MCN 374 Exam 2 Questions and Answers Latest
Versions 2025 A+
▪ Lochia should not have an offensive odor as this suggests the uterus has become
infected.
▪ Immediate intervention is needed to halt postpartal infection. -CORRECTANSWER
Lochia Evaluation - *Odor*
▪ Lochia should never be absent during the first 1 to 3 weeks as absence of lochia, like
presence of an offensive odor, may indicate postpartal infection.
▪ Lochia may be scant in amount after cesarean delivery, but it is never altogether
absent. -CORRECTANSWER Lochia Evaluation - *Absence*
•Scant - less than 2.5cm
•Light - less than 10cm
•Moderate - more than 10cm
•Heavy - one pad saturated within 2 hours
,•Excessive - one pad saturated in 15mins or less -CORRECTANSWER Name the 5
types of lochia amounts and their measurements
*It decreases by one fingerbreadth, or 1 cm, per day*
▪ Right after birth it's at the umbilicus
▪ For example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.
▪ In the average woman, by the ninth or tenth day, the uterus will have contracted so
much that it is withdrawn into the pelvis and can no longer be detected by abdominal
palpation -CORRECTANSWER Postpartum: *Fundal Height Changes*
▪ Palpate the fundus of the uterus by placing one hand on the base of the uterus, just
above the symphysis pubis, and the other at the umbilicus.
▪ Press in and downward with the hand at the umbilicus until you "bump" against a firm
globular mass in the abdomen: the uterine fundus -CORRECTANSWER How do you
palpate the fundus?
episiotomy -CORRECTANSWER incision made into the perineum to enlarge the
vaginal opening to help with delivery
laceration -CORRECTANSWER a tear during labor
,•Promote measures for the client to help soften her stool (stool softeners or high fiber
foods like fruit, fluids)
•Sitz baths
•NO Enemas or Suppositories
•Analgesics
•Ice packs for comfort
•Educate on proper cleaning to prevent infection
- wash hands before and after
- use squeeze bottle filled with warm water after each void to cleanse perineal area
- clean from front to back
- blot dry not wipe -CORRECTANSWER Nursing Care: *Laceration/Episiotomy*
•If fundus is displaced, then the bladder needs to be emptied.
•Pressure from the trauma of delivery cause urinary retention so it is important to
monitor I&O and to promote getting up and using the restroom every 2-3 hours -
CORRECTANSWER Postpartum: *Bladder Assessment*
epidurals
spinal tap
urinary catheters
vaginal swelling/trauma from birth -CORRECTANSWER Causes of *Urinary Retention*
, mastitis -CORRECTANSWER Is an infection of the breast involving the interlobular
connective tissue and is usually unilateral
•Localized heat and swelling
•Pain; tender axillary lymph nodes
•Elevated temperature
•Complaints of flulike symptoms
"wedge"
• When mastitis is the issue, your symptoms may be similar to having a clogged duct,
but they will be more intense, especially if the clogged duct is the reason for the
mastitis. Because the symptoms are so similar, it is important to start treating the clog
as soon as you notice it -CORRECTANSWER S/S: *Mastitis*
•Milk stasis from blocked duct
•Nipple trauma
•Poor breastfeeding techniques
•Poor hygiene -CORRECTANSWER Risk Factors: *Mastitis*
clogged (blocked or plugged) duct -CORRECTANSWER when one the of the many milk
ducts in the breast are obstructed and the milk flow is stopped or slowed.
Versions 2025 A+
▪ Lochia should not have an offensive odor as this suggests the uterus has become
infected.
▪ Immediate intervention is needed to halt postpartal infection. -CORRECTANSWER
Lochia Evaluation - *Odor*
▪ Lochia should never be absent during the first 1 to 3 weeks as absence of lochia, like
presence of an offensive odor, may indicate postpartal infection.
▪ Lochia may be scant in amount after cesarean delivery, but it is never altogether
absent. -CORRECTANSWER Lochia Evaluation - *Absence*
•Scant - less than 2.5cm
•Light - less than 10cm
•Moderate - more than 10cm
•Heavy - one pad saturated within 2 hours
,•Excessive - one pad saturated in 15mins or less -CORRECTANSWER Name the 5
types of lochia amounts and their measurements
*It decreases by one fingerbreadth, or 1 cm, per day*
▪ Right after birth it's at the umbilicus
▪ For example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.
▪ In the average woman, by the ninth or tenth day, the uterus will have contracted so
much that it is withdrawn into the pelvis and can no longer be detected by abdominal
palpation -CORRECTANSWER Postpartum: *Fundal Height Changes*
▪ Palpate the fundus of the uterus by placing one hand on the base of the uterus, just
above the symphysis pubis, and the other at the umbilicus.
▪ Press in and downward with the hand at the umbilicus until you "bump" against a firm
globular mass in the abdomen: the uterine fundus -CORRECTANSWER How do you
palpate the fundus?
episiotomy -CORRECTANSWER incision made into the perineum to enlarge the
vaginal opening to help with delivery
laceration -CORRECTANSWER a tear during labor
,•Promote measures for the client to help soften her stool (stool softeners or high fiber
foods like fruit, fluids)
•Sitz baths
•NO Enemas or Suppositories
•Analgesics
•Ice packs for comfort
•Educate on proper cleaning to prevent infection
- wash hands before and after
- use squeeze bottle filled with warm water after each void to cleanse perineal area
- clean from front to back
- blot dry not wipe -CORRECTANSWER Nursing Care: *Laceration/Episiotomy*
•If fundus is displaced, then the bladder needs to be emptied.
•Pressure from the trauma of delivery cause urinary retention so it is important to
monitor I&O and to promote getting up and using the restroom every 2-3 hours -
CORRECTANSWER Postpartum: *Bladder Assessment*
epidurals
spinal tap
urinary catheters
vaginal swelling/trauma from birth -CORRECTANSWER Causes of *Urinary Retention*
, mastitis -CORRECTANSWER Is an infection of the breast involving the interlobular
connective tissue and is usually unilateral
•Localized heat and swelling
•Pain; tender axillary lymph nodes
•Elevated temperature
•Complaints of flulike symptoms
"wedge"
• When mastitis is the issue, your symptoms may be similar to having a clogged duct,
but they will be more intense, especially if the clogged duct is the reason for the
mastitis. Because the symptoms are so similar, it is important to start treating the clog
as soon as you notice it -CORRECTANSWER S/S: *Mastitis*
•Milk stasis from blocked duct
•Nipple trauma
•Poor breastfeeding techniques
•Poor hygiene -CORRECTANSWER Risk Factors: *Mastitis*
clogged (blocked or plugged) duct -CORRECTANSWER when one the of the many milk
ducts in the breast are obstructed and the milk flow is stopped or slowed.
