NUR 254 EXAM 2 REVIEW PART 1
QUESTIONS AND ANSWERS 2025
Postpartum Hemorrhaging - ANSWERSCheck the Peri-pads to determine how much
the patient is hemorrhaging
Vaginal Delivery - ANSWERSBlood Loss 500ml
C section Delivery - ANSWERSBlood Loss 1000ml
Lochia - ANSWERSPostpartum Discharge
Rubra - ANSWERSLasts 3 to 5 days
Serosa - ANSWERSLast 3 days to 2 weeks
Alba - ANSWERSWhite or yellowish discharge
Rubra - ANSWERSRed discharge
Serosa - ANSWERSPink discharge
Discharge order - ANSWERSRubra, Serosa, Alba
Promote Uterine Contraction - ANSWERSBreast feeding
Promote Uterine Contraction - ANSWERSAdministration of Oxytocin
Promote Uterine Contraction - ANSWERSMassage the uterus
Uterus - ANSWERSSits above the umbilicus immediately after delivery
Uterus - ANSWERSBoggy after delivery
Uterus - ANSWERSBack into normal position after 9 days (true pelvis)
Location of the Fundus - ANSWERSFeel at the top
Boggy Fundus - ANSWERSTreatment: Massage, massage, massage
Lack of contraction of fundus - ANSWERSCause: Full bladder
, Lack of contraction of fundus - ANSWERSCause: Lack of feeling in the lower half of the
bladder due to epideral
Deviates uterus to the side - ANSWERSCause: Full bladder
Difficulty emptying the bladder - ANSWERSCause: Macrosomic baby
Difficulty emptying the bladder - ANSWERSCause: Twins
Difficulty emptying the bladder - ANSWERSTreatment: Quick Catheterization
Lack of contraction of Uterus - ANSWERSWhen was the last time you voided?
Too much bleeding - ANSWERSSaturated peripad within and hour
Perineum on fire (painful) - ANSWERSTreatment: First 24 hours use cold (ice). 10 mins
on 10 mins off
Perineum on fire (painful) - ANSWERSTreatment: After 24+ hours, warm water and
heat (sitz bath)
Cleanse Perineum - ANSWERSTreatment: Peri bottle (warm water) to clean from front
to back
UTI - ANSWERSPrevention: Peri bottle (warm water) to clean from front to back
UTI - ANSWERSPrevention: Pat perineum dry from front to back
Toileting - ANSWERSUse peri bottle each time to cleanse the area from front to back
Postpartum Bleeding - ANSWERSCause: Lacerations and Tears
Late Postpartum Bleeding at home - ANSWERSCause: Retained Placenta
Episiotomy - ANSWERSAssess to see how it is healing
Source of infection - ANSWERSEpisiotomy, tears, C section, uti, prolonged ruptured
membranes, long labor, foley catheter
Temerature < 100.4 - ANSWERSIndicates dehydration, up to 24 hours after birth
Dehydration (< 100.4 temp) - ANSWERSPush fluids
After birth Vitals - ANSWERSPulse increased but begins to decrease, respiratory rate
normal, bp increased but decreasing
QUESTIONS AND ANSWERS 2025
Postpartum Hemorrhaging - ANSWERSCheck the Peri-pads to determine how much
the patient is hemorrhaging
Vaginal Delivery - ANSWERSBlood Loss 500ml
C section Delivery - ANSWERSBlood Loss 1000ml
Lochia - ANSWERSPostpartum Discharge
Rubra - ANSWERSLasts 3 to 5 days
Serosa - ANSWERSLast 3 days to 2 weeks
Alba - ANSWERSWhite or yellowish discharge
Rubra - ANSWERSRed discharge
Serosa - ANSWERSPink discharge
Discharge order - ANSWERSRubra, Serosa, Alba
Promote Uterine Contraction - ANSWERSBreast feeding
Promote Uterine Contraction - ANSWERSAdministration of Oxytocin
Promote Uterine Contraction - ANSWERSMassage the uterus
Uterus - ANSWERSSits above the umbilicus immediately after delivery
Uterus - ANSWERSBoggy after delivery
Uterus - ANSWERSBack into normal position after 9 days (true pelvis)
Location of the Fundus - ANSWERSFeel at the top
Boggy Fundus - ANSWERSTreatment: Massage, massage, massage
Lack of contraction of fundus - ANSWERSCause: Full bladder
, Lack of contraction of fundus - ANSWERSCause: Lack of feeling in the lower half of the
bladder due to epideral
Deviates uterus to the side - ANSWERSCause: Full bladder
Difficulty emptying the bladder - ANSWERSCause: Macrosomic baby
Difficulty emptying the bladder - ANSWERSCause: Twins
Difficulty emptying the bladder - ANSWERSTreatment: Quick Catheterization
Lack of contraction of Uterus - ANSWERSWhen was the last time you voided?
Too much bleeding - ANSWERSSaturated peripad within and hour
Perineum on fire (painful) - ANSWERSTreatment: First 24 hours use cold (ice). 10 mins
on 10 mins off
Perineum on fire (painful) - ANSWERSTreatment: After 24+ hours, warm water and
heat (sitz bath)
Cleanse Perineum - ANSWERSTreatment: Peri bottle (warm water) to clean from front
to back
UTI - ANSWERSPrevention: Peri bottle (warm water) to clean from front to back
UTI - ANSWERSPrevention: Pat perineum dry from front to back
Toileting - ANSWERSUse peri bottle each time to cleanse the area from front to back
Postpartum Bleeding - ANSWERSCause: Lacerations and Tears
Late Postpartum Bleeding at home - ANSWERSCause: Retained Placenta
Episiotomy - ANSWERSAssess to see how it is healing
Source of infection - ANSWERSEpisiotomy, tears, C section, uti, prolonged ruptured
membranes, long labor, foley catheter
Temerature < 100.4 - ANSWERSIndicates dehydration, up to 24 hours after birth
Dehydration (< 100.4 temp) - ANSWERSPush fluids
After birth Vitals - ANSWERSPulse increased but begins to decrease, respiratory rate
normal, bp increased but decreasing
