POSTPARTUM AND NEWBORN-NURSING
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!!
, Vital signs for newborn - ANSWER BP-65-95/30-60
R-30-60
HR-120-160
Temp-36.5-37.5 (97.7-99.5) -Axillary
Where is the fundus located? - ANSWER The fundus is part of the uterus that is farthest
from the cervix, above the openings of the fallopian tubes. The location of the fundus
helps determine whether involution is progressing normally. The fundus can be palpated
midway between the symphysis pubis and umbilicus and in the midline of the abdomen.
Within 12 hrs the fundus rises to about the level of the umbilicus. The fundus descends
by app. 1cm or one fingerbreadth per day. By the 14th day it is in the pelvic cabity and
cannot be palpated abdominally.
Three processes of the involution of the Uterus - ANSWER Contraction of muscle
fibers-controls bleeding
Catabolism-breakdown of muscle-causes reduction of cell size
Re-generation of uterine epithelium
Normal bleeding - ANSWER Lochia-Rubra, Serosa, Alba
Rubra - ANSWER First three days-mostly bloodsy
Serosa - ANSWER pink or brown tinge after 4th day
Alba - ANSWER discharge is white and cream or light yellow
amounts of bleeding - ANSWER scant-less than 2.5cm or 1 in. stain
light-2.5-10cm or 4-6 in. stain
moderate- 10-15cm or 46 in. stain
heavy-saturated pad in 1 hour
excesssive-saturated pad in 15 min
normal treatment for comfort or tears - ANSWER Massage the funus!
Narcotics are first choice along with Dermaplast spray (Lidocaine mist), ice packs the
first 24 hours and warm baths or sitz baths after 24 hours
Postpartum mood disorders - ANSWER 95% of women experience "Postpartum blues"
Normal mood swings associated with hormone changes after delivery, letdown after
birth, postpartum discomforts, fatigue, anxiety about caring for infant and lifestyle
changes and concern of appearance.
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!!
, Vital signs for newborn - ANSWER BP-65-95/30-60
R-30-60
HR-120-160
Temp-36.5-37.5 (97.7-99.5) -Axillary
Where is the fundus located? - ANSWER The fundus is part of the uterus that is farthest
from the cervix, above the openings of the fallopian tubes. The location of the fundus
helps determine whether involution is progressing normally. The fundus can be palpated
midway between the symphysis pubis and umbilicus and in the midline of the abdomen.
Within 12 hrs the fundus rises to about the level of the umbilicus. The fundus descends
by app. 1cm or one fingerbreadth per day. By the 14th day it is in the pelvic cabity and
cannot be palpated abdominally.
Three processes of the involution of the Uterus - ANSWER Contraction of muscle
fibers-controls bleeding
Catabolism-breakdown of muscle-causes reduction of cell size
Re-generation of uterine epithelium
Normal bleeding - ANSWER Lochia-Rubra, Serosa, Alba
Rubra - ANSWER First three days-mostly bloodsy
Serosa - ANSWER pink or brown tinge after 4th day
Alba - ANSWER discharge is white and cream or light yellow
amounts of bleeding - ANSWER scant-less than 2.5cm or 1 in. stain
light-2.5-10cm or 4-6 in. stain
moderate- 10-15cm or 46 in. stain
heavy-saturated pad in 1 hour
excesssive-saturated pad in 15 min
normal treatment for comfort or tears - ANSWER Massage the funus!
Narcotics are first choice along with Dermaplast spray (Lidocaine mist), ice packs the
first 24 hours and warm baths or sitz baths after 24 hours
Postpartum mood disorders - ANSWER 95% of women experience "Postpartum blues"
Normal mood swings associated with hormone changes after delivery, letdown after
birth, postpartum discomforts, fatigue, anxiety about caring for infant and lifestyle
changes and concern of appearance.
