N434: Postpartum
exam questions fully
solved & updated
2024/2025
Involution
Return of the uterus to a nonpregnant state after birth
Uterus atony
"boggy uterus"
uterus is prevented from contracting
Where should the fundus be one day after delivery?
1 below U
Where should the uterus be one week after delivery?
almost back to normal
nonpalpable
Subinvolution
failure of uterus to return to non-pregnant state
How to we measure uterus height postpartum?
finger breath below umbilicus
Lochia
vaginal discharge after childbirth
What should lochia be 1-3 days PP?
rubra
red/brown
small clots
What should lochia be 3-10 days PP?
, serosa pink
brown tinged
decreased amount
What should lochia be after 10 days PP?
alba (yellowish/white)
can last up to 6 wk
How long can vaginal bleeding take place PP?
6wk PP
What should we note about blood clots in lochia?
amount
size
texture
What blood clots should we worry about PP?
size: bigger than a plum
texture: placental fragments
Amount of lochia
scant, light, moderate, heavy
How long can it take episiotomy/lacerations to heal?
2-4wk to heal
4 wk for sutures to dissolve
What occurs to vagina if you are lactating?
vaginal dryness
- use lubricants
How can we help with vaginal swelling PP?
ice
How can we help with pain PP?
tub bath
ice
pain meds
dermoplast/tucks
What do we need to do if we are giving narcotics?
offer stool softeners
1st degree perineal tear
exam questions fully
solved & updated
2024/2025
Involution
Return of the uterus to a nonpregnant state after birth
Uterus atony
"boggy uterus"
uterus is prevented from contracting
Where should the fundus be one day after delivery?
1 below U
Where should the uterus be one week after delivery?
almost back to normal
nonpalpable
Subinvolution
failure of uterus to return to non-pregnant state
How to we measure uterus height postpartum?
finger breath below umbilicus
Lochia
vaginal discharge after childbirth
What should lochia be 1-3 days PP?
rubra
red/brown
small clots
What should lochia be 3-10 days PP?
, serosa pink
brown tinged
decreased amount
What should lochia be after 10 days PP?
alba (yellowish/white)
can last up to 6 wk
How long can vaginal bleeding take place PP?
6wk PP
What should we note about blood clots in lochia?
amount
size
texture
What blood clots should we worry about PP?
size: bigger than a plum
texture: placental fragments
Amount of lochia
scant, light, moderate, heavy
How long can it take episiotomy/lacerations to heal?
2-4wk to heal
4 wk for sutures to dissolve
What occurs to vagina if you are lactating?
vaginal dryness
- use lubricants
How can we help with vaginal swelling PP?
ice
How can we help with pain PP?
tub bath
ice
pain meds
dermoplast/tucks
What do we need to do if we are giving narcotics?
offer stool softeners
1st degree perineal tear
