NURS 2910 Postpartum & Newborn Test
Latest Update
What is the first process in involution of the uterus? - ANSWER contraction of the muscle
fibers
What is the second process of the involution of the uterus? - ANSWER Catabolic
processes-autolysis of endometrial cells
What is the third process of the involution of the uterus? - ANSWER Regeneration of
uterine epithelium
What are uterine contractions? - ANSWER contractions that are necessary to achieve
hemostatic at the placental cite
Uterine contractions are stimulated by - ANSWER oxytocin, breastfeeding
What is lochia ruba? - ANSWER discharge from days 1-3
What does lochia ruba look like? - ANSWER red/brown
What is lochia serosa? - ANSWER discharge for days 4-10
What does lochia serosa look like? - ANSWER pinkish brown
What is lochia alba? - ANSWER discharge from days 11-21
What does lochia alba look like? - ANSWER white, creamy, light yellow
What is a perineum laceration? - ANSWER classified in degrees to describe the amount
of tissue involved
What is a first degree laceration? - ANSWER Involves the superficial vaginal mucosa or
perineal skin
What is second degree laceration? - ANSWER Involves the vaginal mucosa, perineal
skin, and deeper tissues, which may include fascia and muscles of the perineum
What is the third degree laceration? - ANSWER Same as second-degree lacerations but
involves the anal sphincter
What is a fourth degree laceration? - ANSWER Extends through the anal sphincter into
the rectal mucosa
BUBBLEEE Assessment - ANSWER *Breasts and nipples
*Uterus
, *Bladder
*Bowels
*Lochia
*Episiotomy/incision
*Extremities
*Emotional status
What do you assess for breasts and nipples? - ANSWER - Observe the color of both
breasts, noting discolorations or
redness- Assess whether the mother is experiencing pain or discomfort
- Evaluate the condition of nipples (normal or inverted,
intact or cracked and sore)
- Assess consistency of the breasts (soft, firm, full,
engorged)
- Observe latch-on if the mother is breastfeeding
What do you assess for the uterus? - ANSWER assess for abdomen and fundus
What do you assess for bladder and bowel assessment? - ANSWER Assess for signs of
distended bladder, constipation, if the patient is eliminating properly
What do you assess for in a lochia assessment? - ANSWER Volume of lochia flow
according to the amount of flow on perineal pad after 1-3 hours
What do you assess for in an episiotomy assessment? - ANSWER - Inspect with the
woman lying on her side: Lift the buttock to expose the perineum and the anus
- Assess and evaluate the episiotomy/laceration for healing, approximation, ecchymosis,
discharge and swelling (REEDA)
- assess for hemorrhoids
What do you assess for in a incision assessment? - ANSWER - Assess the incision from
the C-section
- Assess for healing, approximation, ecchymosis, discharge and swelling
What do you assess for in the extremities? - ANSWER - thrombophlebitis
- edema
Latest Update
What is the first process in involution of the uterus? - ANSWER contraction of the muscle
fibers
What is the second process of the involution of the uterus? - ANSWER Catabolic
processes-autolysis of endometrial cells
What is the third process of the involution of the uterus? - ANSWER Regeneration of
uterine epithelium
What are uterine contractions? - ANSWER contractions that are necessary to achieve
hemostatic at the placental cite
Uterine contractions are stimulated by - ANSWER oxytocin, breastfeeding
What is lochia ruba? - ANSWER discharge from days 1-3
What does lochia ruba look like? - ANSWER red/brown
What is lochia serosa? - ANSWER discharge for days 4-10
What does lochia serosa look like? - ANSWER pinkish brown
What is lochia alba? - ANSWER discharge from days 11-21
What does lochia alba look like? - ANSWER white, creamy, light yellow
What is a perineum laceration? - ANSWER classified in degrees to describe the amount
of tissue involved
What is a first degree laceration? - ANSWER Involves the superficial vaginal mucosa or
perineal skin
What is second degree laceration? - ANSWER Involves the vaginal mucosa, perineal
skin, and deeper tissues, which may include fascia and muscles of the perineum
What is the third degree laceration? - ANSWER Same as second-degree lacerations but
involves the anal sphincter
What is a fourth degree laceration? - ANSWER Extends through the anal sphincter into
the rectal mucosa
BUBBLEEE Assessment - ANSWER *Breasts and nipples
*Uterus
, *Bladder
*Bowels
*Lochia
*Episiotomy/incision
*Extremities
*Emotional status
What do you assess for breasts and nipples? - ANSWER - Observe the color of both
breasts, noting discolorations or
redness- Assess whether the mother is experiencing pain or discomfort
- Evaluate the condition of nipples (normal or inverted,
intact or cracked and sore)
- Assess consistency of the breasts (soft, firm, full,
engorged)
- Observe latch-on if the mother is breastfeeding
What do you assess for the uterus? - ANSWER assess for abdomen and fundus
What do you assess for bladder and bowel assessment? - ANSWER Assess for signs of
distended bladder, constipation, if the patient is eliminating properly
What do you assess for in a lochia assessment? - ANSWER Volume of lochia flow
according to the amount of flow on perineal pad after 1-3 hours
What do you assess for in an episiotomy assessment? - ANSWER - Inspect with the
woman lying on her side: Lift the buttock to expose the perineum and the anus
- Assess and evaluate the episiotomy/laceration for healing, approximation, ecchymosis,
discharge and swelling (REEDA)
- assess for hemorrhoids
What do you assess for in a incision assessment? - ANSWER - Assess the incision from
the C-section
- Assess for healing, approximation, ecchymosis, discharge and swelling
What do you assess for in the extremities? - ANSWER - thrombophlebitis
- edema
