NSG 432 EXAM 2 NURSING CARE OF

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NSG 432 EXAM 2 (NURSING CARE OF

CHILDBEARING FAMILY) NEWEST 2025

ACTUAL EXAM COMPLETE 200+ QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED

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NSG 432 EXAM 2

Which maternal event is abnormal in the early after birth period?

• Diuresis and diaphoresis
• Flatulence and constipation
• Extreme hunger and thirst
• Lochial color changes from rubra to alba - CORRECT

ANSWER-Lochial color changes from rubra to alba

Rationale; For the first 3 days after childbirth, lochia is termed rubra. Lochia serosa follows, and then at about 11 days, the discharge becomes clear, colorless, or white. Diuresis and diaphoresis are the methods by which the body rids itself of increased plasma volume. Urine output of 3000 mL/day is common for the first few days after delivery and is facilitated by hormonal changes in the mother. Bowel tone remains sluggish for days. Many women anticipate pain during defecation and are unwilling to exert pressure on the perineum. The new mother is 1 / 4

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hungry because of energy used in labor and thirsty because of fluid restrictions during labor.

Which finding 12 hours after birth requires further assessment?

• The fundus is palpable two fingerbreadths above the

umbilicus.

• The fundus is palpable at the level of the umbilicus.
• The fundus is palpable one fingerbreadth below the umbilicus.
• The fundus is palpable two fingerbreadths below the

umbilicus. - CORRECT ANSWER -The fundus is palpable two fingerbreadths above the umbilicus.

Rationale; The fundus rises to the umbilicus after delivery and remains there for about 24 hours. A fundus that is above the umbilicus may indicate uterine atony or urinary retention. A fundus that is palpable at or below the level of the umbilicus is a normal finding for a patient who is 12 hours after birth.Palpation of the fundus 2 fingerbreadths below the umbilicus is an unusual finding for 12 hours after birth; however, it is still appropriate.

If the patient's white blood cell (WBC) count is 25,000/mm on her second after birth day, the nurse should

• tell the physician immediately. 2 / 4

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• have the laboratory draw blood for reanalysis.
• recognize that this is an acceptable range at this point after

birth.

• begin antibiotic therapy immediately. - CORRECT

ANSWER-recognize that this is an acceptable range at this point after birth.

Rationale; During the first 10 to 12 days after childbirth, values between 20,000 and 25,000/mm are common. Because this is a normal finding there is no reason to alert the physician. There is no need for reassessment or antibiotics because it is expected for the WBCs to be elevated.

Which documentation on a woman's chart on after birth day 14 indicates a normal involution process?

• Moderate bright red lochial flow
• Breasts firm and tender
• Fundus below the symphysis and not palpable
• Episiotomy slightly red and puffy - CORRECT ANSWER -

Fundus below the symphysis and not palpable

Rationale; The fundus descends 1 cm/day, so by after birth day 14 it is no longer palpable. The lochia should be changed by this 3 / 4

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day to serosa. Breasts are not part of the involution process. The episiotomy should not be red or puffy at this stage.

Changes in blood volume after childbirth depend on several factors such as blood loss during childbirth and the amount of extravascular water (physiologic edema) mobilized and excreted. A after birth nurse anticipates blood loss of (Select all that apply.)

• 100 mL.
• 250 mL or less.
• 300 to 500 mL.
• 500 to 1000 mL.
• 1500 mL or greater. - CORRECT ANSWER -C, D

Rationale; The average blood loss for a vaginal birth of a single fetus ranges from 300 to 500 mL (10% of blood volume). The typical blood loss for women who gave birth by cesarean is 500 to 1000 mL (15% to 30% of blood volume). During the first few days after birth the plasma volume decreases further as a result diuresis. Pregnancy-induced hypervolemia (an increase in blood volume of at least 35%) allows most women to tolerate considerable blood loss during childbirth.

A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-lb, 7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away, stating,

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