Exam 2: NSG432 / NSG 432 (Latest Update 2026 /
2027) Nursing Care of the Childbearing Family |
Review Questions with Verified Answers | 100%
Correct | Grade A – GCU
Question 1
What is involution?
A. Return of the uterus to its non-pregnant state
B. Return of the cervix to its pre-pregnancy shape
C. Loss of pregnancy hormones
D. Contraction of pelvic floor muscles
Correct Answer: A. Return of the uterus to its non-pregnant state
Rationale: Involution is the return of the uterus to its non-pregnant state after birth.
Immediately post-delivery, the fundus is located at U-2 (2 cm below the umbilicus) and
moves upward about 1 cm every 24 hours. Complete involution occurs within
approximately 6 weeks .
Question 2
What is subinvolution and what causes it?
A. Normal uterine return; caused by hormonal changes
B. Failure of the uterus to return to its non-pregnant state; caused by retained placenta
fragments or infection
C. Excessive uterine contraction; caused by multiple gestation
D. Prolapse of the uterus; caused by prolonged labor
Correct Answer: B. Failure of the uterus to return to its non-pregnant state; caused by
retained placenta fragments or infection
Rationale: Subinvolution is the failure of the uterus to return to its non-pregnant state
and is most commonly caused by retained placenta fragments or infection. Retained
,products of conception prevent complete uterine contraction and involution, requiring
prompt evaluation and treatment to prevent postpartum hemorrhage and endometritis .
Question 3
What is the correct sequence of lochia progression?
A. Lochia rubra → Lochia alba → Lochia serosa
B. Lochia alba → Lochia rubra → Lochia serosa
C. Lochia rubra → Lochia serosa → Lochia alba
D. Lochia serosa → Lochia rubra → Lochia alba
Correct Answer: C. Lochia rubra → Lochia serosa → Lochia alba
Rationale: Lochia rubra is red and seen during days 1-3 of the hospital stay. Lochia
serosa is pinkish-brown and occurs after 3-4 days. Lochia alba is yellow-white and
appears after 10-14 days, potentially lasting 4-8 weeks. A foul odor indicates infection .
Question 4
How often should the nurse assess the fundus immediately after birth?
A. Every 5 minutes
B. Every 15 minutes
C. Every 30 minutes
D. Every hour
Correct Answer: B. Every 15 minutes
Rationale: Frequent fundal assessments in the immediate postpartum period are
essential to detect uterine atony and prevent hemorrhage. After the first hour,
assessments may be spaced to every 30-60 minutes depending on patient stability .
Question 5
When are afterpains more noticeable?
,A. In primiparous women
B. In multiparous women and with macrosomic infants
C. Only during the first 24 hours
D. Only with breast feeding
Correct Answer: B. In multiparous women and with macrosomic infants
Rationale: Afterpains are more noticeable in multiparous women and with macrosomic
(large) infants, as well as with multiple gestations. These contractions help control
bleeding and are more intense with subsequent pregnancies .
Question 6
What is the minimum hospital stay for a vaginal delivery?
A. 24 hours
B. 48 hours
C. 72 hours
D. 96 hours
Correct Answer: B. 48 hours
Rationale: For vaginal delivery, the minimum hospital stay is 48 hours (not counting the
day of delivery). Birthing centers may discharge in 6 hours or more, and C-section stays
are typically 96 hours or more .
Question 7
What is the minimum hospital stay for a C-section delivery?
A. 48 hours
B. 72 hours
C. 96 hours
D. 120 hours
Correct Answer: C. 96 hours
, Rationale: For cesarean delivery, the minimum hospital stay is 96 hours (not counting
the day of delivery). This allows for adequate monitoring of the surgical incision, pain
management, and signs of complications .
Question 8
When should a postpartum patient call 911?
A. Excessive bleeding with large clots
B. Fever and chills
C. Chest pain, obstructed breathing, seizures, or thoughts of harming self or others
D. Incision not healing
Correct Answer: C. Chest pain, obstructed breathing, seizures, or thoughts of harming
self or others
Rationale: A postpartum patient should call 911 if experiencing chest pain, obstructed
breathing, shortness of breath, seizures, or thoughts of hurting themselves or someone
else. These are life-threatening emergencies .
Question 9
When should a postpartum patient call their healthcare provider?
A. For any breast tenderness
B. For excessive bleeding, large clots, incision not healing, high temperature, signs of
DVT, or headache not going away
C. For difficulty sleeping
D. For mild perineal discomfort
Correct Answer: B. For excessive bleeding, large clots, incision not healing, high
temperature, signs of DVT, or headache not going away
Rationale: The postpartum patient should call their healthcare provider for excessive
bleeding, large clots (bigger than a golf ball), incision not healing, high temperature,
signs of DVT, or a headache that does not resolve. These may indicate complications .
2027) Nursing Care of the Childbearing Family |
Review Questions with Verified Answers | 100%
Correct | Grade A – GCU
Question 1
What is involution?
A. Return of the uterus to its non-pregnant state
B. Return of the cervix to its pre-pregnancy shape
C. Loss of pregnancy hormones
D. Contraction of pelvic floor muscles
Correct Answer: A. Return of the uterus to its non-pregnant state
Rationale: Involution is the return of the uterus to its non-pregnant state after birth.
Immediately post-delivery, the fundus is located at U-2 (2 cm below the umbilicus) and
moves upward about 1 cm every 24 hours. Complete involution occurs within
approximately 6 weeks .
Question 2
What is subinvolution and what causes it?
A. Normal uterine return; caused by hormonal changes
B. Failure of the uterus to return to its non-pregnant state; caused by retained placenta
fragments or infection
C. Excessive uterine contraction; caused by multiple gestation
D. Prolapse of the uterus; caused by prolonged labor
Correct Answer: B. Failure of the uterus to return to its non-pregnant state; caused by
retained placenta fragments or infection
Rationale: Subinvolution is the failure of the uterus to return to its non-pregnant state
and is most commonly caused by retained placenta fragments or infection. Retained
,products of conception prevent complete uterine contraction and involution, requiring
prompt evaluation and treatment to prevent postpartum hemorrhage and endometritis .
Question 3
What is the correct sequence of lochia progression?
A. Lochia rubra → Lochia alba → Lochia serosa
B. Lochia alba → Lochia rubra → Lochia serosa
C. Lochia rubra → Lochia serosa → Lochia alba
D. Lochia serosa → Lochia rubra → Lochia alba
Correct Answer: C. Lochia rubra → Lochia serosa → Lochia alba
Rationale: Lochia rubra is red and seen during days 1-3 of the hospital stay. Lochia
serosa is pinkish-brown and occurs after 3-4 days. Lochia alba is yellow-white and
appears after 10-14 days, potentially lasting 4-8 weeks. A foul odor indicates infection .
Question 4
How often should the nurse assess the fundus immediately after birth?
A. Every 5 minutes
B. Every 15 minutes
C. Every 30 minutes
D. Every hour
Correct Answer: B. Every 15 minutes
Rationale: Frequent fundal assessments in the immediate postpartum period are
essential to detect uterine atony and prevent hemorrhage. After the first hour,
assessments may be spaced to every 30-60 minutes depending on patient stability .
Question 5
When are afterpains more noticeable?
,A. In primiparous women
B. In multiparous women and with macrosomic infants
C. Only during the first 24 hours
D. Only with breast feeding
Correct Answer: B. In multiparous women and with macrosomic infants
Rationale: Afterpains are more noticeable in multiparous women and with macrosomic
(large) infants, as well as with multiple gestations. These contractions help control
bleeding and are more intense with subsequent pregnancies .
Question 6
What is the minimum hospital stay for a vaginal delivery?
A. 24 hours
B. 48 hours
C. 72 hours
D. 96 hours
Correct Answer: B. 48 hours
Rationale: For vaginal delivery, the minimum hospital stay is 48 hours (not counting the
day of delivery). Birthing centers may discharge in 6 hours or more, and C-section stays
are typically 96 hours or more .
Question 7
What is the minimum hospital stay for a C-section delivery?
A. 48 hours
B. 72 hours
C. 96 hours
D. 120 hours
Correct Answer: C. 96 hours
, Rationale: For cesarean delivery, the minimum hospital stay is 96 hours (not counting
the day of delivery). This allows for adequate monitoring of the surgical incision, pain
management, and signs of complications .
Question 8
When should a postpartum patient call 911?
A. Excessive bleeding with large clots
B. Fever and chills
C. Chest pain, obstructed breathing, seizures, or thoughts of harming self or others
D. Incision not healing
Correct Answer: C. Chest pain, obstructed breathing, seizures, or thoughts of harming
self or others
Rationale: A postpartum patient should call 911 if experiencing chest pain, obstructed
breathing, shortness of breath, seizures, or thoughts of hurting themselves or someone
else. These are life-threatening emergencies .
Question 9
When should a postpartum patient call their healthcare provider?
A. For any breast tenderness
B. For excessive bleeding, large clots, incision not healing, high temperature, signs of
DVT, or headache not going away
C. For difficulty sleeping
D. For mild perineal discomfort
Correct Answer: B. For excessive bleeding, large clots, incision not healing, high
temperature, signs of DVT, or headache not going away
Rationale: The postpartum patient should call their healthcare provider for excessive
bleeding, large clots (bigger than a golf ball), incision not healing, high temperature,
signs of DVT, or a headache that does not resolve. These may indicate complications .
