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NUR 254 Exam 2 Study Guide – Postpartum Care & Newborn Assessment Practice Questions (2026/2027 Review)

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This NUR 254 Exam 2 Study Guide is a comprehensive review resource designed to help nursing students prepare effectively for exams covering postpartum care and newborn assessment. Updated for 2026/2027, it focuses on key maternal-child nursing concepts including postpartum maternal changes, newborn adaptation, vital signs, physical assessment, breastfeeding support, complications, and nursing interventions. The guide includes structured study notes and practice questions to reinforce understanding, improve clinical reasoning, and build confidence for exam success. Ideal for nursing students preparing for exams, quizzes, and clinical evaluations in maternal-newborn nursing.

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NUR 254 Exam 2 Objectives


Maternal and Pediatrics (Galen College of Nursing)




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 Unit 4—Postpartum/client health issues
o Characteristics and measurements of normal involution patterns
 Should be at umbilicus within 24 hours.
 Involution should occur at 1-2cm/day and should not be
palpable by 2 weeks postpartum
o Lochia
 Timeline and Description for Each
 Rubra – 1-3 days: Bright red
 Serosa – 4-10 days: Pinkish/Brown
 Alba – 10-14 days: Whitish-yellow
o Anatomic and physiologic patterns during the postpartum
recovery
o Normal vs abnormal vitals signs and lab values in postpartum
patient
o Components of the parenting process
 Safety
 Tasks and responsibilities
 Attachment and bonding
 Dimensions that influence attachment and bonding
 Signs of successful bonding
 Education
o Nursing care and interventions for the postpartum patient
o Psychosocial needs of the mother after birth
o Postpartum complications
 Signs and symptoms of complications
 Interventions for complications
o Discharge teaching and follow up care
o Feeding methods
 Breast
 Breast health
 Breast assessment
 Interventions for abnormal findings/difficulty feeding
o If engorged, hand express before latching
o Use warm compress and massage for clogged duct
 Lactation support
 How to breastfeed



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