NUR 254 Exam 2 Questions with Verified
Correct Answers
Postpartum period
a period of adjustment for parents and their newborn during the six weeks after birth
Early Maternal Assessment
Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra
Bright Red
1-3 days
Serosa
Pinkish-brown
4-10 days
Alba
Whitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4
Probable infection
Lochia that is continued flowing
Indicates endometritis
Uterus
,Involution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE
Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
COLA
Color
Odor
Last Void/BM
Amount
Heavy Bleeding
Saturated in 15 minutes or less & pooling of blood requires immediate intervention &
notifying MD
REEDA
, redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state
Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care
-Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents
Consumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA
Gestational Conditions
Rubins Maternal Tasks Phase 1
Taking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2
Correct Answers
Postpartum period
a period of adjustment for parents and their newborn during the six weeks after birth
Early Maternal Assessment
Vital Signs
Fundal, Lochia, Perineum Assessment
Rubra
Bright Red
1-3 days
Serosa
Pinkish-brown
4-10 days
Alba
Whitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4
Probable infection
Lochia that is continued flowing
Indicates endometritis
Uterus
,Involution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE
Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
COLA
Color
Odor
Last Void/BM
Amount
Heavy Bleeding
Saturated in 15 minutes or less & pooling of blood requires immediate intervention &
notifying MD
REEDA
, redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state
Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care
-Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents
Consumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA
Gestational Conditions
Rubins Maternal Tasks Phase 1
Taking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2
