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NURS 1230 EXAM 2 QUESTIONS AND ANSWERS | NURS 1230 EXAM 2 STUDY GUIDE & PRACTICE TEST 2026/2027

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NURS 1230 EXAM 2 QUESTIONS AND ANSWERS | NURS 1230 EXAM 2 STUDY GUIDE & PRACTICE TEST 2026/2027

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NURS 1230 EXAM 2 QUESTIONS AND
ANSWERS | NURS 1230 EXAM 2 STUDY GUIDE
& PRACTICE TEST 2026/2027

1 of 100




Term



After circumcision, the nurse notes continuous bleeding. The
immediate action should be:
A. Apply gentle pressure and notify the physician.
B. Apply alcohol to stop bleeding.
C. Remove the dressing.
D. Document and continue routine care.



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Answer: A. Apply gentle pressure and notify the physician.
Rationale: Continuous bleeding requires pressure and prompt notification.
Alcohol not used.

, Answer: B
Rationale: Continuing to breastfeed helps empty the breast and relieve
engorgement. Antibiotics are safe with breastfeeding.




Answer: B
Rationale: Breast engorgement occurs in both breastfeeding and non-
breastfeeding mothers due to increased blood flow and milk production.




Answer: C
Rationale: Foul-smelling lochia suggests infection (endometritis) and requires
further evaluation. Mild fever in the first 24 hours and breast engorgement can be
normal.


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2 of 100

Term


Which teaching is appropriate for a postpartum patient prescribed the
rubella vaccine?
A. "You should avoid breastfeeding for 2 weeks."
B. "You should avoid pregnancy for at least 1 month after vaccination."
C. "This vaccine will protect your baby from infections."
D. "This vaccine is safe to receive during pregnancy."



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Answer: B
Rationale: Postpartum women are at increased fall risk due to blood loss,

, anesthesia, and fatigue. They should rise slowly and ask for help if dizzy.



Answer: B
Rationale: The rubella vaccine is a live vaccine and contraindicated in
pregnancy. Women should avoid pregnancy for at least 1 month after
vaccination.




Answer: C
Rationale: Macrosomia (large infant) increases uterine stretching, leading to uterine
atony and risk for hemorrhage.




Answer: C
Rationale: Retained placental fragments are a common cause of delayed
postpartum hemorrhage, occurring days to weeks after delivery.


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3 of 100

Term



When teaching a mother about breastfeeding, which of the following
indicates effective latch and milk transfer?
A. Baby feeds for 2 minutes and falls asleep.
B. Audible swallowing and softened breasts after feeding.
C. Frequent choking during feeds.
D. No wet diapers by day 4.



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, Answer: B. It is normal during the first 24-48 hours and typically benign.
Rationale: Peripheral cyanosis (acrocyanosis) in hands/feet is common in newborns
due to immature peripheral circulation.




Answer: B. Recognize it as normal due to maternal hormones and document.
Rationale: Pseudomenstruation from maternal hormones is common and benign.




Answer: A. Wake the baby every 3-4 hours to feed, offer skin-to-skin to stimulate.
Rationale: Frequent stimulation and scheduled attempts help increase feeding;
alternative feeding only if inadequate intake persists.




Answer: B. Audible swallowing and softened breasts after feeding.
Rationale: Audible swallowing, infant appears satisfied, and breast softening
indicate effective milk transfer. No wet diapers by day 4 suggests poor intake.


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4 of 100

Term


A postpartum woman asks about resuming her menstrual cycle while
breastfeeding. What is the correct response?
A. "Your period will not return until you stop breastfeeding."
B. "Menstruation usually returns within 6-8 weeks, but may be delayed
with breastfeeding."
C. "You cannot get pregnant while breastfeeding."
D. "You should expect your period to return within 2 weeks."



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