NSG 3500 Exam 3 2026/2027: 80+ Questions & Answers – Postpartum Hemorrhage, Breastfeeding, DVT, Infections & Postpartum Care – Galen

This NSG 3500 Exam 3 Maternal Health Guide 2026/2027 is a comprehensive 30-page question-and-answer study resource containing 80+ questions, clinical scenarios, definitions, and verified solutions for maternal nursing examination preparation. The document focuses primarily on postpartum nursing assessment, postpartum hemorrhage (PPH), uterine atony, lacerations and hematomas, postpartum infections, DVT and pulmonary embolism, breastfeeding and formula feeding, cesarean-section care, postpartum psychological adaptation, postpartum depression and psychosis, discharge education, and maternal-newborn safety. The cover page explicitly identifies the resource as NSG 3500 / NSG3500 Exam 3, describes it as a maternal health nursing practice guide, dates it 2026/2027, and identifies Galen. A major portion of the document concentrates on postpartum hemorrhage and maternal stabilization. Students review uterine atony, retained placental tissue, unrepaired cervical or vaginal lacerations, hematomas, precipitous delivery, induction, quantitative blood loss, and the clinical manifestations of significant postpartum bleeding. The guide differentiates a boggy uterus with bleeding, associated in the source with typical PPH/uterine atony, from persistent bright-red bleeding accompanied by a firm fundus, which suggests a laceration. Early warning findings presented include tachycardia, restlessness, anxiety, pallor, cool clammy skin, hypotension, and oxygen saturation below 95%. The resource provides practical review of PPH interventions and uterotonic medications. Fundal massage is identified as a first-line intervention for uterine atony, while additional management includes establishing IV access, administering oxytocin and other prescribed medications, inserting a urinary catheter, monitoring maternal status, and notifying the provider. Drugs discussed include oxytocin, methylergonovine/Methergine, misoprostol/Cytotec, and carboprost/Hemabate. The source specifically emphasizes avoiding Methergine in patients with hypertension and Hemabate in patients with asthma. Students also review uterine involution and routine postpartum assessment. The document covers subinvolution, expected changes in fundal height, bladder distention and uterine displacement, lochia, vital signs, perineal assessment, and the BUBBLE-E framework: Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy, and Emotional status. One scenario describes a boggy, deviated uterus two centimeters above the umbilicus and identifies assisting the mother to empty her bladder as the appropriate response according to the supplied answer. Another important examination area is postpartum infection, particularly endometritis and mastitis. Endometritis is described as inflammation of the uterine lining that commonly begins at the placental site and may spread to surrounding reproductive and pelvic structures. Findings covered include maternal fever, tachycardia, uterine tenderness, suprapubic pain, subinvolution, malaise, and changes in lochia. Risk factors presented later in the document include prolonged labor, prolonged rupture of membranes, cesarean birth, GBS positivity, operative vaginal delivery, and previous sexually transmitted infection. The mastitis material asks students to recognize breast redness, warmth, breast pain, fever, chills, and flu-like manifestations. According to the source, management includes continuing breastfeeding, resting, maintaining fluid intake, and completing prescribed antibiotic therapy. The resource additionally distinguishes mastitis from other causes of postpartum fever and discomfort through clinical scenarios. The guide devotes significant attention to postpartum thromboembolic complications. Students review DVT assessment, thrombophlebitis, pulmonary embolism, anticoagulant therapy, and warning signs requiring immediate escalation. Leg assessment includes pulse, pain, warmth, edema, and sensation, while treatment content includes rest, elevation, sequential compression devices, warm compresses, fluids, heparin, and monitoring leg circumference. Sudden chest pain, shortness of breath, coughing, and tachycardia are presented as concerning for pulmonary embolism, with airway, breathing, circulation, oxygen support, and higher-level care emphasized. A substantial section covers perineal assessment, episiotomy care, hematomas, and postpartum comfort. Students review REEDA assessment, ice application, sitz baths, witch hazel pads, topical numbing spray, hygiene with a peri bottle, pad changes, and front-to-back perineal care. The guide characterizes a postpartum hematoma as a collection of blood in the tissues that may occur without obvious external bleeding and emphasizes unrelenting pain or rectal pressure, bruising, and a soft or bulging perineal mass as important findings. The document also provides extensive preparation in breastfeeding and lactation nursing. Topics include maternal and infant benefits of breastfeeding, feeding cues, foremilk and hindmilk, the oxytocin-mediated let-down reflex, breast and nipple care, skin-to-skin contact, breastfeeding positions, effective latch, feeding frequency, assessment of adequate intake, engorgement, and sore nipples. The source describes feeding cues such as stirring, rooting, hand-to-mouth movements, sucking or lip-smacking behaviors, and increased activity before crying becomes a late hunger cue. Breastfeeding assessment includes evaluation of infant intake and output, approximately 6–8 wet diapers per day as stated in the guide, feeding every two to three hours, and hearing an audible suck-swallow pattern. Engorgement management includes a supportive bra, hand expression when necessary to soften the nipple area, regular feeding, warmth before feeding to assist let-down, and cold application afterward to reduce swelling. Poor latch is highlighted as a common contributor to sore nipples. The formula-feeding and newborn-care content addresses safe preparation according to manufacturer instructions, use of an appropriate water source, cleaning equipment, avoiding microwave heating, safe bottle positioning, burping, and avoiding cow's milk before one year of age as stated in the source. Maternal-newborn safety is reinforced through questions requiring nurses to match the infant's identification band with the mother's identification before returning the newborn after a procedure. Postpartum care after cesarean delivery is another key topic. The resource discusses postoperative care in addition to routine maternity assessment, urinary catheter removal, advancing the diet as tolerated, pain control, incision and dressing assessment, splinting the incision when coughing, showering, Steri-Strip care, warning signs of infection or wound separation, activity progression, and postpartum follow-up. It also addresses tubal ligation counseling, including informed consent and the permanent nature of the procedure as described in the document. Psychosocial adaptation is explored through Rubin's Taking-In, Taking-Hold, and Letting-Go maternal tasks, adjustment of older siblings, postpartum blues, postpartum depression, and postpartum psychosis. Students learn to distinguish transient postpartum emotional changes from longer-lasting depression requiring professional intervention. The source describes postpartum psychosis as a potentially sudden condition involving hallucinations, delusions, confusion, sleep disturbance, and suicidal or homicidal thoughts, and explicitly characterizes it as a medical emergency. Finally, the guide emphasizes postpartum discharge teaching and recognition of warning signs. Students review maternal temperature, abnormal bleeding, abdominal or breast pain, headache, epigastric pain, mood changes, leg cramps, shortness of breath, visual disturbances, incision complications, perineal hygiene, breast care, contraception, and gradual resumption of normal activities. These scenarios reinforce the nurse's responsibility to help postpartum patients distinguish expected recovery findings from complications requiring healthcare evaluation. Overall, this NSG 3500 Exam 3 resource is designed for students who need an exam-focused review of immediate and ongoing postpartum nursing care, including both routine recovery and potentially life-threatening maternal complications. The uploaded document explicitly identifies NSG 3500, Exam 3, the 2026/2027 update, maternal health nursing, and Galen, making these the strongest source-supported terms for an SEO-focused listing. Relevant Students This document is relevant for Galen NSG 3500 students, Galen nursing students, maternal health nursing students, maternal-newborn nursing students, maternity nursing students, postpartum nursing students, obstetric nursing students, OB nursing students, BSN students, RN students, undergraduate nursing students, perinatal nursing students, and students preparing for exams covering postpartum assessment, breastfeeding, postpartum hemorrhage, maternal infections, thromboembolic complications, and postpartum mental health. 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