NUR 230 MATERNAL EXAM 2 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Postpartum Care and Uterine Involution
Lochia Assessment and Postpartum Bleeding
Newborn Assessment and APGAR Scoring
Postpartum Complications and Hemorrhage
Breastfeeding and Breast Health
Women's Health Conditions (PCOS, Endometriosis, Infertility)
Contraceptive Methods and STIs
Newborn Reflexes and Vaccinations
Postpartum Psychosocial Needs (Blues and Depression)
Discharge Teaching and Community Care
,Introduction
This comprehensive exam practice test bank is designed to prepare nursing students for the NUR 230
Maternal Exam 2 at Galen College of Nursing. The purpose of this assessment is to evaluate critical
knowledge and clinical decision-making skills essential for postpartum care, newborn assessment, and
women's health nursing. The exam consists of 100 multiple-choice questions that include both direct
knowledge questions and scenario-based clinical situations. Students will demonstrate their understanding of
postpartum recovery patterns, newborn assessment techniques including APGAR scoring, identification of
postpartum complications, breastfeeding management, and women's health conditions. The questions
emphasize real-world application and critical decision-making required in maternal-newborn nursing
practice, preparing students for both academic success and clinical competency in maternal health settings.
SECTION ONE: Questions 1–100
Question 1
The nurse is assessing a postpartum client 12 hours after delivery. Which finding regarding uterine involution
would the nurse expect to be normal?
A. Uterus is palpable at the umbilicus
B. Uterus is 2 cm below the umbilicus
C. Uterus is firm and midline at the umbilicus
D. Uterus is boggy and displaced to the right
🟢 Correct answer: C
,🔴 RATIONALE: Normal uterine involution shows the uterus is firm, midline, and palpable at the umbilicus
approximately 12 hours postpartum. A boggy uterus indicates potential hemorrhage, and displacement suggests
urinary retention or other complications.
Question 2
A postpartum client asks about the different types of lochia she will experience. Which sequence correctly
describes the progression of lochia?
A. Rubra, alba, serosa
B. Serosa, rubra, alba
C. Rubra, serosa, alba
D. Alba, serosa, rubra
🟢 Correct answer: C
🔴 RATIONALE: Lochia progresses in the sequence of rubra (red, days 1-3), serosa (pink/brown, days 4-10),
and alba (white/yellow, days 11-28). This is the normal postpartum bleeding progression.
Question 3
During newborn assessment, the nurse notes the heart rate is 140 bpm, respiratory effort is vigorous with
crying, muscle tone is well-flexed, reflex irritability is brisk, and color is pink throughout. What is the 1-minute
APGAR score?
, A. 7
B. 8
C. 9
D. 10
🟢 Correct answer: D
🔴 RATIONALE: APGAR scoring: Heart rate 140 (>100) = 2 points, respiratory effort vigorous = 2 points,
muscle tone well-flexed = 2 points, reflex irritability brisk = 2 points, color pink = 2 points. Total = 10.
Question 4
A postpartum client reports heavy bleeding that saturated her peripad within 30 minutes. How should the nurse
document this lochia amount?
A. Scant
B. Light
C. Moderate
D. Heavy
🟢 Correct answer: D
🔴 RATIONALE: Heavy lochia is defined as peripad saturation within 1 hour. Since this client saturated the pad
in 30 minutes, this indicates heavy bleeding and potential postpartum hemorrhage.
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
Postpartum Care and Uterine Involution
Lochia Assessment and Postpartum Bleeding
Newborn Assessment and APGAR Scoring
Postpartum Complications and Hemorrhage
Breastfeeding and Breast Health
Women's Health Conditions (PCOS, Endometriosis, Infertility)
Contraceptive Methods and STIs
Newborn Reflexes and Vaccinations
Postpartum Psychosocial Needs (Blues and Depression)
Discharge Teaching and Community Care
,Introduction
This comprehensive exam practice test bank is designed to prepare nursing students for the NUR 230
Maternal Exam 2 at Galen College of Nursing. The purpose of this assessment is to evaluate critical
knowledge and clinical decision-making skills essential for postpartum care, newborn assessment, and
women's health nursing. The exam consists of 100 multiple-choice questions that include both direct
knowledge questions and scenario-based clinical situations. Students will demonstrate their understanding of
postpartum recovery patterns, newborn assessment techniques including APGAR scoring, identification of
postpartum complications, breastfeeding management, and women's health conditions. The questions
emphasize real-world application and critical decision-making required in maternal-newborn nursing
practice, preparing students for both academic success and clinical competency in maternal health settings.
SECTION ONE: Questions 1–100
Question 1
The nurse is assessing a postpartum client 12 hours after delivery. Which finding regarding uterine involution
would the nurse expect to be normal?
A. Uterus is palpable at the umbilicus
B. Uterus is 2 cm below the umbilicus
C. Uterus is firm and midline at the umbilicus
D. Uterus is boggy and displaced to the right
🟢 Correct answer: C
,🔴 RATIONALE: Normal uterine involution shows the uterus is firm, midline, and palpable at the umbilicus
approximately 12 hours postpartum. A boggy uterus indicates potential hemorrhage, and displacement suggests
urinary retention or other complications.
Question 2
A postpartum client asks about the different types of lochia she will experience. Which sequence correctly
describes the progression of lochia?
A. Rubra, alba, serosa
B. Serosa, rubra, alba
C. Rubra, serosa, alba
D. Alba, serosa, rubra
🟢 Correct answer: C
🔴 RATIONALE: Lochia progresses in the sequence of rubra (red, days 1-3), serosa (pink/brown, days 4-10),
and alba (white/yellow, days 11-28). This is the normal postpartum bleeding progression.
Question 3
During newborn assessment, the nurse notes the heart rate is 140 bpm, respiratory effort is vigorous with
crying, muscle tone is well-flexed, reflex irritability is brisk, and color is pink throughout. What is the 1-minute
APGAR score?
, A. 7
B. 8
C. 9
D. 10
🟢 Correct answer: D
🔴 RATIONALE: APGAR scoring: Heart rate 140 (>100) = 2 points, respiratory effort vigorous = 2 points,
muscle tone well-flexed = 2 points, reflex irritability brisk = 2 points, color pink = 2 points. Total = 10.
Question 4
A postpartum client reports heavy bleeding that saturated her peripad within 30 minutes. How should the nurse
document this lochia amount?
A. Scant
B. Light
C. Moderate
D. Heavy
🟢 Correct answer: D
🔴 RATIONALE: Heavy lochia is defined as peripad saturation within 1 hour. Since this client saturated the pad
in 30 minutes, this indicates heavy bleeding and potential postpartum hemorrhage.
