Nur 318 EXAM 2 QUESTIONS WITH
CORRECT ANSWERS
Puerperium - CORRECT ANSWER-✔✔✅period after delivery of placenta, lasting 6 weeks, "fourth
trimester "
Involution - CORRECT ANSWER-✔✔✅Return of the uterus to a nonpregnant state after birth
How much should the fundus descend after birth - CORRECT ANSWER-✔✔✅1-2 cm every 24 hours
by the end of the 10th day the fundus should - CORRECT ANSWER-✔✔✅not be palpated and it should
be into the true pelvis
Afterpains - CORRECT ANSWER-✔✔✅uterine contractions when the woman is breastfeeding
Cervix - CORRECT ANSWER-✔✔✅returns to its prepregnant state by week 6 but it never regains its
prepregnant appearance
After delivery the uturus should be - CORRECT ANSWER-✔✔✅midline, halfway between the umblicus
and symphis pubis
12 hours after birth the fundus should be - CORRECT ANSWER-✔✔✅at level with the umbilicus
24 hours after birth the fundus should be - CORRECT ANSWER-✔✔✅1 cm or fingerbreaths below the
umbilicus (U/1)
Day 2 after birth the fundus should be - CORRECT ANSWER-✔✔✅2 cm below the umbilicus
Lochia - CORRECT ANSWER-✔✔✅vaginal discharge after childbirth
,Lochia rubra - CORRECT ANSWER-✔✔✅blood, mucus, tissue (3-4 days afterbirth)
Lochia serosa - CORRECT ANSWER-✔✔✅(3-10 days after birth but can last until 22-27 days post
partum)
pinkish brown old blood, serum, leukocytes, and debris
Lochia alba - CORRECT ANSWER-✔✔✅(10-14 days but it can last until 3-6 weeks postpartum)
Cream white or light brown
Lochia Amount: Scant - CORRECT ANSWER-✔✔✅1-2 in (10 ml loss)
Lochia Amount: light or small - CORRECT ANSWER-✔✔✅4 inch (10-25 ml loss)
Lochia Amount: moderate - CORRECT ANSWER-✔✔✅4 to 6 inch (25-50 ml loss)
Lochia Amount: large or heavy - CORRECT ANSWER-✔✔✅Pad saturated within 1 hour
Vagina - CORRECT ANSWER-✔✔✅eventually thicken and return of rugae
perineum - CORRECT ANSWER-✔✔✅pelvic floor muscle support
supportive tissues of pelvic floor torn or stretched during child birth
require up to 6 months to tone
Kegal excersie encourage healing
later in life woman can expeiernce pelvic relaxation
Placental hormones - CORRECT ANSWER-✔✔✅-Expulsion of placenta results in dramatic decreases of
placental-produced hormones
, -Decreases in chorionic somatomammotropin (hCS), estrogens, cortisol, and placental enzyme insulinase
reverse effects of pregnancy
-Estrogen and progesterone levels drop markedly
non lactating woman return of menstration - CORRECT ANSWER-✔✔✅7-9 weeks after birth
lactaing woman return of menstration - CORRECT ANSWER-✔✔✅return depending on best feeding
frequency and duration anywhere from 2-18 months
may ovulate before first menstrual cycle
Cardiovasular system adaptations after pregnancy - CORRECT ANSWER-✔✔✅Blood volume drops
rapidly after birth and return to normal within 4 weeks postpartum
volume plasma is reduced because the blood loss during pregnancy, diuresis, and diaphoresis
red blood production return to normal after the 2nd week of delivery
white blood cells are elevated the first 4 to 6 days and return to normal
Cardiac output - CORRECT ANSWER-✔✔✅remains high for the first few days post partum and the
gradually to non pregnant values within 3 months of birth
pulse - CORRECT ANSWER-✔✔✅bradycardia (40-60 bpms) first two weeks after delivery because of
blood volume decrese
blood pressure - CORRECT ANSWER-✔✔✅stays the same as during labor and return to normal after
one week of delivery
coagulating factors - CORRECT ANSWER-✔✔✅clotting factors that increased during pregnancy tend to
remain elevated during early postpartum (2 to 3 weeks post partum)
CORRECT ANSWERS
Puerperium - CORRECT ANSWER-✔✔✅period after delivery of placenta, lasting 6 weeks, "fourth
trimester "
Involution - CORRECT ANSWER-✔✔✅Return of the uterus to a nonpregnant state after birth
How much should the fundus descend after birth - CORRECT ANSWER-✔✔✅1-2 cm every 24 hours
by the end of the 10th day the fundus should - CORRECT ANSWER-✔✔✅not be palpated and it should
be into the true pelvis
Afterpains - CORRECT ANSWER-✔✔✅uterine contractions when the woman is breastfeeding
Cervix - CORRECT ANSWER-✔✔✅returns to its prepregnant state by week 6 but it never regains its
prepregnant appearance
After delivery the uturus should be - CORRECT ANSWER-✔✔✅midline, halfway between the umblicus
and symphis pubis
12 hours after birth the fundus should be - CORRECT ANSWER-✔✔✅at level with the umbilicus
24 hours after birth the fundus should be - CORRECT ANSWER-✔✔✅1 cm or fingerbreaths below the
umbilicus (U/1)
Day 2 after birth the fundus should be - CORRECT ANSWER-✔✔✅2 cm below the umbilicus
Lochia - CORRECT ANSWER-✔✔✅vaginal discharge after childbirth
,Lochia rubra - CORRECT ANSWER-✔✔✅blood, mucus, tissue (3-4 days afterbirth)
Lochia serosa - CORRECT ANSWER-✔✔✅(3-10 days after birth but can last until 22-27 days post
partum)
pinkish brown old blood, serum, leukocytes, and debris
Lochia alba - CORRECT ANSWER-✔✔✅(10-14 days but it can last until 3-6 weeks postpartum)
Cream white or light brown
Lochia Amount: Scant - CORRECT ANSWER-✔✔✅1-2 in (10 ml loss)
Lochia Amount: light or small - CORRECT ANSWER-✔✔✅4 inch (10-25 ml loss)
Lochia Amount: moderate - CORRECT ANSWER-✔✔✅4 to 6 inch (25-50 ml loss)
Lochia Amount: large or heavy - CORRECT ANSWER-✔✔✅Pad saturated within 1 hour
Vagina - CORRECT ANSWER-✔✔✅eventually thicken and return of rugae
perineum - CORRECT ANSWER-✔✔✅pelvic floor muscle support
supportive tissues of pelvic floor torn or stretched during child birth
require up to 6 months to tone
Kegal excersie encourage healing
later in life woman can expeiernce pelvic relaxation
Placental hormones - CORRECT ANSWER-✔✔✅-Expulsion of placenta results in dramatic decreases of
placental-produced hormones
, -Decreases in chorionic somatomammotropin (hCS), estrogens, cortisol, and placental enzyme insulinase
reverse effects of pregnancy
-Estrogen and progesterone levels drop markedly
non lactating woman return of menstration - CORRECT ANSWER-✔✔✅7-9 weeks after birth
lactaing woman return of menstration - CORRECT ANSWER-✔✔✅return depending on best feeding
frequency and duration anywhere from 2-18 months
may ovulate before first menstrual cycle
Cardiovasular system adaptations after pregnancy - CORRECT ANSWER-✔✔✅Blood volume drops
rapidly after birth and return to normal within 4 weeks postpartum
volume plasma is reduced because the blood loss during pregnancy, diuresis, and diaphoresis
red blood production return to normal after the 2nd week of delivery
white blood cells are elevated the first 4 to 6 days and return to normal
Cardiac output - CORRECT ANSWER-✔✔✅remains high for the first few days post partum and the
gradually to non pregnant values within 3 months of birth
pulse - CORRECT ANSWER-✔✔✅bradycardia (40-60 bpms) first two weeks after delivery because of
blood volume decrese
blood pressure - CORRECT ANSWER-✔✔✅stays the same as during labor and return to normal after
one week of delivery
coagulating factors - CORRECT ANSWER-✔✔✅clotting factors that increased during pregnancy tend to
remain elevated during early postpartum (2 to 3 weeks post partum)
