NURl 254/l NUR254l Examl 2l –l (Newl
2026/l 2027l Update)l Conceptsl ofl Nursing:l
Thel Childbearingl andl Childl Caringl
Familiesl Guidel |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Galen
QUESTION
Postpartuml Endocrinel changes
Answer:
Estrogen,l cortisol,l placentall enzymel insulinasel reversl thel diabetogenticl effectl ofl
pregnancyl whichl meansl moml willl needl lessl insulinl (ifl typel 1l diabetic):l diuresisl firstl
24hrs:l slidingl scalel insulin,l especiallyl breastfeedingl mom,l checkl BSl frequentlyl
Estrogenl &l progesteronel levelsl dropl andl reachl rockl bottoml atl 1l weekl PPl whichl isl thel
mainl causel ofl breastl engorgement
Diuresis:l releasel extracellularl waterl thatl isl accumulatedl duringl pregnancy,l startsl inl thel
firstl 12l hours
QUESTION
postpartuml Pituitaryl &l Ovarianl function
Answer:
Prolactinl bloodl levelsl risel progressivelyl throughoutl pregnancyl -l inl mothersl whol decidel
tol breastl feedl theyl willl remainl high
,Firstl ovulationl variesl afterl delivery
-canl occurl asl earlyl asl dayl 27l pp
-non-lactatingl momsl havel al meanl timel ofl aboutl 10l weeks
-breastfeedingl momsl havel al meanl timel ofl aboutl 6l months
Breastfeedingl isl notl al forml ofl birthl control
QUESTION
Pituitaryl hormones
Answer:
Prolactin:l remainl elevatedl ifl breastfeeding,l influencedl byl infantl suckling,l nipplel
stimulation,l andl frequencyl ofl breastfeeding
Oxytocin:l producedl byl thel posteriorl pituitaryl inl responsel tol infantl sucklingl orl nipplel
stimulation.l Oxytocinl triggersl milkl ejection
QUESTION
Postpartuml changesl inl urinaryl elimination
Answer:
Withinl 12l hrsl ofl deliveryl womenl losel excessl tissuel fluid
-causedl byl decreasedl estrogenl andl removall ofl increasedl venousl pressurel onl lowerl
extremities
Bloodl lossl duringl deliveryl alsol aidsl inl thel removall ofl extral fluid
Duel tol anesthesial andl birthl traumal tol thel urethral womenl mayl experiencel decreasedl
needl tol voidl encouragel tol void:l monitorl forl retentionl <100mll perl void
Mayl havel profusel diapheresisl firstl 2-3l daysl upl 3000ml/day
Shouldl voidl withinl 4l hoursl ofl delivery
,QUESTION
Postpartuml UTI
Answer:
Increasedl riskl duel to:
decreasedl urgel tol void
traumal duringl birth
Teachl S/Sl ofl UTIl tol reportl tol MD:l dysuria,l asymptomatic,l flankl pain,l hematuria,l fever,l
frequency,l urgency,l retention.
Teachl preventativel measures:l increasel waterl intake,l squirtl bottle,l patl dry,l frontl tol back
QUESTION
Endometritis
Answer:
Inflammationl ofl thel endometriuml (innerl layerl ofl thel uterinel wall)
Temp:l >l 100.4l orl greater
Needl IVl broadl spectruml antibiotics
S/S:
Pelvicl pain,l extremel uterinel tendernessl withl barelyl touching,abdominall tenderness,l chills
Tachycardial
Heavy,l foul-smellingl lochia
Flul S/S
, QUESTION
postpartuml woundl infections
Answer:
Oftenl developl afterl dischargel from:
-l cesareanl incision
-l episiotomyl orl laceration
S/S
pain,l foull smellingl lochia,l lowl orl highl gradel fever
chills
abdominall distention
edema
erythema
warmthl atl incisionl site
seropurulentl drainage
woundl seperation
QUESTION
Interventionsl forl perineall lacerations,l episiotomy,l hemorrhoids
Answer:
-l changel padl andl assessl lochial w/l eachl voidl
-l icel packl duringl firstl 24hrsl tol decreasedl edema
-l squeezel bottle:l usel entirel bottlel andl blotl dry
-l Sitzl bath:l 2xl al dayl forl 20l min,l enterl bathl byl tighteningl gluteall musclesl andl thenl
releasel oncel inl bath,l checkl onl moml q15l mins
-l Layl onl sidel whenl possible
QUESTION
Postpartuml vitals
2026/l 2027l Update)l Conceptsl ofl Nursing:l
Thel Childbearingl andl Childl Caringl
Familiesl Guidel |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Galen
QUESTION
Postpartuml Endocrinel changes
Answer:
Estrogen,l cortisol,l placentall enzymel insulinasel reversl thel diabetogenticl effectl ofl
pregnancyl whichl meansl moml willl needl lessl insulinl (ifl typel 1l diabetic):l diuresisl firstl
24hrs:l slidingl scalel insulin,l especiallyl breastfeedingl mom,l checkl BSl frequentlyl
Estrogenl &l progesteronel levelsl dropl andl reachl rockl bottoml atl 1l weekl PPl whichl isl thel
mainl causel ofl breastl engorgement
Diuresis:l releasel extracellularl waterl thatl isl accumulatedl duringl pregnancy,l startsl inl thel
firstl 12l hours
QUESTION
postpartuml Pituitaryl &l Ovarianl function
Answer:
Prolactinl bloodl levelsl risel progressivelyl throughoutl pregnancyl -l inl mothersl whol decidel
tol breastl feedl theyl willl remainl high
,Firstl ovulationl variesl afterl delivery
-canl occurl asl earlyl asl dayl 27l pp
-non-lactatingl momsl havel al meanl timel ofl aboutl 10l weeks
-breastfeedingl momsl havel al meanl timel ofl aboutl 6l months
Breastfeedingl isl notl al forml ofl birthl control
QUESTION
Pituitaryl hormones
Answer:
Prolactin:l remainl elevatedl ifl breastfeeding,l influencedl byl infantl suckling,l nipplel
stimulation,l andl frequencyl ofl breastfeeding
Oxytocin:l producedl byl thel posteriorl pituitaryl inl responsel tol infantl sucklingl orl nipplel
stimulation.l Oxytocinl triggersl milkl ejection
QUESTION
Postpartuml changesl inl urinaryl elimination
Answer:
Withinl 12l hrsl ofl deliveryl womenl losel excessl tissuel fluid
-causedl byl decreasedl estrogenl andl removall ofl increasedl venousl pressurel onl lowerl
extremities
Bloodl lossl duringl deliveryl alsol aidsl inl thel removall ofl extral fluid
Duel tol anesthesial andl birthl traumal tol thel urethral womenl mayl experiencel decreasedl
needl tol voidl encouragel tol void:l monitorl forl retentionl <100mll perl void
Mayl havel profusel diapheresisl firstl 2-3l daysl upl 3000ml/day
Shouldl voidl withinl 4l hoursl ofl delivery
,QUESTION
Postpartuml UTI
Answer:
Increasedl riskl duel to:
decreasedl urgel tol void
traumal duringl birth
Teachl S/Sl ofl UTIl tol reportl tol MD:l dysuria,l asymptomatic,l flankl pain,l hematuria,l fever,l
frequency,l urgency,l retention.
Teachl preventativel measures:l increasel waterl intake,l squirtl bottle,l patl dry,l frontl tol back
QUESTION
Endometritis
Answer:
Inflammationl ofl thel endometriuml (innerl layerl ofl thel uterinel wall)
Temp:l >l 100.4l orl greater
Needl IVl broadl spectruml antibiotics
S/S:
Pelvicl pain,l extremel uterinel tendernessl withl barelyl touching,abdominall tenderness,l chills
Tachycardial
Heavy,l foul-smellingl lochia
Flul S/S
, QUESTION
postpartuml woundl infections
Answer:
Oftenl developl afterl dischargel from:
-l cesareanl incision
-l episiotomyl orl laceration
S/S
pain,l foull smellingl lochia,l lowl orl highl gradel fever
chills
abdominall distention
edema
erythema
warmthl atl incisionl site
seropurulentl drainage
woundl seperation
QUESTION
Interventionsl forl perineall lacerations,l episiotomy,l hemorrhoids
Answer:
-l changel padl andl assessl lochial w/l eachl voidl
-l icel packl duringl firstl 24hrsl tol decreasedl edema
-l squeezel bottle:l usel entirel bottlel andl blotl dry
-l Sitzl bath:l 2xl al dayl forl 20l min,l enterl bathl byl tighteningl gluteall musclesl andl thenl
releasel oncel inl bath,l checkl onl moml q15l mins
-l Layl onl sidel whenl possible
QUESTION
Postpartuml vitals
