Maternal/Peds Exam 3 study guide Questions
and answers)(100% Verified answers) 2025\2026
update
The most common causes of subinvolution in the postpartum client are, select all
that apply:
A. After birth hemorrhage
B. Multiple gestation
C. Uterine tetany
D. Retained placental fragments
E. Infection-ANS>>D, E.
-Retained placental fragments.
-Infection
**Subinvolution is failure of the uterus to return to a nonpregnant state.
The most effective and least expensive treatment of puerperal infection is
prevention. What is important in this strategy?
A. Large doses of vitamin C during pregnancy
B. Prophylactic antibiotics
C. Strict aseptic technique, including hand washing, by all health care personnel.
D. Limited protein and fat intake.-ANS>>C. Strict aseptic technique, including
,hand washing, by all health care personnel.
What is considered the fourth (Puerperium) stage of pregnancy?-ANS>>The
interval between birth and return of reproductive organs to their nonpregnant
state.
-Lasts about 6 weeks.
What is included in the postpartum assessment?-ANS>>-B: Breasts
-U: Uterus (fundal height, uterine placement, consistency)
-B: Bowel and GI function
-B: Bladder function
-L: Lochia (Color, odor, consistency, and amount)
-E: Episiotomy (Edema, ecchymosis, approximation)
-H: Homan's sign (Discomfort in the calf muscles on forced dorsiflexion of the
foot with the knee straight -- Determines signs of DVT)
-E: Emotional status
What are some postpartum complications that may occur?-ANS>>-Hemorrhage
-Hemorrhagic (Hypovolemic) shock
-Venous thromboembolic disease
-Infections
,-Psychotic disorders (Postpartum blues, Postpartum depression, Postpartum
psychosis)
What would postpartum hemorrhage look like?-ANS>>-1000 mL or more
cumulative blood loss (500 vaginal birth, 1000 c-section)
-Bleeding with hypovolemia within 24 hours of birth:
-Uterine atony (Boggy uterus)
-Blood clots bigger than a quarter
-Perineal pad saturation in 15 mins or less
-Tachycardic
-Hypotension
-Pale
When would early, acute or primary hemorrhaging occur after birth?-
ANS>>Within 24 hours.
What could be the etiology (causes) of early, acute or primary hemorrhaging?-
ANS>>-Lacerations
-Placental separation
-Undue manipulation of the fundus
-Excessive traction on the umbilical cord
-Uterine atony (inadequate contraction of the uterus)
, -Prolapse of the uterus into the vagina
When would late or secondary hemorrhaging occur after birth?-ANS>>Over 24
hours after birth - 12 weeks postpartum.
What could be the etiology (causes) of late or secondary hemorrhaging?-ANS>>-
Subinvolution of the uterus (uterus does NOT return to normal size)
-Infection
-Retained placental fragments
-Coagulopathy (derangement of hemostasis, resulting in excessive bleeding or
clotting)
What is the definition of Hemorrhagic (Hypovolemic) Shock?-ANS>>An
emergency in which the perfusion of body organs can become severely
compromised, and death can occur.
What is the etiology (cause) of Hemorrhagic (Hypovolemic) shock?-ANS>>Excess
blood/fluid loss.
How would a venous thromboembolic disease occur?-ANS>>Results from blood
clots caused by inflammation or partial obstruction off vessels.
and answers)(100% Verified answers) 2025\2026
update
The most common causes of subinvolution in the postpartum client are, select all
that apply:
A. After birth hemorrhage
B. Multiple gestation
C. Uterine tetany
D. Retained placental fragments
E. Infection-ANS>>D, E.
-Retained placental fragments.
-Infection
**Subinvolution is failure of the uterus to return to a nonpregnant state.
The most effective and least expensive treatment of puerperal infection is
prevention. What is important in this strategy?
A. Large doses of vitamin C during pregnancy
B. Prophylactic antibiotics
C. Strict aseptic technique, including hand washing, by all health care personnel.
D. Limited protein and fat intake.-ANS>>C. Strict aseptic technique, including
,hand washing, by all health care personnel.
What is considered the fourth (Puerperium) stage of pregnancy?-ANS>>The
interval between birth and return of reproductive organs to their nonpregnant
state.
-Lasts about 6 weeks.
What is included in the postpartum assessment?-ANS>>-B: Breasts
-U: Uterus (fundal height, uterine placement, consistency)
-B: Bowel and GI function
-B: Bladder function
-L: Lochia (Color, odor, consistency, and amount)
-E: Episiotomy (Edema, ecchymosis, approximation)
-H: Homan's sign (Discomfort in the calf muscles on forced dorsiflexion of the
foot with the knee straight -- Determines signs of DVT)
-E: Emotional status
What are some postpartum complications that may occur?-ANS>>-Hemorrhage
-Hemorrhagic (Hypovolemic) shock
-Venous thromboembolic disease
-Infections
,-Psychotic disorders (Postpartum blues, Postpartum depression, Postpartum
psychosis)
What would postpartum hemorrhage look like?-ANS>>-1000 mL or more
cumulative blood loss (500 vaginal birth, 1000 c-section)
-Bleeding with hypovolemia within 24 hours of birth:
-Uterine atony (Boggy uterus)
-Blood clots bigger than a quarter
-Perineal pad saturation in 15 mins or less
-Tachycardic
-Hypotension
-Pale
When would early, acute or primary hemorrhaging occur after birth?-
ANS>>Within 24 hours.
What could be the etiology (causes) of early, acute or primary hemorrhaging?-
ANS>>-Lacerations
-Placental separation
-Undue manipulation of the fundus
-Excessive traction on the umbilical cord
-Uterine atony (inadequate contraction of the uterus)
, -Prolapse of the uterus into the vagina
When would late or secondary hemorrhaging occur after birth?-ANS>>Over 24
hours after birth - 12 weeks postpartum.
What could be the etiology (causes) of late or secondary hemorrhaging?-ANS>>-
Subinvolution of the uterus (uterus does NOT return to normal size)
-Infection
-Retained placental fragments
-Coagulopathy (derangement of hemostasis, resulting in excessive bleeding or
clotting)
What is the definition of Hemorrhagic (Hypovolemic) Shock?-ANS>>An
emergency in which the perfusion of body organs can become severely
compromised, and death can occur.
What is the etiology (cause) of Hemorrhagic (Hypovolemic) shock?-ANS>>Excess
blood/fluid loss.
How would a venous thromboembolic disease occur?-ANS>>Results from blood
clots caused by inflammation or partial obstruction off vessels.
