvis
B) The return of the uterus to its non-pregnant state after birth
C) The softening of the cervix during pregnancy
D) The release of the placenta after delivery
Answer: B) The return of the uterus to its non-pregnant state after birth
Rationale: Involution is the process by which the uterus returns to its
non-pregnant size and state after delivery. Immediately post-delivery,
the fundus is located at U-2 (2 cm below the umbilicus) and moves
upward about 1 cm every 24 hours. Complete involution occurs within
approximately 6 weeks .
2. Where is the fundus located immediately after delivery?
A) At the umbilicus
B) U-2 (2 cm below the umbilicus)
C) U+2 (2 cm above the umbilicus)
D) At the symphysis pubis
Answer: B) U-2 (2 cm below the umbilicus)
Rationale: Immediately after delivery, the fundus is located
approximately 2 cm below the umbilicus. The fundus then rises about 1
cm per day, reaching the umbilicus at approximately 24 hours
postpartum .
3. How far does the fundus move every 24 hours during involution?
A) 0.5 cm
B) 1 cm
,C) 2 cm
D) 3 cm
Answer: B) 1 cm
Rationale: During normal involution, the fundus descends approximately
1 cm every 24 hours. The uterus should be palpable at the umbilicus at 24
hours postpartum, and continues to descend toward the pelvis .
4. What is subinvolution?
A) Complete return of the uterus to non-pregnant state
B) Failure of the uterus to return to its non-pregnant state
C) Excessive uterine contraction
D) Premature descent of the uterus
Answer: B) Failure of the uterus to return to its non-pregnant state
Rationale: Subinvolution is the failure of the uterus to return to its non-
pregnant state. It can be caused by retained placenta fragments or
infection .
5. What can cause subinvolution? (Select all that apply)
A) Retained placenta fragments
B) Infection
C) Uterine atony
D) All of the above
Answer: D) All of the above
Rationale: Subinvolution can be caused by retained placenta fragments,
infection, and uterine atony. Retained products of conception prevent
complete uterine contraction and involution. Subinvolution requires
prompt evaluation and treatment to prevent postpartum hemorrhage
and endometritis .
,6. What are the three stages of lochia progression?
A) Lochia rubra, lochia serosa, lochia alba
B) Lochia alba, lochia serosa, lochia rubra
C) Lochia rubra, lochia alba, lochia serosa
D) Lochia serosa, lochia rubra, lochia alba
Answer: A) Lochia rubra, lochia serosa, lochia alba
Rationale: The three stages of lochia progression are: Lochia rubra (red),
seen during hospital stay (days 1-3); Lochia serosa (pinkish-brown),
occurs after 3-4 days; Lochia alba (yellow-white), appears after 10-14
days and may last 4-8 weeks .
7. Lochia rubra is characterized by:
A) Pinkish-brown color, occurs after 3-4 days
B) Red color, seen throughout hospital stay
C) Yellow-white color, lasts 4-8 weeks
D) Clear, watery discharge
Answer: B) Red color, seen throughout hospital stay
Rationale: Lochia rubra is the first stage of lochia, characterized by red
color. It is seen throughout the hospital stay (days 1-3 postpartum) .
8. Lochia serosa is characterized by:
A) Red color, seen throughout hospital stay
B) Pinkish-brown color, occurs after 3-4 days
C) Yellow-white color, appears after 10-14 days
D) Bright red with clots
Answer: B) Pinkish-brown color, occurs after 3-4 days
Rationale: Lochia serosa is the second stage of lochia, characterized by a
pinkish-brown color. It occurs after 3-4 days postpartum .
, 9. Lochia alba is characterized by:
A) Red color, seen throughout hospital stay
B) Pinkish-brown color, occurs after 3-4 days
C) Yellow-white color, appears after 10-14 days and lasts 4-8 weeks
D) Bright red with clots
Answer: C) Yellow-white color, appears after 10-14 days and lasts 4-8
weeks
Rationale: Lochia alba is the third stage of lochia, characterized by a
yellow-white color. It appears after 10-14 days and may last 4-8 weeks. It
is the final stage of lochial discharge .
10. A foul odor of lochia indicates:
A) Normal healing process
B) Infection
C) Retained placenta
D) Uterine atony
Answer: B) Infection
Rationale: A foul odor of lochia indicates infection. Nurses must assess
color, amount, odor, and consistency of lochia to identify complications
early .
11. How often should the nurse assess the fundus immediately after birth?
A) Every 5 minutes
B) Every 15 minutes
C) Every 30 minutes
D) Every hour
Answer: B) Every 15 minutes
Rationale: Frequent fundal assessments in the immediate postpartum
period are essential to detect uterine atony and prevent hemorrhage.
NURSING CARE OF THE CHILDBEARING FAMILY EXAM
1. What is involution?
A) The descent of the fetus into the pelvis
B) The return of the uterus to its non-pregnant state after birth
C) The softening of the cervix during pregnancy
D) The release of the placenta after delivery
Answer: B) The return of the uterus to its non-pregnant state after birth
Rationale: Involution is the process by which the uterus returns to its
non-pregnant size and state after delivery. Immediately post-delivery,
the fundus is located at U-2 (2 cm below the umbilicus) and moves
upward about 1 cm every 24 hours. Complete involution occurs within
approximately 6 weeks .
2. Where is the fundus located immediately after delivery?
A) At the umbilicus
B) U-2 (2 cm below the umbilicus)
C) U+2 (2 cm above the umbilicus)
D) At the symphysis pubis
Answer: B) U-2 (2 cm below the umbilicus)
Rationale: Immediately after delivery, the fundus is located
approximately 2 cm below the umbilicus. The fundus then rises about 1
cm per day, reaching the umbilicus at approximately 24 hours
postpartum .
3. How far does the fundus move every 24 hours during involution?
A) 0.5 cm
B) 1 cm
,C) 2 cm
D) 3 cm
Answer: B) 1 cm
Rationale: During normal involution, the fundus descends approximately
1 cm every 24 hours. The uterus should be palpable at the umbilicus at 24
hours postpartum, and continues to descend toward the pelvis .
4. What is subinvolution?
A) Complete return of the uterus to non-pregnant state
B) Failure of the uterus to return to its non-pregnant state
C) Excessive uterine contraction
D) Premature descent of the uterus
Answer: B) Failure of the uterus to return to its non-pregnant state
Rationale: Subinvolution is the failure of the uterus to return to its non-
pregnant state. It can be caused by retained placenta fragments or
infection .
5. What can cause subinvolution? (Select all that apply)
A) Retained placenta fragments
B) Infection
C) Uterine atony
D) All of the above
Answer: D) All of the above
Rationale: Subinvolution can be caused by retained placenta fragments,
infection, and uterine atony. Retained products of conception prevent
complete uterine contraction and involution. Subinvolution requires
prompt evaluation and treatment to prevent postpartum hemorrhage
and endometritis .
,6. What are the three stages of lochia progression?
A) Lochia rubra, lochia serosa, lochia alba
B) Lochia alba, lochia serosa, lochia rubra
C) Lochia rubra, lochia alba, lochia serosa
D) Lochia serosa, lochia rubra, lochia alba
Answer: A) Lochia rubra, lochia serosa, lochia alba
Rationale: The three stages of lochia progression are: Lochia rubra (red),
seen during hospital stay (days 1-3); Lochia serosa (pinkish-brown),
occurs after 3-4 days; Lochia alba (yellow-white), appears after 10-14
days and may last 4-8 weeks .
7. Lochia rubra is characterized by:
A) Pinkish-brown color, occurs after 3-4 days
B) Red color, seen throughout hospital stay
C) Yellow-white color, lasts 4-8 weeks
D) Clear, watery discharge
Answer: B) Red color, seen throughout hospital stay
Rationale: Lochia rubra is the first stage of lochia, characterized by red
color. It is seen throughout the hospital stay (days 1-3 postpartum) .
8. Lochia serosa is characterized by:
A) Red color, seen throughout hospital stay
B) Pinkish-brown color, occurs after 3-4 days
C) Yellow-white color, appears after 10-14 days
D) Bright red with clots
Answer: B) Pinkish-brown color, occurs after 3-4 days
Rationale: Lochia serosa is the second stage of lochia, characterized by a
pinkish-brown color. It occurs after 3-4 days postpartum .
, 9. Lochia alba is characterized by:
A) Red color, seen throughout hospital stay
B) Pinkish-brown color, occurs after 3-4 days
C) Yellow-white color, appears after 10-14 days and lasts 4-8 weeks
D) Bright red with clots
Answer: C) Yellow-white color, appears after 10-14 days and lasts 4-8
weeks
Rationale: Lochia alba is the third stage of lochia, characterized by a
yellow-white color. It appears after 10-14 days and may last 4-8 weeks. It
is the final stage of lochial discharge .
10. A foul odor of lochia indicates:
A) Normal healing process
B) Infection
C) Retained placenta
D) Uterine atony
Answer: B) Infection
Rationale: A foul odor of lochia indicates infection. Nurses must assess
color, amount, odor, and consistency of lochia to identify complications
early .
11. How often should the nurse assess the fundus immediately after birth?
A) Every 5 minutes
B) Every 15 minutes
C) Every 30 minutes
D) Every hour
Answer: B) Every 15 minutes
Rationale: Frequent fundal assessments in the immediate postpartum
period are essential to detect uterine atony and prevent hemorrhage.
