NURS 254 EXAM 2 REVIEW SET ACCURATE QUESTIONS AND ANSWERS 2026 GALEN COLLEGE OF NURSING

NURS 254 EXAM 2 REVIEW SET ACCURATE QUESTIONS AND ANSWERS 2026 GALEN COLLEGE OF NURSING Postpartum Hemorrhaging - -Check the Peri-pads to determine how much the patient is hemorrhaging Vaginal Delivery - -Blood Loss 500ml C section Delivery - -Blood Loss 1000ml Lochia - -Postpartum Discharge Rubra - -Lasts 3 to 5 days Serosa - -Last 3 days to 2 weeks Alba - -White or yellowish discharge Rubra - -Red discharge Serosa - -Pink discharge Discharge order - -Rubra, Serosa, Alba Promote Uterine Contraction - -Breast feeding Promote Uterine Contraction - -Administration of Oxytocin Promote Uterine Contraction - -Massage the uterus Uterus - -Sits above the umbilicus immediately after delivery Uterus - -Boggy after delivery Uterus - -Back into normal position after 9 days (true pelvis) Location of the Fundus - -Feel at the top NURS 254 NURS 254 Boggy Fundus - -Treatment: Massage, massage, massage Lack of contraction of fundus - -Cause: Full bladder Lack of contraction of fundus - -Cause: Lack of feeling in the lower half of the bladder due to epideral Deviates uterus to the side - -Cause: Full bladder Difficulty emptying the bladder - -Cause: Macrosomic baby Difficulty emptying the bladder - -Cause: Twins Difficulty emptying the bladder - -Treatment: Quick Catheterization Lack of contraction of Uterus - -When was the last time you voided? Too much bleeding - -Saturated peripad within and hour Perineum on fire (painful) - -Treatment: First 24 hours use cold (ice). 10 mins on 10 mins off Perineum on fire (painful) - -Treatment: After 24+ hours, warm water and heat (sitz bath) Cleanse Perineum - -Treatment: Peri bottle (warm water) to clean from front to back UTI - -Prevention: Peri bottle (warm water) to clean from front to back UTI - -Prevention: Pat perineum dry from front to back Toileting - -Use peri bottle each time to cleanse the area from front to back Postpartum Bleeding - -Cause: Lacerations and Tears Late Postpartum Bleeding at home - -Cause: Retained Placenta Episiotomy - -Assess to see how it is healing Source of infection - -Episiotomy, tears, C section, uti, prolonged ruptured membranes, long labor, foley catheter Temerature 100.4 - -Indicates dehydration, up to 24 hours after birth Dehydration ( 100.4 temp) - -Push fluids NURS 254 NURS 254 After birth Vitals - -Pulse increased but begins to decrease, respiratory rate normal, bp increased but decreasing Bowel Movement - -3 days max, after birth Bowel Movement - -Increase fluids, stool softener, fiber Colostrum - -the first secretion from the mammary glands after giving birth, rich in antibodies. Colostrum - -helps G.I. system and normal bowel movements for mother Breast Feeding - -Try different positions to accomplish this Nipple confusion - -switching between breast and bottle Reduce Lactation - -Snug fitting bra Reduce Lactation - -There are no drugs for this Reduce Lactation - -No warm water on the breasts Reduce Lactation - -Apply ice packs to reduce Reduce Lactation - -Cabbage leaves in the refrigerators and applying in bra Reduce Lactation - -Do not expel milk or feed with breasts After Pain - -Tylenol if not breast feeding After Pain - -Light analgesic if not breast feeding Infection - -Temperature will be greater than 100.4 Mastitis - -Flu like symptoms (fever, chills, irritability, restlessness) Mastitis - -Granulation on the breast Mastitis - -Caused by staphylococcus aureus Mastitis - -Painful breast Mastitis - -Treatment: Antibiotics Mastitis - -Treatment: Alternate hot and cold packs NURS 254 NURS 254 Mastitis - -Treatment: Breast feed Mastitis - -If too painful to feed on infected breast, switch breast but be sure to expel milk from affected breast Assess Fundus - -Stabilize hand at the symphysis pubis to palpate from the top of the fundus. Cervix - -Takes 10 days to close after birth Prolapse the uterus - -If you do not stabilize the fundus prior to palpating it Postpartum mom stands up first time - -Gush of blood Uterine Atony - -If your uterus is not contracting post birth of baby Atony - -Without tone Massaging - -Tones the uterus Pitocin - -Tones up the uterus, Used to promote uterine contractions, to stop bleeding Methergine - -Increases bp, Used to promote uterine contractions, to stop bleeding Methergine - -Do not give to hypertensive, eclampsia, preeclampsia patient Misoprostol - -Used to promote uterine contractions, to stop bleeding 15 Methylprostaglandin - -Used to promote uterine contractions, to stop bleeding 15 Methylprostaglandin - -Contraindicated if patient has asthmas Involution - -When the uterus contracts and go back into prepregnancy place Subinvolution - -When the uterus does not contract and does not go back into prepregnancy place Perineal Trauma - -Uteral, Perineal, and Cervical lacerations Retained Placenta - -Treatment: Go in and curettage and ed&c to get rid of debris left in uterus Endometritis - -Infection in the uterine lining Endometritis - -Cause: Group beta strept or NURS 254 NURS 254 Gestational Diabetes - -After delivery decreased insulin need Gestational Diabetes - -Type 2 diabetes can develop post baby Skin to Skin - -promotes heat and bonding Taking In - -Mom is looking at the baby, counting fingers and toes, looking for birth marks, looking at the color of baby, talking about the birth Taking Hold - -Mom goes home with baby and feels as though they can care for the baby by themselves Letting Go - -Mom can go and know that the baby can survive without you and with someone else Postpartum Blues - -Crying at inappropriate times Postpartum Blues - -Start to worry when the mom doesn't take care of themselves or the baby Postpartum Blues (Psychotic) - -Mom hurts herself, her baby, or other children After Pain - -Occurs after second child After Pain - -Uterus does not contract as well because it has been stretched out so much After Pain - -Occurs when you breast feed because of the release of oxytocin while doing so Clot - -May occur after the mom has gone home Kegel Exercises - -Tightens the pelvic muscles Kegel Exercises - -Urine leakage if you do not do this Rectocele or Cystocele - -If you do not strengthen the pelvic muscles after birth Rectocele - -Pass feces through vagin