MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
Uterine Involution -
correct answer ✅The process where the uterus changes to normal
size, shape, and tone after birth
Takes ~6wks
Factors that complicated Uterine involution -
correct answer ✅-Overworked uterus: prolonged labor process
-retained placenta/clots
-full bladder: moves position
-Over-distension: more work needed to shrink down
Types of Lochia -
correct answer ✅Rubra (red) - lasts 3 to 5 days
Serosa (pink) - lasts 3-10 days
Alba (white) - continues for 10 to 14 days (can last up to 6wks)
Fundus -
correct answer ✅midline vs deviated, descends one finger breadth
each PP day until ~ day 10 when it's back in pelvis and is unable to
be palpated anymore
,MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
Head to Toe Postpartum assessment: BBUBBLE-EE -
correct answer ✅B: Brain
B: Breast (soft/filling)
U: Uterus (position/tone)
B:Bladder
B: Bowel
L: Lochia (amount, color, odor)
E: Episiotomy/Perineum (check for hemorrhoids)
E: Estremities (exam for DVT)
E: Emotional (how well is baby/mother bond)
Vitals assessment Postpartum -
correct answer ✅-low grade temp = expected (concern >100.4)
-HR 40-80 = normal
-RR: 12-20= normal
-BP: 120/80= normal
-pain Q15min for 1 hr, then Q30min until transfer to PP
-Q30min-1hr fundal check
,MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
Reproductive adaptations PP -
correct answer ✅*Cervical change*
-shape (slit like appearance)
-spongy/formless for 1st couple weeks
*Vaginal change*
-edematous, bruised
-enlarged
-dryness common w/ breastfeed
*Perineal change*
-hemorrhoids
-lacerations/episiotomy
*Ovarian Change*
-breastfeeding/no menses up to 3-18month
-1st ovulation before period (~6-11wks)
Family wellness -
correct answer ✅involve parents in nursing by encouraging
, MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
rooming in, family centered care including siblings, alleviate fatigue
and provide private time to parents, health promotion education by
providing reassurance and describing normal behavior
Urinary adaptions to PP -
correct answer ✅-puerperal dieresis (getting rid of fluids through
urine)
-INC bladder capacity
-swelling/bruising of urethra
-INC risk for over-distended bladder
Cardiac adaptations to PP -
correct answer ✅-bradycardia expected (HR 40-80bpm)
-Tachycardia NOT expected (sign of dehydration or PP hemorrhage)
-Elevated WBCs expected
Musculoskeltal adaptations to PP -
correct answer ✅-uternine ligaments stretched
-loose abdominal wall
-diastasis recti abdominis (separation of abdominal muscles)
-stretch marks begin to fade
ANSWERS
Uterine Involution -
correct answer ✅The process where the uterus changes to normal
size, shape, and tone after birth
Takes ~6wks
Factors that complicated Uterine involution -
correct answer ✅-Overworked uterus: prolonged labor process
-retained placenta/clots
-full bladder: moves position
-Over-distension: more work needed to shrink down
Types of Lochia -
correct answer ✅Rubra (red) - lasts 3 to 5 days
Serosa (pink) - lasts 3-10 days
Alba (white) - continues for 10 to 14 days (can last up to 6wks)
Fundus -
correct answer ✅midline vs deviated, descends one finger breadth
each PP day until ~ day 10 when it's back in pelvis and is unable to
be palpated anymore
,MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
Head to Toe Postpartum assessment: BBUBBLE-EE -
correct answer ✅B: Brain
B: Breast (soft/filling)
U: Uterus (position/tone)
B:Bladder
B: Bowel
L: Lochia (amount, color, odor)
E: Episiotomy/Perineum (check for hemorrhoids)
E: Estremities (exam for DVT)
E: Emotional (how well is baby/mother bond)
Vitals assessment Postpartum -
correct answer ✅-low grade temp = expected (concern >100.4)
-HR 40-80 = normal
-RR: 12-20= normal
-BP: 120/80= normal
-pain Q15min for 1 hr, then Q30min until transfer to PP
-Q30min-1hr fundal check
,MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
Reproductive adaptations PP -
correct answer ✅*Cervical change*
-shape (slit like appearance)
-spongy/formless for 1st couple weeks
*Vaginal change*
-edematous, bruised
-enlarged
-dryness common w/ breastfeed
*Perineal change*
-hemorrhoids
-lacerations/episiotomy
*Ovarian Change*
-breastfeeding/no menses up to 3-18month
-1st ovulation before period (~6-11wks)
Family wellness -
correct answer ✅involve parents in nursing by encouraging
, MCN 273 EXAM 2 QUESTIONS AND
ANSWERS
rooming in, family centered care including siblings, alleviate fatigue
and provide private time to parents, health promotion education by
providing reassurance and describing normal behavior
Urinary adaptions to PP -
correct answer ✅-puerperal dieresis (getting rid of fluids through
urine)
-INC bladder capacity
-swelling/bruising of urethra
-INC risk for over-distended bladder
Cardiac adaptations to PP -
correct answer ✅-bradycardia expected (HR 40-80bpm)
-Tachycardia NOT expected (sign of dehydration or PP hemorrhage)
-Elevated WBCs expected
Musculoskeltal adaptations to PP -
correct answer ✅-uternine ligaments stretched
-loose abdominal wall
-diastasis recti abdominis (separation of abdominal muscles)
-stretch marks begin to fade
