PN 3006 -- Pre and Post-Partum Client
UPDATED ACTUAL Questions and
CORRECT Answers
Stage One of Labour -- Early - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER Cervix is approaching 10cm,
flushed, N/V very common, no longer able to hold a conversation
Stage Two of Labour - CORRECT ANSWER Cervix fully dilated and baby is born
Stage Three of Labour - CORRECT ANSWER Placenta is delivered (up to 30 minutes)
Stage Four of Labour - CORRECT ANSWER First few hours after birth
False Labour - CORRECT ANSWER 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 - CORRECT ANSWER 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... - CORRECT ANSWER First 24
hours after delivery
, Post-Partum Assessment - CORRECT ANSWER 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 - CORRECT ANSWER Normal finding for first 24hrs. Sign
of dehydration and/or infection
Bradycardia Post-Partum - CORRECT ANSWER Normal finding
Tachycardia Post-Partum - CORRECT ANSWER Sign of infection, hemorrhage, pain,
and/or anxiety
Low BP Post-Partum - CORRECT ANSWER Sign of orthostatic hypotension and/or shock
High BP Post-Partum - CORRECT ANSWER Sign of pregnancy-induced hypertension
BUBBLE HE - CORRECT ANSWER Breasts, Uterus, Bladder, Bowels, Lochia,
Episiotomy, Hemorrhoids (and Homan's Sign), Emotional Status
Lochia - CORRECT ANSWER The postpartum vaginal discharge that typically continues
for 4-6 weeks after childbirth
Breasts Post-Partum - CORRECT ANSWER Soft, firm, and/or lumpy; secretion of
colostrum; engorgement
Uterus Post-Partum - CORRECT ANSWER Involution: First day at umbilicus, decreases
by 1 FB per day
Consistency: Firm, round, smooth; not boggy
Location: Midline
UPDATED ACTUAL Questions and
CORRECT Answers
Stage One of Labour -- Early - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER Cervix is approaching 10cm,
flushed, N/V very common, no longer able to hold a conversation
Stage Two of Labour - CORRECT ANSWER Cervix fully dilated and baby is born
Stage Three of Labour - CORRECT ANSWER Placenta is delivered (up to 30 minutes)
Stage Four of Labour - CORRECT ANSWER First few hours after birth
False Labour - CORRECT ANSWER 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 - CORRECT ANSWER 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... - CORRECT ANSWER First 24
hours after delivery
, Post-Partum Assessment - CORRECT ANSWER 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 - CORRECT ANSWER Normal finding for first 24hrs. Sign
of dehydration and/or infection
Bradycardia Post-Partum - CORRECT ANSWER Normal finding
Tachycardia Post-Partum - CORRECT ANSWER Sign of infection, hemorrhage, pain,
and/or anxiety
Low BP Post-Partum - CORRECT ANSWER Sign of orthostatic hypotension and/or shock
High BP Post-Partum - CORRECT ANSWER Sign of pregnancy-induced hypertension
BUBBLE HE - CORRECT ANSWER Breasts, Uterus, Bladder, Bowels, Lochia,
Episiotomy, Hemorrhoids (and Homan's Sign), Emotional Status
Lochia - CORRECT ANSWER The postpartum vaginal discharge that typically continues
for 4-6 weeks after childbirth
Breasts Post-Partum - CORRECT ANSWER Soft, firm, and/or lumpy; secretion of
colostrum; engorgement
Uterus Post-Partum - CORRECT ANSWER Involution: First day at umbilicus, decreases
by 1 FB per day
Consistency: Firm, round, smooth; not boggy
Location: Midline
