NUR 254 Exam 2 Questions and
Correct Detailed Answers
Postpartum period - Answer: a period of adjustment for parents and their newborn during the six
weeks after birth
Early Maternal Assessment - Answer: Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra - Answer: Bright Red
1-3 days
Serosa - Answer: Pinkish-brown
4-10 days
Alba - Answer: Whitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4 - Answer: Probable infection
Blood Pressure postpartum - Answer: Monitor for preeclampsia
Assess for hypotension
BP drops possible hemorrhaging
Lochia that is continued flowing - Answer: Indicates endometritis
Uterus - Answer: Involution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE - Answer: Breasts
, Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
Uterus is boggy - Answer: Massage fundus
Use restroom
COLA - Answer: Color
Odor
Last Void/BM
Amount
Heavy Bleeding - Answer: Saturated in 15 minutes or less & pooling of blood requires immediate
intervention & notifying MD
REEDA - Answer: redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state - Answer: Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care - Answer: -Activity and rest
-Nourishment
-Elimination
-Perineal care
Correct Detailed Answers
Postpartum period - Answer: a period of adjustment for parents and their newborn during the six
weeks after birth
Early Maternal Assessment - Answer: Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra - Answer: Bright Red
1-3 days
Serosa - Answer: Pinkish-brown
4-10 days
Alba - Answer: Whitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4 - Answer: Probable infection
Blood Pressure postpartum - Answer: Monitor for preeclampsia
Assess for hypotension
BP drops possible hemorrhaging
Lochia that is continued flowing - Answer: Indicates endometritis
Uterus - Answer: Involution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE - Answer: Breasts
, Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
Uterus is boggy - Answer: Massage fundus
Use restroom
COLA - Answer: Color
Odor
Last Void/BM
Amount
Heavy Bleeding - Answer: Saturated in 15 minutes or less & pooling of blood requires immediate
intervention & notifying MD
REEDA - Answer: redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state - Answer: Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care - Answer: -Activity and rest
-Nourishment
-Elimination
-Perineal care