Postpartum Fundus & Hemorrhage
Lochia Stages
Normal Newborn Vital Signs
Newborn Reflexes
Neonatal Abstinence Syndrome (NAS)
100

What should a normal postpartum fundus feel like immediately after birth?

Firm, midline, about the size of a grapefruit, at or slightly below the umbilicus.

100

What type of lochia occurs during the first 3 days postpartum?

Lochia Rubra

100

What is the normal heart rate range for a newborn?

110-160 BPM

100

What reflex occurs when a newborn’s cheek is touched and they turn toward it?

Rooting Reflex

100

What causes neonatal abstinence syndrome?

Withdrawal from substances after birth.

200

What does a boggy uterus indicate?

Uterine atony.

200

What color is lochia serosa?

Pinkish/Brown
200

What is the normal respiratory rate for a newborn?

30-60 breaths per minute

200

What reflex causes the infant’s arms to fan outward and return inward when startled?

Moro Reflex 
200

What is a common symptom of NAS?

Body tremors.

300

What is the first nursing intervention for a boggy uterus?

Fundal Massage

300

When does lochia serosa typically occur?

Days 4–10 postpartum.

300

What is the normal temperature range for a newborn?

96.8–97.7°F.

300

What reflex produces the fencing position when the head is turned?

Tonic Neck Reflex

300

What behavioral symptom is often seen in NAS infants?

Hyperirritability 
400

How much should the uterus descend each day after the first 24 hours?

About 1 cm per day

400

What type of lochia appears white or clear?

Lochia Alba

400

How long may a newborn go without urinating after birth?

Up to 24 hours

400

What reflex occurs when the infant is held upright and makes walking movements?

Stepping (dancing) reflex.

400

What gastrointestinal symptom may occur with NAS?

Diarrhea 
500

What is the most dangerous complication of postpartum hemorrhage?

Hypovolemic Shock

500

How long can lochia alba last?

Up to about 21 days postpartum 
500

What is a typical newborn blood pressure range?

Approximately 65–95 / 30–60.

500

What reflex is observed when the infant’s head falls backward when lifted?

Head Lag
500

What feeding problem may occur in NAS?

Poor feeding

M
e
n
u