NUR 254 EXAM 2 POSTPARTUM NURSING – EXAM
WITH VERIFIED UPDATED QUESTIONS AND ANSWERS
2026/2027
SECTION 1: NORMAL POSTPARTUM PHYSIOLOGY
Question 1
Which uterine assessment finding is expected in a client 12
hours postpartum?
A. Boggy uterus deviated to the right
B. Firm uterus at the level of the umbilicus
C. Uterus 3 cm above the umbilicus
D. Uterus nonpalpable
Correct Answer: B
Rationale: After delivery, the uterus should be firm and at or
near the level of the umbilicus within the first 24 hours. A
boggy or deviated uterus indicates risk for hemorrhage.
Question 2
Lochia rubra is expected to last for approximately:
A. 24 hours
B. 3–4 days
C. 7–10 days
D. 4–6 weeks
,Correct Answer: B
Rationale: Lochia rubra is dark red and lasts about 3–4 days
postpartum before transitioning to lochia serosa.
Question 3
Which cardiovascular change is expected during the immediate
postpartum period?
A. Decreased cardiac output
B. Increased blood volume
C. Increased cardiac output
D. Hypotension due to blood loss
Correct Answer: C
Rationale: Cardiac output increases temporarily postpartum
due to autotransfusion of blood from the uterus into
circulation.
Question 4
Which finding indicates normal bladder function postpartum?
A. Voiding 50 mL every 6 hours
B. Inability to void within 24 hours
C. Voiding 300 mL within 6 hours of delivery
D. Burning sensation during urination
, Correct Answer: C
Rationale: The client should void within 6–8 hours postpartum
with adequate urine output (≥300 mL).
Question 5
Which postpartum gastrointestinal change is most common?
A. Increased bowel sounds
B. Diarrhea
C. Constipation
D. Immediate return of appetite
Correct Answer: C
Rationale: Constipation is common due to decreased bowel
motility, dehydration, pain, and fear of perineal discomfort.
SECTION 2: POSTPARTUM ASSESSMENT & NURSING CARE
Question 6
The acronym BUBBLE-HE is used to assess postpartum clients.
What does the “U” stand for?
A. Urine output
B. Uterus
C. Umbilicus
D. Urinary retention
WITH VERIFIED UPDATED QUESTIONS AND ANSWERS
2026/2027
SECTION 1: NORMAL POSTPARTUM PHYSIOLOGY
Question 1
Which uterine assessment finding is expected in a client 12
hours postpartum?
A. Boggy uterus deviated to the right
B. Firm uterus at the level of the umbilicus
C. Uterus 3 cm above the umbilicus
D. Uterus nonpalpable
Correct Answer: B
Rationale: After delivery, the uterus should be firm and at or
near the level of the umbilicus within the first 24 hours. A
boggy or deviated uterus indicates risk for hemorrhage.
Question 2
Lochia rubra is expected to last for approximately:
A. 24 hours
B. 3–4 days
C. 7–10 days
D. 4–6 weeks
,Correct Answer: B
Rationale: Lochia rubra is dark red and lasts about 3–4 days
postpartum before transitioning to lochia serosa.
Question 3
Which cardiovascular change is expected during the immediate
postpartum period?
A. Decreased cardiac output
B. Increased blood volume
C. Increased cardiac output
D. Hypotension due to blood loss
Correct Answer: C
Rationale: Cardiac output increases temporarily postpartum
due to autotransfusion of blood from the uterus into
circulation.
Question 4
Which finding indicates normal bladder function postpartum?
A. Voiding 50 mL every 6 hours
B. Inability to void within 24 hours
C. Voiding 300 mL within 6 hours of delivery
D. Burning sensation during urination
, Correct Answer: C
Rationale: The client should void within 6–8 hours postpartum
with adequate urine output (≥300 mL).
Question 5
Which postpartum gastrointestinal change is most common?
A. Increased bowel sounds
B. Diarrhea
C. Constipation
D. Immediate return of appetite
Correct Answer: C
Rationale: Constipation is common due to decreased bowel
motility, dehydration, pain, and fear of perineal discomfort.
SECTION 2: POSTPARTUM ASSESSMENT & NURSING CARE
Question 6
The acronym BUBBLE-HE is used to assess postpartum clients.
What does the “U” stand for?
A. Urine output
B. Uterus
C. Umbilicus
D. Urinary retention
