LPN→ADN Bridge Week 8 Quiz | Maternal-Newborn Nursing
2026/2027 UPDATE
1. A nurse is assessing a client 2 hours postpartum and finds the fundus to be
boggy and displaced to the right. What is the priority nursing action?
A. Administer oxytocin as ordered
B. Perform fundal massage
C. Notify the provider immediately
D. Assist the client to the bathroom to void
Answer: D
Rationale: A fundus that is displaced to the right usually indicates a full bladder, which
prevents the uterus from contracting effectively. Emptying the bladder is the priority to
allow the fundus to return to midline and firm up.
2. Which of the following descriptions best characterizes lochia serosa?
A. Bright red discharge lasting 1 to 3 days
B. Bloody discharge with large clots
C. Creamy white discharge lasting from day 11 to 6 weeks
D. Pinkish-brown discharge lasting from day 4 to day 10
Answer: D
Rationale: Lochia serosa is the second stage of postpartum discharge, appearing pinkish-
brown and typically lasting from the 4th to the 10th day postpartum.
,3. The nurse is assessing a newborn at 1 minute of life. The heart rate is 110
bpm, the cry is weak, there is some flexion of the extremities, the newborn
grimaces when suctioned, and the body is pink with blue hands and feet. What
is the Apgar score?
A. 5
B. 8
C. 7
D. 6
Answer: D
Rationale: Heart rate >100 (2), weak cry (1), some flexion (1), grimace (1), acrocyanosis
(1). Total = 6.
4. A postpartum client reports localized pain, redness, and swelling in her left
breast, along with fever and malaise. What condition does the nurse suspect?
A. Engorgement
B. Plugged milk duct
C. Galactocele
D. Mastitis
Answer: D
Rationale: Mastitis is an infection of the breast tissue characterized by flu-like symptoms
(fever, malaise) and localized redness/pain, whereas engorgement is usually bilateral and
lacks systemic fever.
, 5. Which mechanism of heat loss is prevented by drying a newborn immediately
after birth?
A. Evaporation
B. Convection
C. Radiation
D. Conduction
Answer: A
Rationale: Evaporation occurs when moisture on the skin is converted to vapor. Drying
the infant removes the moisture and prevents this type of heat loss.
6. At 12 hours postpartum, where should the nurse expect to palpate the
fundus?
A. At the level of the umbilicus
B. Two fingerbreadths below the umbilicus
C. At the symphysis pubis
D. Four fingerbreadths above the umbilicus
Answer: A
Rationale: By approximately 6 to 12 hours postpartum, the fundus should rise to the level
of the umbilicus.
7. A nurse is providing discharge teaching to a non-breastfeeding mother. Which
instruction should be included to suppress lactation?
A. Manually express milk to relieve pressure
B. Apply warm compresses to the breasts
C. Wear a tight-fitting supportive bra 24 hours a day
D. Stimulate the nipples during showers
Answer: C
Rationale: Suppression of lactation in non-breastfeeding mothers involves avoiding
stimulation and using a tight bra and ice packs to reduce swelling.
2026/2027 UPDATE
1. A nurse is assessing a client 2 hours postpartum and finds the fundus to be
boggy and displaced to the right. What is the priority nursing action?
A. Administer oxytocin as ordered
B. Perform fundal massage
C. Notify the provider immediately
D. Assist the client to the bathroom to void
Answer: D
Rationale: A fundus that is displaced to the right usually indicates a full bladder, which
prevents the uterus from contracting effectively. Emptying the bladder is the priority to
allow the fundus to return to midline and firm up.
2. Which of the following descriptions best characterizes lochia serosa?
A. Bright red discharge lasting 1 to 3 days
B. Bloody discharge with large clots
C. Creamy white discharge lasting from day 11 to 6 weeks
D. Pinkish-brown discharge lasting from day 4 to day 10
Answer: D
Rationale: Lochia serosa is the second stage of postpartum discharge, appearing pinkish-
brown and typically lasting from the 4th to the 10th day postpartum.
,3. The nurse is assessing a newborn at 1 minute of life. The heart rate is 110
bpm, the cry is weak, there is some flexion of the extremities, the newborn
grimaces when suctioned, and the body is pink with blue hands and feet. What
is the Apgar score?
A. 5
B. 8
C. 7
D. 6
Answer: D
Rationale: Heart rate >100 (2), weak cry (1), some flexion (1), grimace (1), acrocyanosis
(1). Total = 6.
4. A postpartum client reports localized pain, redness, and swelling in her left
breast, along with fever and malaise. What condition does the nurse suspect?
A. Engorgement
B. Plugged milk duct
C. Galactocele
D. Mastitis
Answer: D
Rationale: Mastitis is an infection of the breast tissue characterized by flu-like symptoms
(fever, malaise) and localized redness/pain, whereas engorgement is usually bilateral and
lacks systemic fever.
, 5. Which mechanism of heat loss is prevented by drying a newborn immediately
after birth?
A. Evaporation
B. Convection
C. Radiation
D. Conduction
Answer: A
Rationale: Evaporation occurs when moisture on the skin is converted to vapor. Drying
the infant removes the moisture and prevents this type of heat loss.
6. At 12 hours postpartum, where should the nurse expect to palpate the
fundus?
A. At the level of the umbilicus
B. Two fingerbreadths below the umbilicus
C. At the symphysis pubis
D. Four fingerbreadths above the umbilicus
Answer: A
Rationale: By approximately 6 to 12 hours postpartum, the fundus should rise to the level
of the umbilicus.
7. A nurse is providing discharge teaching to a non-breastfeeding mother. Which
instruction should be included to suppress lactation?
A. Manually express milk to relieve pressure
B. Apply warm compresses to the breasts
C. Wear a tight-fitting supportive bra 24 hours a day
D. Stimulate the nipples during showers
Answer: C
Rationale: Suppression of lactation in non-breastfeeding mothers involves avoiding
stimulation and using a tight bra and ice packs to reduce swelling.
