NR 327 POSTPARTUM ISBAR
EXAMINATION TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⩥ At 20 weeks, where is the fundus? Answer: At the umbilicus
⩥ At 36 weeks, where is the fundus? Answer: At the xiphoid process
⩥ What is Chadwick's sign? Answer: Bluish purple discoloration of the
cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion
⩥ What is Goodell's Sign? Answer: Softening of the cervix due to
increased vascularization.
⩥ What does leopold's position tell you? Answer: The position the baby
is in
⩥ For a vaginal birth, how much blood loss indicates a hemorrhage?
Answer: 500 mls
⩥ For a C-section, how much blood loss indicates a hemorrhage?
Answer: 1000 mls
,⩥ Saturating 1 pad/hr is a sign of postpartum hemorrhage. True or False
Answer: True
⩥ What are s/s of postpartum hemorrhage? Answer: Low BP
Increased HR
Pallor
Clots
LOC changes
⩥ In early postpartum hemorrhage, what is the most common cause?
Answer: Uterine Atony
⩥ What is uterine atony? Answer: There is a lack of muscle tone, this
allows for bleeding from the endometrial arteries at the placental site.
⩥ What are risk factors for uterine atony? Answer: obesity
too much amniotic fluid
long labor, large baby
⩥ What are s/s of uterine atony? Answer: a boggy uterus
fundus that's difficult to locate
uterus is tone when massages, but becomes soft when stopped
, Fundus is located above expected site
excessive lochia, bright red
excessive clots
⩥ What should the uterus feel like 24 hours after birth? Answer: the
uterus should feel like a firmly contracted ball roughly the size of a large
grapefruit. It should be easily located at about the level of the umbilicus.
Lochia should be dark red
⩥ What is the first nursing intervention in uterine atony? Answer:
Massage the fundus until firm
⩥ What does Methergine do? Answer: Stimulates uterine contraction
and causes arterial vasoconstriction
⩥ What is contraindicated for Methergine? Answer: Hypertension
⩥ What does Hemabate do? Answer: Treatment of postpartum
hemorrhage caused by uterine atony
⩥ What is contraindicated for Hemabate? Answer: Asthma
⩥ What is the second most common cause of postpartum hemorrhage?
Answer: Trauma
EXAMINATION TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⩥ At 20 weeks, where is the fundus? Answer: At the umbilicus
⩥ At 36 weeks, where is the fundus? Answer: At the xiphoid process
⩥ What is Chadwick's sign? Answer: Bluish purple discoloration of the
cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion
⩥ What is Goodell's Sign? Answer: Softening of the cervix due to
increased vascularization.
⩥ What does leopold's position tell you? Answer: The position the baby
is in
⩥ For a vaginal birth, how much blood loss indicates a hemorrhage?
Answer: 500 mls
⩥ For a C-section, how much blood loss indicates a hemorrhage?
Answer: 1000 mls
,⩥ Saturating 1 pad/hr is a sign of postpartum hemorrhage. True or False
Answer: True
⩥ What are s/s of postpartum hemorrhage? Answer: Low BP
Increased HR
Pallor
Clots
LOC changes
⩥ In early postpartum hemorrhage, what is the most common cause?
Answer: Uterine Atony
⩥ What is uterine atony? Answer: There is a lack of muscle tone, this
allows for bleeding from the endometrial arteries at the placental site.
⩥ What are risk factors for uterine atony? Answer: obesity
too much amniotic fluid
long labor, large baby
⩥ What are s/s of uterine atony? Answer: a boggy uterus
fundus that's difficult to locate
uterus is tone when massages, but becomes soft when stopped
, Fundus is located above expected site
excessive lochia, bright red
excessive clots
⩥ What should the uterus feel like 24 hours after birth? Answer: the
uterus should feel like a firmly contracted ball roughly the size of a large
grapefruit. It should be easily located at about the level of the umbilicus.
Lochia should be dark red
⩥ What is the first nursing intervention in uterine atony? Answer:
Massage the fundus until firm
⩥ What does Methergine do? Answer: Stimulates uterine contraction
and causes arterial vasoconstriction
⩥ What is contraindicated for Methergine? Answer: Hypertension
⩥ What does Hemabate do? Answer: Treatment of postpartum
hemorrhage caused by uterine atony
⩥ What is contraindicated for Hemabate? Answer: Asthma
⩥ What is the second most common cause of postpartum hemorrhage?
Answer: Trauma
