G A L E N C O L L E G E O F N U R S I N G · A S S O C I AT E D E G R E E N U R S I N G P R O G R A M
NUR 254 Exam 2 Review
Part 1 — Practice Question
Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Postpartum Assessment, Complications & Breastfeeding
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Postpartum & Newborn Care 2
NUR 254 · Galen College of Nursing Page 1
,NUR 254 EXAM 2 REVIEW PART 1 INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Postpartum Assessment, Complications & Breastfeeding
1 The nurse is assessing a postpartum client who had a vaginal delivery. Which blood
loss amount is considered within the expected range for a vaginal delivery?
A 500 mL
B 1000 mL
C 1500 mL
D 200 mL
Correct Answer: A For a vaginal delivery, the expected blood loss is approximately 500 mL.
For a cesarean section delivery, the expected blood loss is approximately 1000 mL.
B — 1000 mL is the expected blood loss for a cesarean section, not vaginal delivery.
C — 1500 mL exceeds the expected blood loss for either type of delivery and may indicate
hemorrhage.
D — 200 mL is less than expected for a vaginal delivery.
Tested Concept: Expected blood loss in vaginal delivery
Source Concept: Vaginal Delivery — Blood Loss 500ml
,2 A client who had a cesarean section delivery asks the nurse how much blood loss is
expected with this type of delivery. Which response by the nurse is correct?
A 500 mL
B 1000 mL
C 1500 mL
D 250 mL
Correct Answer: B For a cesarean section delivery, the expected blood loss is
approximately 1000 mL, which is greater than the 500 mL expected for a vaginal delivery.
A — 500 mL is the expected blood loss for a vaginal delivery.
C — 1500 mL exceeds the expected blood loss for a cesarean section.
D — 250 mL is less than expected for either type of delivery.
Tested Concept: Expected blood loss in cesarean delivery
Source Concept: C section Delivery — Blood Loss 1000ml
3 The nurse is assessing a postpartum client's lochia on day 2. The nurse notes bright
red discharge. The nurse should document this as which type of lochia?
A Rubra
B Serosa
C Alba
D Sanguineous
Correct Answer: A Lochia rubra is red discharge that lasts 3 to 5 days postpartum. It
consists of blood, decidual tissue, and mucus.
B — Lochia serosa is pink discharge that lasts 3 days to 2 weeks.
C — Lochia alba is white or yellowish discharge.
D — Sanguineous is not a type of lochia; it describes bloody drainage.
Tested Concept: Lochia — Rubra
Source Concept: Rubra — Red discharge — Lasts 3 to 5 days
, 4 A postpartum client who is 1 week after delivery has pinkish vaginal discharge. The
nurse should document this as which type of lochia?
A Rubra
B Serosa
C Alba
D Mucoid
Correct Answer: B Lochia serosa is pink discharge that typically lasts 3 days to 2 weeks
postpartum. It marks the transition from rubra to alba.
A — Lochia rubra is red and lasts 3 to 5 days.
C — Lochia alba is white or yellowish and occurs later.
D — Mucoid is not a type of lochia.
Tested Concept: Lochia — Serosa
Source Concept: Serosa — Pink discharge — Last 3 days to 2 weeks
5 A postpartum client who is 2 weeks after delivery has whitish-yellow vaginal
discharge. The nurse should document this as which type of lochia?
A Rubra
B Serosa
C Alba
D Purulenta
Correct Answer: C Lochia alba is white or yellowish discharge that occurs after the serosa
phase.
A — Lochia rubra is red and occurs in the first 3–5 days.
B — Lochia serosa is pink and occurs between days 3 and 14.
D — Purulenta is not a type of lochia; purulent drainage indicates infection.
Tested Concept: Lochia — Alba
Source Concept: Alba — White or yellowish discharge
NUR 254 Exam 2 Review
Part 1 — Practice Question
Bank
NCLEX-Style Practice Questions with Rationales
Topic Focus: Postpartum Assessment, Complications & Breastfeeding
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — Postpartum & Newborn Care 2
NUR 254 · Galen College of Nursing Page 1
,NUR 254 EXAM 2 REVIEW PART 1 INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is.
Category: Postpartum Assessment, Complications & Breastfeeding
1 The nurse is assessing a postpartum client who had a vaginal delivery. Which blood
loss amount is considered within the expected range for a vaginal delivery?
A 500 mL
B 1000 mL
C 1500 mL
D 200 mL
Correct Answer: A For a vaginal delivery, the expected blood loss is approximately 500 mL.
For a cesarean section delivery, the expected blood loss is approximately 1000 mL.
B — 1000 mL is the expected blood loss for a cesarean section, not vaginal delivery.
C — 1500 mL exceeds the expected blood loss for either type of delivery and may indicate
hemorrhage.
D — 200 mL is less than expected for a vaginal delivery.
Tested Concept: Expected blood loss in vaginal delivery
Source Concept: Vaginal Delivery — Blood Loss 500ml
,2 A client who had a cesarean section delivery asks the nurse how much blood loss is
expected with this type of delivery. Which response by the nurse is correct?
A 500 mL
B 1000 mL
C 1500 mL
D 250 mL
Correct Answer: B For a cesarean section delivery, the expected blood loss is
approximately 1000 mL, which is greater than the 500 mL expected for a vaginal delivery.
A — 500 mL is the expected blood loss for a vaginal delivery.
C — 1500 mL exceeds the expected blood loss for a cesarean section.
D — 250 mL is less than expected for either type of delivery.
Tested Concept: Expected blood loss in cesarean delivery
Source Concept: C section Delivery — Blood Loss 1000ml
3 The nurse is assessing a postpartum client's lochia on day 2. The nurse notes bright
red discharge. The nurse should document this as which type of lochia?
A Rubra
B Serosa
C Alba
D Sanguineous
Correct Answer: A Lochia rubra is red discharge that lasts 3 to 5 days postpartum. It
consists of blood, decidual tissue, and mucus.
B — Lochia serosa is pink discharge that lasts 3 days to 2 weeks.
C — Lochia alba is white or yellowish discharge.
D — Sanguineous is not a type of lochia; it describes bloody drainage.
Tested Concept: Lochia — Rubra
Source Concept: Rubra — Red discharge — Lasts 3 to 5 days
, 4 A postpartum client who is 1 week after delivery has pinkish vaginal discharge. The
nurse should document this as which type of lochia?
A Rubra
B Serosa
C Alba
D Mucoid
Correct Answer: B Lochia serosa is pink discharge that typically lasts 3 days to 2 weeks
postpartum. It marks the transition from rubra to alba.
A — Lochia rubra is red and lasts 3 to 5 days.
C — Lochia alba is white or yellowish and occurs later.
D — Mucoid is not a type of lochia.
Tested Concept: Lochia — Serosa
Source Concept: Serosa — Pink discharge — Last 3 days to 2 weeks
5 A postpartum client who is 2 weeks after delivery has whitish-yellow vaginal
discharge. The nurse should document this as which type of lochia?
A Rubra
B Serosa
C Alba
D Purulenta
Correct Answer: C Lochia alba is white or yellowish discharge that occurs after the serosa
phase.
A — Lochia rubra is red and occurs in the first 3–5 days.
B — Lochia serosa is pink and occurs between days 3 and 14.
D — Purulenta is not a type of lochia; purulent drainage indicates infection.
Tested Concept: Lochia — Alba
Source Concept: Alba — White or yellowish discharge
