NSG 310 Postpartum Exam Questions and Correct Answers
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Course
NSG 310
Institution
NSG 310
Lochia: phases -Vaginal discharge after childbirth -Rubra: 1-3 days; bright red -Serosa: 5-7 days; brownish or pink -Alba: 1-3 weeks; yellowish/creamy
Assessment of Lochia: amount -Scant: less than 2.5cm -Light: 2.5-10 cm -Moderate: more than 10cm -Heavy: one pad saturated within 1-2 hrs -Excessiv...
NSG 310 Postpartum Exam Questions
and Correct Answers
Lochia: phases ✅-Vaginal discharge after childbirth
-Rubra: 1-3 days; bright red
-Serosa: 5-7 days; brownish or pink
-Alba: 1-3 weeks; yellowish/creamy
Assessment of Lochia: amount ✅-Scant: less than 2.5cm
-Light: 2.5-10 cm
-Moderate: more than 10cm
-Heavy: one pad saturated within 1-2 hrs
-Excessive: one pad saturated in 15 min or less
Lochia: spurt of bright red blood ✅Cervical or vaginal tear
Lochia: large clots and excessive blood loss ✅Hemorrhage
Lochia: foul odor ✅Infection
Persistant Lochia Rubra ✅Beyond day one could indicate retained placental fragments
Lochia: continued flow beyond normal time, with fever, pain or abdominal tenderness
✅Endometritis
Return of menses: lactating and non-lactating ✅-Non-lactating: 4-8 weeks
-Lactation: 8 weeks - 14 months (ovulation 6 weeks)
First week: hormones ✅-Estrogen and progesterone decrease
-Diuresis: increased urine excretion
-Diaphoresis: perspiration
, First week: pulse, stroke volume, cardiac output ✅Increase for first hour postpartum;
decrease by 8-10 weeks
First week: blood pressure ✅Remains within normal limits
First week: temperature ✅Elevated to 38C (100.4) due to dehydration after labor; may
occur up to 24 hrs only
Postpartum: hematocrit, WBC, coagulation/fibrinogen ✅-Hematocrit: drop moderately
for 3-4 days then begin to increase and reach non pregnant levels by 8 weeks
postpartum
-WBC: first 4-7 days after birth; 20,000-25,000mm are common
-Coagulation factors/fibrinogen levels: increase and remain elevated for 2-3 weeks
postpartum (predispose to thrombus)
Postpartum: urinary retention, distended bladder, amount ✅-Due to decreased bladder
tone and elasticity or decreased sensation due to trauma, medications, or anesthesia
-Distended bladder can cause uterine atony
-Check voiding Q2-3 hrs; less than 150 ml may indicate urinary retention
Postpartum: fading of pigmentation changes ✅6 weeks
Postpartum: joints, muscle tone, diastasis ✅-Joints: return to prepregnant state 6-8
weeks
-Muscle tone: restored due to removal of progesterone effect following delivery of
placenta
-Diastasis: separation of rectus muscle 2-4cm; resolve within 6 weeks
Postpartum: abdomen ✅-Striae may persist
-Diastasis recti abdominis
Postpartum: endocrine ✅-Placental hormones: decreased after delivery of placenta
-Decreased insulinase: immediately after birth
-Decreased progesterone: increase in muscle tone
-Decreased estrogen: vaginal dryness until menstruation resumes
Postpartum: psychosocial ✅-Taking in: introspection, recounts birth, dependent
-Taking hold: self care, engages in infant care
-Letting go: views infant as separate
Postpartum Physical Assessment: BUBBLE ✅-B: breasts
-U: uterus (fundal height, uterine placement, consistency)
-B: bowel and GI function
-B: bladder function
-L: lochia
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