NUR 230 Exam 3 2026 | Updated Nursing Practice Questions & Study Guide

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NUR 230 Exam 3 2026(NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)-
GUARANTEED PASS A+ UPDATED




physiologic post-partum changes - CORRECT ANSWER - involution of
uterus: descent of uterine fundus, afterpains, lochia


QUESTION : the location of the uterine fundus post-partum helps determine
what? - CORRECT ANSWER helps determine whether involution of uterus is
occurring normally


QUESTION : a post partum woman's fundus has descended by 3 cm. how many
days post-partum is the mother - CORRECT ANSWER 3 days out


1 day = 1 cm descent
4 cm is when the fundus is in the pelvic cavity and cannot be palpated
abdominally


QUESTION : what are afterpains - CORRECT ANSWER Intermittent uterine
contractions after birth (post-partum). we see them significantly decrease by the
3rd day post-partum


QUESTION : What is lochia? - CORRECT ANSWER postbirth uterine
discharge


QUESTION : Days 1-3 post birth, what should the lochia look like? - CORRECT
ANSWER lochia rubra



practice exam 2026

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bloody, might have small clots, fleshy, earthy odor, red or red/brown


QUESTION : days 4-10 post-partum, what should the lochia look like? -
CORRECT ANSWER lochia serosa

decreased amount, serosanganous in color (brown tinged, more pink)


QUESTION : days 11-21 post-partum, what should the lochia look like? -
CORRECT ANSWER lochia alba

can last into the 6th week post partum
should be less and less amounts
should be a white cream, or light yellow color


QUESTION : the amount of lochia - CORRECT ANSWER teach moms that a
pad that is saturated in an hour or less is a reason to call the physician


QUESTION : expected hormone changes to moms endocrine system -
CORRECT ANSWER - decline in hormones: estrogen, progesterone, and
human placental lactogen
- human chorionic gonadotropin present for up to 3-4 weeks after birth
- prolactin (stimulates milk secretion) returns to non-pregnant levels within 2
weeks if mother doesn't breastfeed


QUESTION : expected ovulation changes in moms endocrine system -
CORRECT ANSWER - ovulation resumes as early as 3 weeks postpartum

- 40-45% of non-nursing mothers resume menstruation at 6-8 weeks after
childbirth, 75% by 12 weeks, and all within 6 months
- menses while breastfeeding may resume as early as 8 weeks or as late as 18
months


QUESTION : reproductive system changes postpartum - the cervix - CORRECT
ANSWER - should feel firm by the end of the first week postpartum


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- external os is open about 1 cm which is a permanent change, slit like instead of
round
- the internal os closed


QUESTION : reproductive system change postpartum - the vagina - CORRECT
ANSWER takes 6-8 weeks for the vagina to complete involution and gain
approx the same size and contour before pregnancy
- edematous


QUESTION : reproductive system changes postpartum - the perineum -
CORRECT ANSWER - edematous

- can have lacerations: either tear or episiotomy


QUESTION : What is an episiotomy? - CORRECT ANSWER surgical
extension of the vaginal opening into the perineum during childbirth, to aid a
difficult delivery and prevent rupture of tissues


QUESTION : first degree tear - CORRECT ANSWER Involves the superficial
vaginal mucosa or perineal skin


QUESTION : second degree tear - CORRECT ANSWER vaginal mucosa, the
perineal skin, and deeper tissues like the fascia and muscles of the perineum


QUESTION : third degree tear - CORRECT ANSWER - SAME AS 2ND
DEGREE: vaginal mucosa, the perineal skin, and deeper tissues like the fascia
and muscles of the perineum
- AND anal sphincter


QUESTION : fourth degree tear - CORRECT ANSWER - most significant
tear
- extends through the anal sphincter and into the rectal mucosa


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QUESTION : what is the average blood loss for a vaginal delivery? - CORRECT
ANSWER 500 mL



QUESTION : what is the average blood loss for a cesarean birth? - CORRECT
ANSWER 1000 mL


QUESTION : after delivery, cardiac output decreases and returns to pre-
pregnancy levels by ___ to ___ weeks after delivery - CORRECT ANSWER 6
to 12 weeks


QUESTION : gastrointestinal system postpartum - CORRECT ANSWER -
mother is hungry and thirsty, r/t energy expended during birth
- constipation common
- stool softeners and laxatives used frequently
- first stool occurs within 2-3 days postpartum


QUESTION : increased progesterone can cause what symptom in a pregnant
woman? - CORRECT ANSWER constipation



QUESTION : urinary system postpartum - CORRECT ANSWER - urethra,
bladder, and tissue around urinary meatus may be edematous and traumatized
- bladder fills rapidly because of the diuresis that follows childbirth
- stress incontinence


QUESTION : in a postpartum woman, a traumatized and edematous urethra,
bladder, and tissue around the urinary meatus often causes what? - CORRECT
ANSWER - diminished sensitivity to fluid pressure

- many women have no sensation of needing to avoid even when their bladder is
distended



practice exam 2026