PN 3006 – Pre and Post-Partum Client (Questions And
Actual Answers)
Stage One of Labour -- Early Right Ans - Irregular, uncomfortable
contractions that last less than a minute, lasts hours to days, diarrhea
common, able to hold a conversation
Stage One of Labour -- Active Right Ans - Stronger, more regular
contractions that last one minute, able to hold a conversation between
contractions. Time to obtain medical help.
Stage One of Labour -- Transitional Right Ans - Cervix is approaching 10cm,
flushed, N/V very common, no longer able to hold a conversation
Stage Two of Labour Right Ans - Cervix fully dilated and baby is born
Stage Three of Labour Right Ans - Placenta is delivered (up to 30 minutes)
Stage Four of Labour Right Ans - First few hours after birth
False Labour Right Ans - Contractions are irregular and do not
progressively get stronger/closer/longer. Contractions stop with
activity/rest/position changes. Pain is normally in front of the abdomen
True Labour Right Ans - Contractions are predictable and progressively get
stronger, closer, and longer in duration. Contractions continue regardless of
activity/rest/position. Pain is in back and then moves to the front
Greatest risk for postpartum complications is during... Right Ans - First 24
hours after delivery
Post-Partum Assessment Right Ans - Upon arrival at PP unit: complete
head to toe, BUBBLE HE, REEDA, pain, VS
Reasses qh x4: uterus, lockia, bladder, BP/HR, any abnormal findings
Elevated Temp Post-Partum Right Ans - Normal finding for first 24hrs. Sign
of dehydration and/or infection
, Bradycardia Post-Partum Right Ans - Normal finding
Tachycardia Post-Partum Right Ans - Sign of infection, hemorrhage, pain,
and/or anxiety
Low BP Post-Partum Right Ans - Sign of orthostatic hypotension and/or
shock
High BP Post-Partum Right Ans - Sign of pregnancy-induced hypertension
BUBBLE HE Right Ans - Breasts, Uterus, Bladder, Bowels, Lochia,
Episiotomy, Hemorrhoids (and Homan's Sign), Emotional Status
Lochia Right Ans - The postpartum vaginal discharge that typically
continues for 4-6 weeks after childbirth
Breasts Post-Partum Right Ans - Soft, firm, and/or lumpy; secretion of
colostrum; engorgement
Uterus Post-Partum Right Ans - Involution: First day at umbilicus,
decreases by 1 FB per day
Consistency: Firm, round, smooth; not boggy
Location: Midline
Bladder Post-Partum Right Ans - Assess for paresthesia; often catheterized;
assess for distention (could be uterine atony/UTI); urine output
Bowel Post-Partum Right Ans - Assess for bowel sounds/passing gas;
usually BM 2-3 days post delivery; may need gas relief method, laxative, stool
softeners and/or enema
Lochia Post-Partum Right Ans - Assess for amount and type of drainage
Day 1-3 rubra- bloody with fleshy odor, may have clots
Day 4-9-serosa- pink/brown with fleshy odor
Day 10 plus-alba- yellow white
Episiotomy Post-Partum Right Ans - Assessment for hematoma,
ecchymosis, edema, erythema, intact suture line, discharge, signs of infection
Actual Answers)
Stage One of Labour -- Early Right Ans - Irregular, uncomfortable
contractions that last less than a minute, lasts hours to days, diarrhea
common, able to hold a conversation
Stage One of Labour -- Active Right Ans - Stronger, more regular
contractions that last one minute, able to hold a conversation between
contractions. Time to obtain medical help.
Stage One of Labour -- Transitional Right Ans - Cervix is approaching 10cm,
flushed, N/V very common, no longer able to hold a conversation
Stage Two of Labour Right Ans - Cervix fully dilated and baby is born
Stage Three of Labour Right Ans - Placenta is delivered (up to 30 minutes)
Stage Four of Labour Right Ans - First few hours after birth
False Labour Right Ans - Contractions are irregular and do not
progressively get stronger/closer/longer. Contractions stop with
activity/rest/position changes. Pain is normally in front of the abdomen
True Labour Right Ans - Contractions are predictable and progressively get
stronger, closer, and longer in duration. Contractions continue regardless of
activity/rest/position. Pain is in back and then moves to the front
Greatest risk for postpartum complications is during... Right Ans - First 24
hours after delivery
Post-Partum Assessment Right Ans - Upon arrival at PP unit: complete
head to toe, BUBBLE HE, REEDA, pain, VS
Reasses qh x4: uterus, lockia, bladder, BP/HR, any abnormal findings
Elevated Temp Post-Partum Right Ans - Normal finding for first 24hrs. Sign
of dehydration and/or infection
, Bradycardia Post-Partum Right Ans - Normal finding
Tachycardia Post-Partum Right Ans - Sign of infection, hemorrhage, pain,
and/or anxiety
Low BP Post-Partum Right Ans - Sign of orthostatic hypotension and/or
shock
High BP Post-Partum Right Ans - Sign of pregnancy-induced hypertension
BUBBLE HE Right Ans - Breasts, Uterus, Bladder, Bowels, Lochia,
Episiotomy, Hemorrhoids (and Homan's Sign), Emotional Status
Lochia Right Ans - The postpartum vaginal discharge that typically
continues for 4-6 weeks after childbirth
Breasts Post-Partum Right Ans - Soft, firm, and/or lumpy; secretion of
colostrum; engorgement
Uterus Post-Partum Right Ans - Involution: First day at umbilicus,
decreases by 1 FB per day
Consistency: Firm, round, smooth; not boggy
Location: Midline
Bladder Post-Partum Right Ans - Assess for paresthesia; often catheterized;
assess for distention (could be uterine atony/UTI); urine output
Bowel Post-Partum Right Ans - Assess for bowel sounds/passing gas;
usually BM 2-3 days post delivery; may need gas relief method, laxative, stool
softeners and/or enema
Lochia Post-Partum Right Ans - Assess for amount and type of drainage
Day 1-3 rubra- bloody with fleshy odor, may have clots
Day 4-9-serosa- pink/brown with fleshy odor
Day 10 plus-alba- yellow white
Episiotomy Post-Partum Right Ans - Assessment for hematoma,
ecchymosis, edema, erythema, intact suture line, discharge, signs of infection
