NURS 6700 Final Examination
Questions with Accurate Solved
Solutions 2025-2026 Updated.
the postpartum period is? - Answer the interval between birth and the return of the
reproductive organs to their normal non pregnant state this period is sometimes referred to as
the puerperium, or fourth trimester of pregnancy
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus
is noted to be displaced laterally to the right, and there is uterine atony. The nurse should
identify which of the following conditions as a cause of uterine atony?
a. poor involution
b. urinary retention
c. hemorrhage
d. infection - Answer b
What happens when the uterus involutes? - Answer at the end of the third stage of labor, the
uterus is in the midline approximately 2cm below the level of the umbilicus, with the fundus
resting on the sacral promontory.
Within 12 hours the fundus can rise to approximately 1cm above the umbilicus
by 24 hours after birth the uterus is about the same size as it was at 20 weeks of gestation
involution progresses rapidly during the next few days
the fundus descends 1 to 2 cm every 24 hours
by the sixth postpartum day the fundus is normally located halfway between the umbilicus and
,the return of the uterus to a non pregnant state after birth is called? - Answer involution
when does involution take place? - Answer this process begins immediately after expulsion of
the placenta with contraction of the uterine smooth muscle
the uterus which at full term weighs approximately 11 times its pre pregnancy weight, involutes
to approximately? - Answer 500g by 1 week after birth and to 300g by 2 weeks after brith
by 4 weeks postpartum it weights approximately 100g which is the non pregnant size
increased estrogen and progesterone levels are responsible for stimulating the massive growth
of the uterus during pregnancy. Uterine growth results from both hyperplasia (an increase in
the number of muscle cells) and hypertrophy (an enlargement of the existing cells). After brith
the decrease in these hormones causes? - Answer autolysis which is the self destruction of
excess hypertrophied tissue
sub involution is? - Answer the failure of the uterus to return to a non pregnant state due to
ineffective uterine contractions
the most common cause of sub involution is? - Answer retained placental fragments and
infection
The characteristics of post birth uterine discharge known as lochia, correlate with? - Answer
uterine involution and changes in the endometrium
most women experience lochia for 4 to 6 weeks after brith
for the first 2 hours after birth what are the characteristics of lochia? - Answer the amount of
uterine discharge should be about that of a heavy menstrual period
after that time local flow will steadily decrease in amount and the characteristics appearance of
the lochia will change
describe the rubra lochia - Answer appearance: red
,contents: blood from placental site, trophoblastic tissue debris, vernix, lanugo, meconium
describe serosa lochia - Answer appearance: pinkish-brown
timing after birth: 4-10 days
contents: blood, wound exudate, RBCs, WBCs, trophoblastic tissue debris, cervical mucus,
microorganisms
describe alba lochia - Answer appearance: whitish-yellow
time after birth: 10-14 days, can last 3-6 weeks
contents: WBCs, trophoblastic tissue debris
hemorrhoids (anal varicosities) are common and often develop during pregnancy and internal
hemorrhoids can evert while the woman is pushing during birth. After birth what occurs to the
hemorrhoids - Answer women often experience associated symptoms such as itching,
discomfort, and bright red bleeding with defecation
hemorrhoids usually decrease in size within 6 weeks of brith and eventually regress
what changes occur in the breasts after birth? - Answer promptly after brith, a decrease
occurs in the cocnetraiton of hormones (estrogens, progesterone, hCG, prolactin, cortisol, and
insulin) that stimulated breast development during pregnancy
the time required for these hormones to return to prepregnancy levels is determine in part by
whether or not the mother breast-fed her infant
during the first 24 hours after brith there is little if any change in the breast tissue. ____ or early
milk a clear yellow fluid can be expressed from the breasts. - Answer colostrum
the breasts gradually become fuller and heavier as the colostrum transitions to mature milk by
about 72 to 96 hours after birth this is often referred to as? - Answer "milk coming in" or
, bluish white milk with a skim milk appearance (true milk) can be expressed from the nipples
as milk glands and milk ducts fill with milk, breast tissue can feel somewhat nodular or lymph
engorgement - Answer as the milk glands and ducts fill with milk the breast tissue can feel
somewhat nodular or lymph some women experience engorgement at this time due to an
increase in blood and lymphatic fluids as milk production increases
they are hard uncomfortable and mild temperature elevation can occur the fullness of the
nipple tissue can make it difficult for the infant to latch on and feed
temporary lasts only 24 to 48 hours
vital signs after birth what occurs to the temperature? - Answer during first 24 hours
temperature can increase to 100.4 as a result of dehydrating effects of labor
after 24 hours the woman should be afebrile
vital signs after birth what occurs to the pulse - Answer pulse, along with stroke volume and
cardiac output, remains elevated for the first hour or so after birth
it gradually decreases over the first 48 hours postpartum
puerperal bradycardia (40-50 beats/min) is common
vital signs after birth what occurs to the respiratory rate - Answer the respiratory rate, which
was unchanged or slightly increased during pregnancy should be within the woman's normal
pre pregnancy range soon after birth
vital signs after birth what occurs to the blood pressure - Answer blood pressure shows a
transient increase of approximately 5% over the first few days after birth, returning to pre
pregnancy levels over weeks or months
Questions with Accurate Solved
Solutions 2025-2026 Updated.
the postpartum period is? - Answer the interval between birth and the return of the
reproductive organs to their normal non pregnant state this period is sometimes referred to as
the puerperium, or fourth trimester of pregnancy
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus
is noted to be displaced laterally to the right, and there is uterine atony. The nurse should
identify which of the following conditions as a cause of uterine atony?
a. poor involution
b. urinary retention
c. hemorrhage
d. infection - Answer b
What happens when the uterus involutes? - Answer at the end of the third stage of labor, the
uterus is in the midline approximately 2cm below the level of the umbilicus, with the fundus
resting on the sacral promontory.
Within 12 hours the fundus can rise to approximately 1cm above the umbilicus
by 24 hours after birth the uterus is about the same size as it was at 20 weeks of gestation
involution progresses rapidly during the next few days
the fundus descends 1 to 2 cm every 24 hours
by the sixth postpartum day the fundus is normally located halfway between the umbilicus and
,the return of the uterus to a non pregnant state after birth is called? - Answer involution
when does involution take place? - Answer this process begins immediately after expulsion of
the placenta with contraction of the uterine smooth muscle
the uterus which at full term weighs approximately 11 times its pre pregnancy weight, involutes
to approximately? - Answer 500g by 1 week after birth and to 300g by 2 weeks after brith
by 4 weeks postpartum it weights approximately 100g which is the non pregnant size
increased estrogen and progesterone levels are responsible for stimulating the massive growth
of the uterus during pregnancy. Uterine growth results from both hyperplasia (an increase in
the number of muscle cells) and hypertrophy (an enlargement of the existing cells). After brith
the decrease in these hormones causes? - Answer autolysis which is the self destruction of
excess hypertrophied tissue
sub involution is? - Answer the failure of the uterus to return to a non pregnant state due to
ineffective uterine contractions
the most common cause of sub involution is? - Answer retained placental fragments and
infection
The characteristics of post birth uterine discharge known as lochia, correlate with? - Answer
uterine involution and changes in the endometrium
most women experience lochia for 4 to 6 weeks after brith
for the first 2 hours after birth what are the characteristics of lochia? - Answer the amount of
uterine discharge should be about that of a heavy menstrual period
after that time local flow will steadily decrease in amount and the characteristics appearance of
the lochia will change
describe the rubra lochia - Answer appearance: red
,contents: blood from placental site, trophoblastic tissue debris, vernix, lanugo, meconium
describe serosa lochia - Answer appearance: pinkish-brown
timing after birth: 4-10 days
contents: blood, wound exudate, RBCs, WBCs, trophoblastic tissue debris, cervical mucus,
microorganisms
describe alba lochia - Answer appearance: whitish-yellow
time after birth: 10-14 days, can last 3-6 weeks
contents: WBCs, trophoblastic tissue debris
hemorrhoids (anal varicosities) are common and often develop during pregnancy and internal
hemorrhoids can evert while the woman is pushing during birth. After birth what occurs to the
hemorrhoids - Answer women often experience associated symptoms such as itching,
discomfort, and bright red bleeding with defecation
hemorrhoids usually decrease in size within 6 weeks of brith and eventually regress
what changes occur in the breasts after birth? - Answer promptly after brith, a decrease
occurs in the cocnetraiton of hormones (estrogens, progesterone, hCG, prolactin, cortisol, and
insulin) that stimulated breast development during pregnancy
the time required for these hormones to return to prepregnancy levels is determine in part by
whether or not the mother breast-fed her infant
during the first 24 hours after brith there is little if any change in the breast tissue. ____ or early
milk a clear yellow fluid can be expressed from the breasts. - Answer colostrum
the breasts gradually become fuller and heavier as the colostrum transitions to mature milk by
about 72 to 96 hours after birth this is often referred to as? - Answer "milk coming in" or
, bluish white milk with a skim milk appearance (true milk) can be expressed from the nipples
as milk glands and milk ducts fill with milk, breast tissue can feel somewhat nodular or lymph
engorgement - Answer as the milk glands and ducts fill with milk the breast tissue can feel
somewhat nodular or lymph some women experience engorgement at this time due to an
increase in blood and lymphatic fluids as milk production increases
they are hard uncomfortable and mild temperature elevation can occur the fullness of the
nipple tissue can make it difficult for the infant to latch on and feed
temporary lasts only 24 to 48 hours
vital signs after birth what occurs to the temperature? - Answer during first 24 hours
temperature can increase to 100.4 as a result of dehydrating effects of labor
after 24 hours the woman should be afebrile
vital signs after birth what occurs to the pulse - Answer pulse, along with stroke volume and
cardiac output, remains elevated for the first hour or so after birth
it gradually decreases over the first 48 hours postpartum
puerperal bradycardia (40-50 beats/min) is common
vital signs after birth what occurs to the respiratory rate - Answer the respiratory rate, which
was unchanged or slightly increased during pregnancy should be within the woman's normal
pre pregnancy range soon after birth
vital signs after birth what occurs to the blood pressure - Answer blood pressure shows a
transient increase of approximately 5% over the first few days after birth, returning to pre
pregnancy levels over weeks or months
