Shadow Health Uncomplicated Delivery Daanis LaFontaine QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2025
CASE STUDY: Daanis LaFontaine – Uncomplicated Vaginal Delivery
Patient Overview:
Daanis LaFontaine is a 26-year-old G1P1 who delivered a healthy baby boy 2 hours ago via spontaneous vaginal delivery. Her labor was uncomplicated, and she received an epidural. Your role is to conduct a comprehensive postpartum assessment and provide education on postpartum and newborn care.
- What is the priority nursing assessment immediately after delivery?
- The nurse notes that Daanis has a boggy fundus. What is the first nursing
Fundal firmness and location Assessing the fundus helps ensure uterine contraction to prevent postpartum hemorrhage.
action?Massage the fundus A boggy uterus may indicate uterine atony; massaging stimulates contraction and reduces bleeding. 1 / 2
- Which lochia pattern is expected 2 hours postpartum?
- Daanis is saturating one peripad per hour. What is the appropriate action?
- Which vital sign finding would be concerning 2 hours after delivery?
- What education should the nurse provide regarding uterine involution?
- Which symptom should Daanis report immediately?
- What is the expected position of the fundus 2 hours postpartum?
- Daanis asks about perineal pain relief. What is the best suggestion?
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Lochia rubra Lochia rubra is bright red, typically seen for the first 1–3 days postpartum.
Continue monitoring; this is within normal limits Saturating one pad per hour or less is considered normal in the immediate postpartum period.
BP 90/50, HR 122 bpm Hypotension and tachycardia may indicate hypovolemia or hemorrhage.
The uterus should descend 1 cm per day This is the expected rate of involution postpartum.
Sudden, heavy vaginal bleeding This may indicate postpartum hemorrhage and requires urgent evaluation.
Firm, midline, at the level of the umbilicus This is the normal position of the uterus immediately postpartum.
Apply ice packs to the perineum Cold therapy reduces swelling and pain in the first 24 hours postpartum.