N4341 - Exam 3 (OB - Hoolapa/Welch) Exam
Questions and Answers (Most Recent Version,
Complete Study Material)
Define involution
What is it's opposite? - Correct Answers
✅clamping/shrinking of uterus
opposite: subvolution (bad! at risk for PPH)
Discuss the progress expected during involution (4) - Correct
Answers ✅returns to 16w size immediately after delivery
descends 1-2 cm q 24 H
6d = halfway btw symphysis & umbilicus
9d = no longer palpable
During postpartum, when is the fundus no longer palpable? -
Correct Answers ✅9-10 days after delivery
Define FF U-2 - Correct Answers ✅fundus firm and 2
fingers below umbilicus
(opposite of fetal station)
Increased risk of subvolution (5) - Correct Answers ✅long
labor
full bladder
overdistended uterus (multipara OR hydramnios)
, N4341 - Exam 3 (OB - Hoolapa/Welch) Exam
Questions and Answers (Most Recent Version,
Complete Study Material)
Define the different types of lochia and when they are
expected - Correct Answers ✅rubra: red & bloody, birth to
4 days
serosa: pink/brown, day 4 - day 22
alba: whitish, can last 6 weeks or longer (typical 10-14 days)
Who would you expect to have more bleeding after delivery;
multi or primipara? - Correct Answers ✅multi
Normal EBL for c/s vs vag - Correct Answers ✅c/s: 1000 mL
vag: 500 mL
After delivery, the cervix has a permanent appearance of
what?
When does os close? - Correct Answers ✅"fish mouth"
appearance
os closes over 2 weeks
When is vagina expected to return to normal size after
delivery?
Discuss vaginal mucosa - Correct Answers ✅normal size:
6-8 weeks
↓ mucosa ∵ ↓estrogen from lactation
Questions and Answers (Most Recent Version,
Complete Study Material)
Define involution
What is it's opposite? - Correct Answers
✅clamping/shrinking of uterus
opposite: subvolution (bad! at risk for PPH)
Discuss the progress expected during involution (4) - Correct
Answers ✅returns to 16w size immediately after delivery
descends 1-2 cm q 24 H
6d = halfway btw symphysis & umbilicus
9d = no longer palpable
During postpartum, when is the fundus no longer palpable? -
Correct Answers ✅9-10 days after delivery
Define FF U-2 - Correct Answers ✅fundus firm and 2
fingers below umbilicus
(opposite of fetal station)
Increased risk of subvolution (5) - Correct Answers ✅long
labor
full bladder
overdistended uterus (multipara OR hydramnios)
, N4341 - Exam 3 (OB - Hoolapa/Welch) Exam
Questions and Answers (Most Recent Version,
Complete Study Material)
Define the different types of lochia and when they are
expected - Correct Answers ✅rubra: red & bloody, birth to
4 days
serosa: pink/brown, day 4 - day 22
alba: whitish, can last 6 weeks or longer (typical 10-14 days)
Who would you expect to have more bleeding after delivery;
multi or primipara? - Correct Answers ✅multi
Normal EBL for c/s vs vag - Correct Answers ✅c/s: 1000 mL
vag: 500 mL
After delivery, the cervix has a permanent appearance of
what?
When does os close? - Correct Answers ✅"fish mouth"
appearance
os closes over 2 weeks
When is vagina expected to return to normal size after
delivery?
Discuss vaginal mucosa - Correct Answers ✅normal size:
6-8 weeks
↓ mucosa ∵ ↓estrogen from lactation
