NUR 4445 ( LATEST 2024 / 2025) THE NEWBORN QUESTIONS AND ANSWERS INCLUDED

NUR 4445 ( LATEST ) THE NEWBORN
QUESTIONS AND ANSWERS INCLUDED
What are the 9 different parts of the post partum assessment? -
(answers)BUBBLEHEB:

Breasts

Uterus

Bowel

Bladder

Lochia

Episiotomy

Homan's Sign/Hemorrhoid's

Emotional status

Bonding



Normal (3) vs abnormal findings in the breasts post partum - (answers)· Normal
findings

- Soft, symmetrical everted nipples

- Colostrum present

- No cracking or bleeding

· Abnormal findings

- Inverted nipples



Normal vs abnormal findings in the uterus post partum - (answers)· Normal
findings

,- Fundus is firm at the umbilicus

· Abnormal findings

- Fundus is boggy



What must the patient do before an examination of the uterus? - (answers)void



Normal findings in the bowels post partum (2) - (answers)- Abdomen is soft and
non-distended

- Bowel sounds present in all four quadrants (sluggish/hypoactive)



Normal (2) vs abnormal findings in the bladder post partum - (answers)· Normal
findings

- Non-distended and non-palpable

- Voiding without difficulty

· Abnormal findings

- Urine retention



Normal lochia post partum (3) - (answers)- Moderate amount of lochia rubra (dark
red)

- Small clots

- No more than 500 mL (moderate)



Normal (3) vs abnormal findings in an episiotomy - (answers)· Normal findings

- Mild edema

, - Tears or episiotomy are intact and well-approximated

- REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation)

· Abnormal findings

- infection



What do we educate the mother about regarding an episiotomy? What do we avoid
doing? - (answers)Educate about calf pain but do not do homan's sign



What are normal findings regarding hemorrhoids post partum? What position do
we put patient in to assess? - (answers)- Rectum intact with small hemorrhoids that
are non-tender

- Put patient in Sim's position to assess



What should emotional status look like post partum? - (answers)Tired, still taking
it all in



Normal (2) vs abnormal (2) findings regarding bonding post partum - (answers)·
Normal findings

- Good attachment and bonding

- Admiring the baby

· Abnormal findings

- Anything that leads to mal-parenting can lead to bad attachment

- Ex: really long labor could cause bonding issues