NUR 254 EXAM 2 QUESTIONS AND
ANSWERS 2025
Postpartum period - ANSWERSa period of adjustment for parents and their newborn
during the six weeks after birth
Early Maternal Assessment - ANSWERSVital Signs
Fundal, Lochia, Perineum Assessment
Rubra - ANSWERSBright Red
1-3 days
Serosa - ANSWERSPinkish-brown
4-10 days
Alba - ANSWERSWhitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4 - ANSWERSProbable infection
Lochia that is continued flowing - ANSWERSIndicates endometritis
Uterus - ANSWERSInvolution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE - ANSWERSBreasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
COLA - ANSWERSColor
Odor
Last Void/BM
Amount
Heavy Bleeding - ANSWERSSaturated in 15 minutes or less & pooling of blood requires
immediate intervention & notifying MD
, REEDA - ANSWERSredness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state - ANSWERSIncreased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care - ANSWERS-Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents - ANSWERSConsumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA - ANSWERSGestational Conditions
Rubins Maternal Tasks Phase 1 - ANSWERSTaking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2 - ANSWERSTaking Hold
Doing baby's care & feeding
Rubins Maternal Tasks Phase 3 - ANSWERSLetting Go
Letting others hold or care for baby
Uterine Atony - ANSWERSinability of the uterus to contract effectively
boggy fundus
Early Postpartum Hemorrhage - ANSWERSFirst 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage - ANSWERS24 hours to 12 weeks after birth.
Cause- retained placenta
Hypotension-Late s/s
Postpartum Hemorrhage Management - ANSWERSFundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
Surgical Intervention
Fluid Replacement
Hematomas - ANSWERSDiscoloration of perineum, perineal pain, edema, rectal
pressure, bleeding
ANSWERS 2025
Postpartum period - ANSWERSa period of adjustment for parents and their newborn
during the six weeks after birth
Early Maternal Assessment - ANSWERSVital Signs
Fundal, Lochia, Perineum Assessment
Rubra - ANSWERSBright Red
1-3 days
Serosa - ANSWERSPinkish-brown
4-10 days
Alba - ANSWERSWhitish-yellow
10-14 days, can last 3-6 weeks
Temperature above 100.4 - ANSWERSProbable infection
Lochia that is continued flowing - ANSWERSIndicates endometritis
Uterus - ANSWERSInvolution
Within 24 hours at umbilicus
2 weeks postpartum should not be felt
BUBBLE-HE - ANSWERSBreasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional Status
COLA - ANSWERSColor
Odor
Last Void/BM
Amount
Heavy Bleeding - ANSWERSSaturated in 15 minutes or less & pooling of blood requires
immediate intervention & notifying MD
, REEDA - ANSWERSredness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state - ANSWERSIncreased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care - ANSWERS-Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents - ANSWERSConsumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA - ANSWERSGestational Conditions
Rubins Maternal Tasks Phase 1 - ANSWERSTaking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2 - ANSWERSTaking Hold
Doing baby's care & feeding
Rubins Maternal Tasks Phase 3 - ANSWERSLetting Go
Letting others hold or care for baby
Uterine Atony - ANSWERSinability of the uterus to contract effectively
boggy fundus
Early Postpartum Hemorrhage - ANSWERSFirst 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage - ANSWERS24 hours to 12 weeks after birth.
Cause- retained placenta
Hypotension-Late s/s
Postpartum Hemorrhage Management - ANSWERSFundal Massage
Vital Signs
Medications *Hemabate- no usage if pt has asthma*
Surgical Intervention
Fluid Replacement
Hematomas - ANSWERSDiscoloration of perineum, perineal pain, edema, rectal
pressure, bleeding
