Assessment, Monitoring, and Management of
Maternal Physiologic and Psychosocial Adaptation
Including Uterine Involution, Lochia Progression,
Fundal Tone, Perineal and C-section Wound
Healing, Pain Management, Vital Signs Monitoring,
Hemodynamic Stability, Bladder and Bowel
Function, Lactation and Breastfeeding (Colostrum
and Milk Production), Postpartum Hemorrhage,
Thromboprophylaxis, Infection Prevention,
Endocrine and Hormonal Changes, GI and
Musculoskeletal Adaptation, Emotional Adjustment
and Bonding, Patient Education, and Identification
of High-Risk Complications Exam Questions
Verified and Provided with A+ Graded Rationales
Latest Updated 2026
vaginal or c section
tears or episiotomy?
swelling
IVF
recent pain meds
breast or bottle
blood type
HIV history or GBS
history of STI?
Hemorrhoids
Fundus location/firm?
voiding
BM
questions to ask about PP patient
, Q15 min for 1 hour
Q30 min for second hour
Q4 for 24 hours
then once every 8 hour shift
how often should you get VS on PP mother
involution
uterine tone and position
lochia
PP nursing care includes assessment of:
diaphoresis-good thing and expected. gets rid of excess fluid.
prolactin levels change
drop in estrogen/oxytocin level after birth that causes
(happens about 12 hours after birth)
distended bladder
--can cause uterine atony (boggy)
--can cause the uterus to go to the left or right
cystitis
**collect and measure first 2 voids
patient should void within 6 hours after delivery because:
150 ml - 200 ml the first two voids
after 12 hours if they have not voided get a straight cath. but they should void:
last void and if she changed her pad
last time she breastfed
experiencing afterpains?
when she last ambulated
nurse should ask the PP patient:
place the patient supine and put one hand down over the lower uterine segment to support the
bladder and take the other hand to the umbilicus area.
uterus should be firm, midline, and near the level of the umbilicus
how to assess uterus
boggy uterus