Maternal Exam 2 Questions and Answers |
Latest Update 2026/2027 | Graded A+.
The nurse is caring for a client who gave birth 18 hrs ago. The client reports that her nipples
are getting tender & the baby is not breastfeeding well. Which response is appropriate by
the nurse?
• “Try removing the infant's clothing & putting the baby skin to skin on your chest.”
• “Wait until the baby is crying to show hunger, then breastfeed to help
“Make sure to compress the breast so the baby can get an adequate
amount of breast tissue into the mouth.”
improve latching.”
• “Apply a small amount of topical breast cream to help with the discomfort.”
1. The nurse is caring for a client who is 1 hr postpartum & observes a moderate
amount of lochia rubra & several small clots on the client’s perineal pad. The
fundus is midline & firm at the umbilicus. Which of the following actions should
the nurse implement?
• Encourage the client to empty the bladder
• Increase the frequency of the fundal massage
• Notify the PHCP
• Document the findings & continue to monitor the client
2. The nurse is teaching a client with DM1 who just delivered a healthy baby. What
information should the nurse include in the client’s teaching?
• Change to oral hypoglycemia meds that will control sugar levels better than
insulin
• Feed the baby formula since insulin received through breastfeeding may
cause low sugar
• Urine
Due to hormonal changes after delivery, the need for insulin may should
decrease be
checked
for ketones every time the client voids
,
3. The nurse is caring for clients in the postpartum unit. Which client should the
nurse see first?
• Multipara mother who has saturated 1 perineal pad in 3 hrs
• Primipara mother who delivered 3 hrs ago & is having difficulty getting the baby to
latch on to breastfeed
Primipara mother requesting help with repositioning her baby to
decrease incisional pain from a cesarean delivery
• Multipara mother who delivered 4 hrs ago & has not voided
4. The nurse is caring for a client who delivered vaginally 4 hrs ago. Her fundus is
right of midline, & firm only with massage. What is the priority action by the
nurse?
• Perform a bladder scan & notify the PHCP of the results
• Place the client’s hands in warm water
• Insert an indwelling urethral catheter
• Perform a straight catheterization & massage the fundus until its firm
5. The nurse is preparing to assess a postpartum client’s fundus. The nurse
should put the HOB down to 30 degrees, ensure the client’s bladder has been
emptied recently and
• Place 1 hand over the bladder & use fingertips to locate
fundus
• Ask the client to place the hands under the head
• Place a pillow under the client’s lower back
• Place hand above symphysis pubis for support
10.The nurse is caring for a client who delivered a healthy infant 4 hrs ago. The
nurse notes the mother’s temp is 98.7. Which action is priority for the nurse?
• Continue to monitor the client
• Retake the temp in 15 mins
• Encourage oral fluids
• Administer prescribed acetaminophen
6. The nurse is caring for a formula-feeding postpartum client who reports painful
swollen breasts on her 3rd postpartum day. The nurse should encourage the
mother to
• Gently massage the breasts
• Place cabbage leaves on the breasts
• Stimulate the nipples manually
• Expel a small amount of milk
Latest Update 2026/2027 | Graded A+.
The nurse is caring for a client who gave birth 18 hrs ago. The client reports that her nipples
are getting tender & the baby is not breastfeeding well. Which response is appropriate by
the nurse?
• “Try removing the infant's clothing & putting the baby skin to skin on your chest.”
• “Wait until the baby is crying to show hunger, then breastfeed to help
“Make sure to compress the breast so the baby can get an adequate
amount of breast tissue into the mouth.”
improve latching.”
• “Apply a small amount of topical breast cream to help with the discomfort.”
1. The nurse is caring for a client who is 1 hr postpartum & observes a moderate
amount of lochia rubra & several small clots on the client’s perineal pad. The
fundus is midline & firm at the umbilicus. Which of the following actions should
the nurse implement?
• Encourage the client to empty the bladder
• Increase the frequency of the fundal massage
• Notify the PHCP
• Document the findings & continue to monitor the client
2. The nurse is teaching a client with DM1 who just delivered a healthy baby. What
information should the nurse include in the client’s teaching?
• Change to oral hypoglycemia meds that will control sugar levels better than
insulin
• Feed the baby formula since insulin received through breastfeeding may
cause low sugar
• Urine
Due to hormonal changes after delivery, the need for insulin may should
decrease be
checked
for ketones every time the client voids
,
3. The nurse is caring for clients in the postpartum unit. Which client should the
nurse see first?
• Multipara mother who has saturated 1 perineal pad in 3 hrs
• Primipara mother who delivered 3 hrs ago & is having difficulty getting the baby to
latch on to breastfeed
Primipara mother requesting help with repositioning her baby to
decrease incisional pain from a cesarean delivery
• Multipara mother who delivered 4 hrs ago & has not voided
4. The nurse is caring for a client who delivered vaginally 4 hrs ago. Her fundus is
right of midline, & firm only with massage. What is the priority action by the
nurse?
• Perform a bladder scan & notify the PHCP of the results
• Place the client’s hands in warm water
• Insert an indwelling urethral catheter
• Perform a straight catheterization & massage the fundus until its firm
5. The nurse is preparing to assess a postpartum client’s fundus. The nurse
should put the HOB down to 30 degrees, ensure the client’s bladder has been
emptied recently and
• Place 1 hand over the bladder & use fingertips to locate
fundus
• Ask the client to place the hands under the head
• Place a pillow under the client’s lower back
• Place hand above symphysis pubis for support
10.The nurse is caring for a client who delivered a healthy infant 4 hrs ago. The
nurse notes the mother’s temp is 98.7. Which action is priority for the nurse?
• Continue to monitor the client
• Retake the temp in 15 mins
• Encourage oral fluids
• Administer prescribed acetaminophen
6. The nurse is caring for a formula-feeding postpartum client who reports painful
swollen breasts on her 3rd postpartum day. The nurse should encourage the
mother to
• Gently massage the breasts
• Place cabbage leaves on the breasts
• Stimulate the nipples manually
• Expel a small amount of milk
