NUR 254 EXAM 2 ACTUAL PAPER SOLVED
QUESTIONS
◉ 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
QUESTIONS
◉ 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