Mother baby test 3 questions &
correct answers rated A+
How long does the postpartum period last? - ANS ✔✔6 weeks
Normal amount of blood loss for vaginal delivery: - ANS ✔✔300-500 ml
BUBBLEHE(E) stands for what? - ANS ✔✔breasts, uterus, bladder, bowel, lochia, episiotomy,
hemorrhoids, emotional status, extremities
Changes in the breasts postpartum: - ANS ✔✔estrogen decreases and prolactin increases which
initiates lactation, and colostrum is present
When assessing the uterus, what three things are you checking for? - ANS ✔✔fundal height,
position of uterus and if it is firm or boggy.
The uterus should descend into the pelvic cavity about how many cm per day and when should
it be no longer palpable? - ANS ✔✔descends about 1 cm per day and shouldn't be palpable
after 10-14 days postpartum.
If the uterus is boggy, what is the nurse's first action? - ANS ✔✔gently massage it until it is firm.
What are some risk factors for hemorrhaging? - ANS ✔✔if patient was on Mag, if the uterus
cannot contract, a problematic or long delivery, the uterus being inverted, pieces of placental
,still in body, multiple gestation, big baby, if it was an assisted birth with vacuum, forceps, etc.
Inverted uterus, too much amniotic fluid.
Amount of blood that is too much after c section? - ANS ✔✔1000 ml or more
Too much blood loss after vaginal delivery? - ANS ✔✔500ml or more
Blood clots larger than a ___ are considered a problem: - ANS ✔✔quarter
What is the Bakri balloon and what does it do? - ANS ✔✔it is a catheter that goes into the
vagina and up into the uterus to temporarily reduce uterine bleeding.
methergine and ergotrate can cause: - ANS ✔✔hypertension
pitocin can cause: - ANS ✔✔hypotension
signs of progressive cerebral edema from oxytocin that need to be monitored: - ANS
✔✔hypotension, lightheadedness, N/V, headache, malaise
three medicines to stimulate uterus: - ANS ✔✔methergine, ergotrate and pitocin
Hemabate is given for... - ANS ✔✔control or treatment of postpartum hemorrhage
5 meds that can be given to prevent postpartum hemorrhage - ANS ✔✔cytotec, pitocin,
hemabate, methergine, ergotrate
if uterus is deviated to the right or left, what is something you can ask the patient to do? - ANS
✔✔void. A full bladder can make this shift happen.
, How much should a patient be urinating postpartum? - ANS ✔✔at least 30ml/hr or 1500-3000
cc daily
Assessment of bladder includes: - ANS ✔✔when was their last void and when did they last void
prior to delivery, feel for distention or inability to void, if the catheter is still in place, COCA of
urine.
what hormones can cause constipation post delivery? - ANS ✔✔relaxin and estrogen
With a c section, bowel sounds.... - ANS ✔✔may not be active right away and flatus may take a
day or two to occur.
What does the nurse do if there are no active bowel sounds? - ANS ✔✔Do not feed patient
because of vomiting. Vomiting could affect incision or lead to dehiscence.
Absence of lochia could mean what? - ANS ✔✔infection!
Patient should not have more than ____ per hour of lochia - ANS ✔✔one pad per hour.
bright red lochia could be an indicator of... - ANS ✔✔a cut that has not been resolved.
lochia rubra: - ANS ✔✔dark red discharge occurring first 2-3 days postpartum.
lochia serosa: - ANS ✔✔pinkish discharge that occurs from about 3-10 days postpartum
lochia alba: - ANS ✔✔creamy, yellow colored discharge that can last 10 days to 6 weeks
postpartum.
correct answers rated A+
How long does the postpartum period last? - ANS ✔✔6 weeks
Normal amount of blood loss for vaginal delivery: - ANS ✔✔300-500 ml
BUBBLEHE(E) stands for what? - ANS ✔✔breasts, uterus, bladder, bowel, lochia, episiotomy,
hemorrhoids, emotional status, extremities
Changes in the breasts postpartum: - ANS ✔✔estrogen decreases and prolactin increases which
initiates lactation, and colostrum is present
When assessing the uterus, what three things are you checking for? - ANS ✔✔fundal height,
position of uterus and if it is firm or boggy.
The uterus should descend into the pelvic cavity about how many cm per day and when should
it be no longer palpable? - ANS ✔✔descends about 1 cm per day and shouldn't be palpable
after 10-14 days postpartum.
If the uterus is boggy, what is the nurse's first action? - ANS ✔✔gently massage it until it is firm.
What are some risk factors for hemorrhaging? - ANS ✔✔if patient was on Mag, if the uterus
cannot contract, a problematic or long delivery, the uterus being inverted, pieces of placental
,still in body, multiple gestation, big baby, if it was an assisted birth with vacuum, forceps, etc.
Inverted uterus, too much amniotic fluid.
Amount of blood that is too much after c section? - ANS ✔✔1000 ml or more
Too much blood loss after vaginal delivery? - ANS ✔✔500ml or more
Blood clots larger than a ___ are considered a problem: - ANS ✔✔quarter
What is the Bakri balloon and what does it do? - ANS ✔✔it is a catheter that goes into the
vagina and up into the uterus to temporarily reduce uterine bleeding.
methergine and ergotrate can cause: - ANS ✔✔hypertension
pitocin can cause: - ANS ✔✔hypotension
signs of progressive cerebral edema from oxytocin that need to be monitored: - ANS
✔✔hypotension, lightheadedness, N/V, headache, malaise
three medicines to stimulate uterus: - ANS ✔✔methergine, ergotrate and pitocin
Hemabate is given for... - ANS ✔✔control or treatment of postpartum hemorrhage
5 meds that can be given to prevent postpartum hemorrhage - ANS ✔✔cytotec, pitocin,
hemabate, methergine, ergotrate
if uterus is deviated to the right or left, what is something you can ask the patient to do? - ANS
✔✔void. A full bladder can make this shift happen.
, How much should a patient be urinating postpartum? - ANS ✔✔at least 30ml/hr or 1500-3000
cc daily
Assessment of bladder includes: - ANS ✔✔when was their last void and when did they last void
prior to delivery, feel for distention or inability to void, if the catheter is still in place, COCA of
urine.
what hormones can cause constipation post delivery? - ANS ✔✔relaxin and estrogen
With a c section, bowel sounds.... - ANS ✔✔may not be active right away and flatus may take a
day or two to occur.
What does the nurse do if there are no active bowel sounds? - ANS ✔✔Do not feed patient
because of vomiting. Vomiting could affect incision or lead to dehiscence.
Absence of lochia could mean what? - ANS ✔✔infection!
Patient should not have more than ____ per hour of lochia - ANS ✔✔one pad per hour.
bright red lochia could be an indicator of... - ANS ✔✔a cut that has not been resolved.
lochia rubra: - ANS ✔✔dark red discharge occurring first 2-3 days postpartum.
lochia serosa: - ANS ✔✔pinkish discharge that occurs from about 3-10 days postpartum
lochia alba: - ANS ✔✔creamy, yellow colored discharge that can last 10 days to 6 weeks
postpartum.
