Cuyahoga Community College District / NURS 1230
NURS 1230 Exam
Questions And Correct Verified Answers
New Version 2026
A nurse is assessing a postpartum client 12 hours after delivery. The
fundus is found to be 1 cm above the umbilicus and displaced to the right.
What is the most appropriate nursing intervention?
A. Notify the healthcare provider immediately
B. Encourage the client to ambulate
C. Assist the client to void
D. Apply a warm compress to the abdomen
Answer: C
Rationale: A full bladder displaces the uterus upward and to the right,
preventing proper involution and increasing the risk for hemorrhage.
Assisting the client to void is the priority intervention.
Which lochia pattern is expected on postpartum day 3?
A. Lochia rubra
B. Lochia serosa
C. Lochia alba
D. No lochia present
Answer: A
Rationale: Lochia rubra, a bright red discharge, is expected during the first 1-5
days postpartum. Lochia serosa (pink/tan) follows from day 5-14, and alba
(whitish) occurs from week 2-6. Terms in this set (100) Hide definitions
A postpartum nurse is caring for a woman who delivered vaginally 6 hours
ago. The patient reports soaking through one pad per hour with large clots.
What should the nurse do first?
A. Massage the fundus
B. Administer a stool softener
C. Call the provider immediately
D. Increase IV fluids
Answer: A
Rationale: A boggy uterus is the most common cause of postpartum
hemorrhage. Fundal massage helps stimulate uterine contractions and
reduce bleeding. Provider notification comes after immediate interventions.
Which intervention prevents uterine inversion during fundal massage?
A. Applying ice before massage
B. Supporting the lower uterine segment with one hand
C. Massaging with circular motion using both hands
,D. Encouraging the client to bear down
Answer: B
Rationale: Supporting the uterus with one hand while massaging with the
other prevents inversion or prolapse.
, Which medication should be avoided in a postpartum Answer: C
patient with a history of asthma? Rationale: Hemabate (a prostaglandin) can cause bronchospasm and is
A. Oxytocin (Pitocin) contraindicated in patients with asthma.
B. Methylergonovine (Methergine)
C. Carboprost tromethamine (Hemabate)
D. Misoprostol (Cytotec)
A nurse is teaching a postpartum client about normal Answer: B
breast changes. Which statement indicates a need for further Rationale: Breast engorgement occurs in both breastfeeding and non-
teaching? breastfeeding mothers due to increased blood flow and milk production.
A. "I mnay feel firm lumps in my breasts around day 3."
B. "Engorgement only occurs if I choose not to
breastfeed."
C. "My breasts may leak milk when I hear my baby cry."
D. "Colostrum is normal in the first few days."
A client asks when she can resume sexual intercourse Answer: C
after delivery. The nurse should respond: Rationale: Sexual activity is usually safe after the postpartum check-up at -6 weeks when the cervix
A. "When you no longer have vaginal bleeding." and perineum have healed.
B. "In about 2 weeks."
C. "When cleared by your healthcare provider, usually
after 6 weeks."
D. "Once your perineum feels comfortable."
A postpartum patient is prescribed methylergonovine Answer: B
(Methergine). Which assessment is most important before Rationale: Methergine increases blood pressure and is contraindicated in patients
administration? with hypertension or preeclampsia. BP must be checked prior to administration.
A. Heart rate
B. Blood pressure
C. Pain level
D. Temperature
NURS 1230 Exam
Questions And Correct Verified Answers
New Version 2026
A nurse is assessing a postpartum client 12 hours after delivery. The
fundus is found to be 1 cm above the umbilicus and displaced to the right.
What is the most appropriate nursing intervention?
A. Notify the healthcare provider immediately
B. Encourage the client to ambulate
C. Assist the client to void
D. Apply a warm compress to the abdomen
Answer: C
Rationale: A full bladder displaces the uterus upward and to the right,
preventing proper involution and increasing the risk for hemorrhage.
Assisting the client to void is the priority intervention.
Which lochia pattern is expected on postpartum day 3?
A. Lochia rubra
B. Lochia serosa
C. Lochia alba
D. No lochia present
Answer: A
Rationale: Lochia rubra, a bright red discharge, is expected during the first 1-5
days postpartum. Lochia serosa (pink/tan) follows from day 5-14, and alba
(whitish) occurs from week 2-6. Terms in this set (100) Hide definitions
A postpartum nurse is caring for a woman who delivered vaginally 6 hours
ago. The patient reports soaking through one pad per hour with large clots.
What should the nurse do first?
A. Massage the fundus
B. Administer a stool softener
C. Call the provider immediately
D. Increase IV fluids
Answer: A
Rationale: A boggy uterus is the most common cause of postpartum
hemorrhage. Fundal massage helps stimulate uterine contractions and
reduce bleeding. Provider notification comes after immediate interventions.
Which intervention prevents uterine inversion during fundal massage?
A. Applying ice before massage
B. Supporting the lower uterine segment with one hand
C. Massaging with circular motion using both hands
,D. Encouraging the client to bear down
Answer: B
Rationale: Supporting the uterus with one hand while massaging with the
other prevents inversion or prolapse.
, Which medication should be avoided in a postpartum Answer: C
patient with a history of asthma? Rationale: Hemabate (a prostaglandin) can cause bronchospasm and is
A. Oxytocin (Pitocin) contraindicated in patients with asthma.
B. Methylergonovine (Methergine)
C. Carboprost tromethamine (Hemabate)
D. Misoprostol (Cytotec)
A nurse is teaching a postpartum client about normal Answer: B
breast changes. Which statement indicates a need for further Rationale: Breast engorgement occurs in both breastfeeding and non-
teaching? breastfeeding mothers due to increased blood flow and milk production.
A. "I mnay feel firm lumps in my breasts around day 3."
B. "Engorgement only occurs if I choose not to
breastfeed."
C. "My breasts may leak milk when I hear my baby cry."
D. "Colostrum is normal in the first few days."
A client asks when she can resume sexual intercourse Answer: C
after delivery. The nurse should respond: Rationale: Sexual activity is usually safe after the postpartum check-up at -6 weeks when the cervix
A. "When you no longer have vaginal bleeding." and perineum have healed.
B. "In about 2 weeks."
C. "When cleared by your healthcare provider, usually
after 6 weeks."
D. "Once your perineum feels comfortable."
A postpartum patient is prescribed methylergonovine Answer: B
(Methergine). Which assessment is most important before Rationale: Methergine increases blood pressure and is contraindicated in patients
administration? with hypertension or preeclampsia. BP must be checked prior to administration.
A. Heart rate
B. Blood pressure
C. Pain level
D. Temperature
