NUR 254 OB EXAM 2|QUESTIONS & CORRECT
ANSWERS 2025 UPDATE
1. Infections: temp up to 100.4 is normal during first 24 hrs postpartum because
dehydration. Dehydration greater than 100.4 F after 24 hrs pp indicates infection
2. Hemorrhage: -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
3. treatment for engorgement: breastfeed frequently, use warm soaks, apply warm
packs before breastfeeding, apply ice packs between feeding
4. if client is breastfeeding: calorie needs increase by 200-500 calories/day
- the client may require increased fluids
5. chorioamnionitis: - inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
6. Rubra: bright red 1-3 days after delivery
7. Serosa: brownish pink discharge 4-10 days
8. Alba: white discharge 11-14 days
9. Fundal Assessment: -Done to ensure it is contracted, feel location, and tone
(firm or boggy)
https://www.stuvia.com/user/Mboffin 1/
12
, - have a client empty bladder
10. afterpains: Cramping pain after childbirth caused by alternating relaxation and
contraction of uterine muscles.
11. after delivery palpate the fundus: day 1 - u minus 1
day 2 - u minus 2
12. fundus deviated to the right: assist to empty bladder
13. Early postpartum hemorrhage: -occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
14. clots vs placenta fragments: clots = squeezes between fingers
fragments = stays firm
15. hypovolemia shock signs: decreased BP, Increase HR, Increase RR
16. macrosomia: large-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
17. magnesium sulfate: treatment for preterm labor
stops contractions
18. magic number: 100 bpm
19. meds to help the uterus contract: -methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
https://www.stuvia.com/user/Mboffin 2/
12
ANSWERS 2025 UPDATE
1. Infections: temp up to 100.4 is normal during first 24 hrs postpartum because
dehydration. Dehydration greater than 100.4 F after 24 hrs pp indicates infection
2. Hemorrhage: -can occur during the first 24 hrs after delivery
- assessment; significant bleeding perineal pad is soaked within 15 mins; increased
pulse rate, decrease bp
3. treatment for engorgement: breastfeed frequently, use warm soaks, apply warm
packs before breastfeeding, apply ice packs between feeding
4. if client is breastfeeding: calorie needs increase by 200-500 calories/day
- the client may require increased fluids
5. chorioamnionitis: - inflammation of the sac; most common infection
bacterial infections of the amniotic cavity; can result from premature or prolonged
rupture of the membranes
6. Rubra: bright red 1-3 days after delivery
7. Serosa: brownish pink discharge 4-10 days
8. Alba: white discharge 11-14 days
9. Fundal Assessment: -Done to ensure it is contracted, feel location, and tone
(firm or boggy)
https://www.stuvia.com/user/Mboffin 1/
12
, - have a client empty bladder
10. afterpains: Cramping pain after childbirth caused by alternating relaxation and
contraction of uterine muscles.
11. after delivery palpate the fundus: day 1 - u minus 1
day 2 - u minus 2
12. fundus deviated to the right: assist to empty bladder
13. Early postpartum hemorrhage: -occurs within 24 hours of birth
- retained placenta fragments
can happen if provider pulls placenta
tx= massage fundus
14. clots vs placenta fragments: clots = squeezes between fingers
fragments = stays firm
15. hypovolemia shock signs: decreased BP, Increase HR, Increase RR
16. macrosomia: large-bodied baby commonly seen in diabetic pregnancies
over 9 lbs
17. magnesium sulfate: treatment for preterm labor
stops contractions
18. magic number: 100 bpm
19. meds to help the uterus contract: -methergine
- hemabate
- cytotec - adm med closest to the uterus ( rectum)
https://www.stuvia.com/user/Mboffin 2/
12
