OB Week 8 PP

A nurse assesses a client 12 hours after a vaginal birth. Which finding is expected?

Fundus at or 1 cm above the umbilicus

Which lochia assessment requires immediate intervention?

Saturating one pad in 15 minutes

The nurse identifies which lochia as normal on postpartum day 6?

Serosa

A postpartum client's uterus feels boggy. What is the nurse's priority action?

Massage the fundus

The nurse notes the fundus is displaced to the right. What is the most likely cause?

Full bladder

Which postpartum finding is expected?

Pulse 52 bpm

Which statement indicates understanding of breastfeeding?

Mature milk appears around days 4–5.

A breastfeeding client has painful breast engorgement. Which intervention should the nurse recommend?

Warm compress before feeding

Which intervention is appropriate for a mother NOT breastfeeding?

Tight supportive bra

Which postpartum lochia progression is correct?

Rubra → Serosa → Alba

Which REEDA finding requires follow-up?

Purulent drainage

A client sustained a third-degree laceration. Which structure was involved?

Anal sphincter

Which laceration is most severe?

Fourth-degree

Why is postpartum constipation common?

Fear of straining

Which urinary adaptation contributes to urinary retention?

Perineal edema

Which factor contributes to postpartum diuresis?

Declining oxytocin

Which postpartum finding is expected?

Pigmentation fades gradually

Which endocrine change occurs after birth?

Rapid decline in placental hormones

A non-lactating client asks when menstruation usually returns.

7–9 weeks

The nurse teaches breastfeeding mothers that lactation:

Should not be used as birth control

Baby blues typically:

Peak days 4–5

Which finding suggests postpartum depression?

Persistent depression for several weeks

During Rubin's Taking-In phase, the nurse expects the mother to:

Depend on others while discussing labor

Which behavior represents Rubin's Taking-Hold phase?

Begins learning newborn care

Which behavior demonstrates the Letting-Go phase?

Accepting new family roles

Which finding demonstrates paternal engrossment?

Identifies infant's unique features

Which postpartum assessment finding requires immediate notification?

Heavy bleeding with boggy uterus

Which client is at greatest risk for severe afterpains?

Multipara breastfeeding

Which assessment finding is expected in the first postpartum week?

Diaphoresis

The nurse is assessing a postpartum client using the BUBBLE-HE mnemonic. Which sequence is correct?

Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Extremities