MATERNAL NEWBORN NURSING EXAM 2|QUESTIONS AND
VERIFIED ANSWERS|2025/2026 NEWEST UPDATE|GRADED A+
Which woman who has unprotected sexual relations is at greatest risk for an unintentional pregnancy
during the postpartum period?
a. A nursing mother who is 10 weeks postpartum.
b. A nursing mother who is 4 weeks postpartum.
c. A non-nursing mother who is 5 weeks postpartum.
d. A non-nursing mother who is 3 weeks postpartum. - ANSWERa. A non-nursing mother who is 5 weeks
postpartum.
Rationale: In non-nursing mothers, menstrual periods generally return in 4-6 weeks. They might ovulate
prior to the first period. Nursing mothers usually have their first menstrual period delayed for at least 3
months, and they are prone to anovulatory cycles, putting them at lower risk for pregnancy. However,
any mother can ovulate before her first period, so every mother should use protection if she wishes to
delay a subsequent pregnancy.
Which woman is at greatest risk for bladder distention after a normal vaginal delivery?
a. A woman who had an active labor lasting 12 hours.
b. A woman who had a midline episiotomy.
c. A woman who had epidural anesthesia.
d. A woman who had IV fluids running during labor. - ANSWERC. A woman who had epidural anesthesia.
Rationale: Every woman is at risk following delivery, and the nurse must assess voiding patterns after
delivery. However, the biggest risk factor is anesthesia, which affects the sensory nerves, because the
woman is unaware of the need to empty her bladder. Nerve blocks also can affect motor nerves, making
micturition difficult. IV fluids can cause more urine to be produced, but should not promote retention of
urine. A midline episiotomy will not promote urinary retention, and a 12-hour labor is not abnormal.
What is the nurse's chief concern when a mother who delivered 2 hours ago has a blood pressure
change from 112/70 to 142/94?
a. Fluid overload.
b. Worsening systolic heart murmur.
c. Developing pre-eclampsia.
d. Puerperal hypertension. - ANSWERC. Developing pre-eclampsia.
, Rationale: This is a significant increase in blood pressure, and the most dangerous complication at this
point is the occurrence of pre-eclampsia. In a postpartum woman, diuresis should control the fluid
volume and hypertension should not develop. A heart murmur would more likely cause symptoms of
heart failure.
The nurse is assessing a postpartum client who gave birth 10 hours ago. What assessment finding would
need further investigation by the nurse?
a. Fundus is at the level of the umbilicus.
b. Fundus is firm and midline.
c. Fundus is deviated to the right.
d. Fundus is 2-3 cm below umbilicus. - ANSWER3. Fundus is deviated to the right.
Rationale: A fundus that is deviated to the right is not a normal finding, and could be due to a full
bladder. A fundus that is at the level of the umbilicus or 2-3 finger-breadths below, firm, and midline is
normal.
The nurse assesses an 8-hour-postpartum client. Findings include lochia rubra, with a firm fundus at the
level of the umbilicus. What nursing action is indicated?
a. Call the physician/CNM and prepare for a pelvic exam.
b. Massage the fundus to prevent early postpartum hemorrhage.
c. Administer Methergine to stop the bleeding.
d. Document findings and continue to monitor. - ANSWERd. Document findings and continue to
monitor.
Rationale: The client's findings are within normal limits. Document findings and continue to monitor.
Early postpartum hemorrhage presents with a boggy, non-firm fundus. Massage is used to encourage
the fundus to contract, and therefore is not indicated with this client's findings. Administering
Methergine to control excessive bleeding is not necessary in this situation.
The nurse is researching the relationship between estrogen and lactation. The nurse discovers that the
lactating client is more susceptible to:
a. Hemorrhage.
b. Diastasis recti.
c. Dyspareunia.
d. Infection. - ANSWERc. Dyspareunia.
VERIFIED ANSWERS|2025/2026 NEWEST UPDATE|GRADED A+
Which woman who has unprotected sexual relations is at greatest risk for an unintentional pregnancy
during the postpartum period?
a. A nursing mother who is 10 weeks postpartum.
b. A nursing mother who is 4 weeks postpartum.
c. A non-nursing mother who is 5 weeks postpartum.
d. A non-nursing mother who is 3 weeks postpartum. - ANSWERa. A non-nursing mother who is 5 weeks
postpartum.
Rationale: In non-nursing mothers, menstrual periods generally return in 4-6 weeks. They might ovulate
prior to the first period. Nursing mothers usually have their first menstrual period delayed for at least 3
months, and they are prone to anovulatory cycles, putting them at lower risk for pregnancy. However,
any mother can ovulate before her first period, so every mother should use protection if she wishes to
delay a subsequent pregnancy.
Which woman is at greatest risk for bladder distention after a normal vaginal delivery?
a. A woman who had an active labor lasting 12 hours.
b. A woman who had a midline episiotomy.
c. A woman who had epidural anesthesia.
d. A woman who had IV fluids running during labor. - ANSWERC. A woman who had epidural anesthesia.
Rationale: Every woman is at risk following delivery, and the nurse must assess voiding patterns after
delivery. However, the biggest risk factor is anesthesia, which affects the sensory nerves, because the
woman is unaware of the need to empty her bladder. Nerve blocks also can affect motor nerves, making
micturition difficult. IV fluids can cause more urine to be produced, but should not promote retention of
urine. A midline episiotomy will not promote urinary retention, and a 12-hour labor is not abnormal.
What is the nurse's chief concern when a mother who delivered 2 hours ago has a blood pressure
change from 112/70 to 142/94?
a. Fluid overload.
b. Worsening systolic heart murmur.
c. Developing pre-eclampsia.
d. Puerperal hypertension. - ANSWERC. Developing pre-eclampsia.
, Rationale: This is a significant increase in blood pressure, and the most dangerous complication at this
point is the occurrence of pre-eclampsia. In a postpartum woman, diuresis should control the fluid
volume and hypertension should not develop. A heart murmur would more likely cause symptoms of
heart failure.
The nurse is assessing a postpartum client who gave birth 10 hours ago. What assessment finding would
need further investigation by the nurse?
a. Fundus is at the level of the umbilicus.
b. Fundus is firm and midline.
c. Fundus is deviated to the right.
d. Fundus is 2-3 cm below umbilicus. - ANSWER3. Fundus is deviated to the right.
Rationale: A fundus that is deviated to the right is not a normal finding, and could be due to a full
bladder. A fundus that is at the level of the umbilicus or 2-3 finger-breadths below, firm, and midline is
normal.
The nurse assesses an 8-hour-postpartum client. Findings include lochia rubra, with a firm fundus at the
level of the umbilicus. What nursing action is indicated?
a. Call the physician/CNM and prepare for a pelvic exam.
b. Massage the fundus to prevent early postpartum hemorrhage.
c. Administer Methergine to stop the bleeding.
d. Document findings and continue to monitor. - ANSWERd. Document findings and continue to
monitor.
Rationale: The client's findings are within normal limits. Document findings and continue to monitor.
Early postpartum hemorrhage presents with a boggy, non-firm fundus. Massage is used to encourage
the fundus to contract, and therefore is not indicated with this client's findings. Administering
Methergine to control excessive bleeding is not necessary in this situation.
The nurse is researching the relationship between estrogen and lactation. The nurse discovers that the
lactating client is more susceptible to:
a. Hemorrhage.
b. Diastasis recti.
c. Dyspareunia.
d. Infection. - ANSWERc. Dyspareunia.
