POSTPARTUM AND NEWBORN CARE
ACTUAL EXAM TEST BANK 2026
COMPLETE QUESTIONS AND VERIFIED
ANSWERS
● What is the puerperium? Answer: The time from placenta delivery
until the return to a nonpregnant state, typically around 6 weeks.
● What hormonal changes occur postpartum? Answer: Estrogen and
progesterone levels drop, leading to symptoms like engorgement,
diaphoresis, and increased uterine muscle tone.
● What is the expected weight of the uterus at 6 weeks postpartum?
Answer: The uterus shrinks from approximately 1000 g to 60-80 g.
● How does the fundus of the uterus change postpartum? Answer: It
drops about 1 cm (1 fingerbreadth) per day and should be in the true
pelvis by 2 weeks.
● What are the stages of lochia and their characteristics? Answer:
Lochia rubra (days 1-3, dark red), serosa (days 4-10, pink/brown), alba
(day 10 to 6 weeks, yellow/cream).
, ● What indicates a potential postpartum hemorrhage (PPH)? Answer:
500 mL of blood loss vaginally or more than 1000 mL during a cesarean
section.
● What are the 4 Ts of postpartum hemorrhage? Answer: Tone (uterine
atony), Tissue (retained placenta), Trauma (lacerations), Thrombin
(clotting issues).
● What is the first action for a boggy uterus with heavy bleeding?
Answer: Massage the fundus.
● What are the signs of a DVT postpartum? Answer: Pain, swelling,
warmth, redness, and calf tenderness, typically unilateral.
● What are the signs of postpartum infection? Answer: Fever ≥100.4°F
after 24 hours, uterine tenderness, and foul-smelling lochia.
● What is the treatment for endometritis? Answer: IV antibiotics, fluids,
and monitoring for sepsis.
● What is the definition of postpartum blues? Answer: Mood swings,
tearfulness, insomnia, and low appetite occurring from days 1-10,
typically resolving with support.
ACTUAL EXAM TEST BANK 2026
COMPLETE QUESTIONS AND VERIFIED
ANSWERS
● What is the puerperium? Answer: The time from placenta delivery
until the return to a nonpregnant state, typically around 6 weeks.
● What hormonal changes occur postpartum? Answer: Estrogen and
progesterone levels drop, leading to symptoms like engorgement,
diaphoresis, and increased uterine muscle tone.
● What is the expected weight of the uterus at 6 weeks postpartum?
Answer: The uterus shrinks from approximately 1000 g to 60-80 g.
● How does the fundus of the uterus change postpartum? Answer: It
drops about 1 cm (1 fingerbreadth) per day and should be in the true
pelvis by 2 weeks.
● What are the stages of lochia and their characteristics? Answer:
Lochia rubra (days 1-3, dark red), serosa (days 4-10, pink/brown), alba
(day 10 to 6 weeks, yellow/cream).
, ● What indicates a potential postpartum hemorrhage (PPH)? Answer:
500 mL of blood loss vaginally or more than 1000 mL during a cesarean
section.
● What are the 4 Ts of postpartum hemorrhage? Answer: Tone (uterine
atony), Tissue (retained placenta), Trauma (lacerations), Thrombin
(clotting issues).
● What is the first action for a boggy uterus with heavy bleeding?
Answer: Massage the fundus.
● What are the signs of a DVT postpartum? Answer: Pain, swelling,
warmth, redness, and calf tenderness, typically unilateral.
● What are the signs of postpartum infection? Answer: Fever ≥100.4°F
after 24 hours, uterine tenderness, and foul-smelling lochia.
● What is the treatment for endometritis? Answer: IV antibiotics, fluids,
and monitoring for sepsis.
● What is the definition of postpartum blues? Answer: Mood swings,
tearfulness, insomnia, and low appetite occurring from days 1-10,
typically resolving with support.
