Maternal/Child Exam 2 2026 Questions and Answers Graded
A+
Types, amounts and length of time of Lochia: - Correct answer-Rubra- bright red w clots (2-4 days)
Serosa- pink, brown ( FIRST WEEK)
Alba- white, yellow (10-28 days- 2 WEEKS)
S/Sx of Fetal Hypoxia: - Correct answer-Grunting, Nasal flaring, Circumoral cyanosis, Substernal retractions, Tachypnea, &
periods of apnea longer then 10-15 sec.
Interventions for each stages of labor: - Correct answer-Stage 1: Onset of contractions & ends w complete dilation of cervix.
*pain meds, side lying, massage
Stage 2: Complete dilation to birth of the baby
*MOST CRITICAL* breathing techniques, bearing down, encouragement.
Stage 3: Delivery of baby and ends w delivery of placenta.
* give oxytocin, massage fundus
Stage 4: Stabilization up to 4 hrs
Pitocin (Oxytocin) - Correct answer-* Stimulates uterine contractions & prevents hemorrhage
Side effects: MOM- Anaphylaxis, N/V,Uterine spasm or rupture,Water intoxication. BABY- Bradycardia,Cardiac
arrythymias, Hypoxia, Jaundice, Hemorrhage, Brain damage.
Contraindication:Hypertension & Preclampsia
© COPYRIGHT 2026,ALL RIGHTS RESERVED 1
, Monitor: I&O, B/P, Resp, FHR
Pre-pregnancy weight is achieved in? - Correct answer-6-8 wks
Define Engorgement and what education we can provide to patient to understand how to prevent & care for her breasts? -
Correct answer-Uncomfortable fullness of the breast when milk initially comes in.
* Breastfeeding: apply heat, warm shower, pump
* Not breastfeeding: wear firm supportive bra, wrapped ice packs, and analgesic
* Avoid using soap water when breastfeeding
Colostrum - Correct answer-First substance mother produces rich in proteins, calories, antibodies, lymphocytes, &
immunoglobulins.
How to supress breast milk supply: - Correct answer-* Tight fitting bra
* Apply ice bags for 20 min QID
* Taper down breastfeeding
* Use cabbage on breast
Normal V/S for the immediate postpartum period/ nursing interventions required? - Correct answer-Temp- May rise to
100.4 then afebrile after 24 hrs
* monitor for infection,warm blanket/drink
Pulse- Bradycardia first 6-8 wks
Respirations- Normal
B/P- Orthostatic hypotension for 48 hrs
Nutritional needs for a breastfeeding mother: - Correct answer-* Fluid intake of 2-3 L
* 300-500 Kcal/day
* Increase protein, folic acid, Iron
Postpartum hygiene for mom: - Correct answer-* Sits bath 2-3 x/day
* Cleanse from front to back
© COPYRIGHT 2026,ALL RIGHTS RESERVED 2
A+
Types, amounts and length of time of Lochia: - Correct answer-Rubra- bright red w clots (2-4 days)
Serosa- pink, brown ( FIRST WEEK)
Alba- white, yellow (10-28 days- 2 WEEKS)
S/Sx of Fetal Hypoxia: - Correct answer-Grunting, Nasal flaring, Circumoral cyanosis, Substernal retractions, Tachypnea, &
periods of apnea longer then 10-15 sec.
Interventions for each stages of labor: - Correct answer-Stage 1: Onset of contractions & ends w complete dilation of cervix.
*pain meds, side lying, massage
Stage 2: Complete dilation to birth of the baby
*MOST CRITICAL* breathing techniques, bearing down, encouragement.
Stage 3: Delivery of baby and ends w delivery of placenta.
* give oxytocin, massage fundus
Stage 4: Stabilization up to 4 hrs
Pitocin (Oxytocin) - Correct answer-* Stimulates uterine contractions & prevents hemorrhage
Side effects: MOM- Anaphylaxis, N/V,Uterine spasm or rupture,Water intoxication. BABY- Bradycardia,Cardiac
arrythymias, Hypoxia, Jaundice, Hemorrhage, Brain damage.
Contraindication:Hypertension & Preclampsia
© COPYRIGHT 2026,ALL RIGHTS RESERVED 1
, Monitor: I&O, B/P, Resp, FHR
Pre-pregnancy weight is achieved in? - Correct answer-6-8 wks
Define Engorgement and what education we can provide to patient to understand how to prevent & care for her breasts? -
Correct answer-Uncomfortable fullness of the breast when milk initially comes in.
* Breastfeeding: apply heat, warm shower, pump
* Not breastfeeding: wear firm supportive bra, wrapped ice packs, and analgesic
* Avoid using soap water when breastfeeding
Colostrum - Correct answer-First substance mother produces rich in proteins, calories, antibodies, lymphocytes, &
immunoglobulins.
How to supress breast milk supply: - Correct answer-* Tight fitting bra
* Apply ice bags for 20 min QID
* Taper down breastfeeding
* Use cabbage on breast
Normal V/S for the immediate postpartum period/ nursing interventions required? - Correct answer-Temp- May rise to
100.4 then afebrile after 24 hrs
* monitor for infection,warm blanket/drink
Pulse- Bradycardia first 6-8 wks
Respirations- Normal
B/P- Orthostatic hypotension for 48 hrs
Nutritional needs for a breastfeeding mother: - Correct answer-* Fluid intake of 2-3 L
* 300-500 Kcal/day
* Increase protein, folic acid, Iron
Postpartum hygiene for mom: - Correct answer-* Sits bath 2-3 x/day
* Cleanse from front to back
© COPYRIGHT 2026,ALL RIGHTS RESERVED 2
