NSG 526
EXAM 1
(Family Nursing)
Actual Questions w/Correct Answers
(NCLEX (NGN) style Questions)
Herzing University
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept reinforcement.
,Question 1. A postpartum client who is Rh-negative refuses to receive Rho(D)
immune globulin after delivering an Rh-positive infant. Which information should
the nurse provide?
A. Rho(D) immune globulin prevents maternal antibody formation that could affect future
Rh-positive pregnancies.
B. Rho(D) immune globulin increases the newborn’s production of red blood cells.
C. Rho(D) immune globulin prevents postpartum hemorrhage in Rh-negative clients.
D. Rho(D) immune globulin provides lifelong immunity against all blood incompatibilities.
Correct Answer: A
Rationale:
Rho(D) immune globulin prevents an Rh-negative mother from becoming sensitized to
Rh-positive fetal red blood cells. This decreases the risk of hemolytic disease in a future
Rh-positive fetus.
Why the other options are incorrect:
Option B: The medication acts on the maternal immune response, not on newborn red
blood cell production.
Option C: Rho(D) immune globulin does not prevent uterine atony or postpartum
hemorrhage.
Option D: It specifically helps prevent Rh sensitization and does not provide immunity
against all blood-group incompatibilities.
Question 2. The nurse is providing preconception counseling. Which supplement
should the nurse recommend to reduce the risk of neural tube defects such as
anencephaly?
A. Vitamin C
B. Folic acid
C. Vitamin D
D. Calcium carbonate
Correct Answer: B
,Rationale:
Adequate folic acid intake before conception and during early pregnancy reduces the
risk of neural tube defects such as anencephaly and spina bifida.
Why the other options are incorrect:
Option A: Vitamin C is important for tissue health and iron absorption but does not
specifically prevent neural tube defects.
Option C: Vitamin D supports calcium metabolism and skeletal health.
Option D: Calcium supports fetal bone development but does not specifically prevent
neural tube defects.
Question 3. The nurse reviews the history and physical examination of a
postpartum client. Which findings increase the client’s risk for postpartum
hemorrhage? Select all that apply.
A. Gravida 5, para 5
B. Delivery of a 9 lb 1 oz (4.1 kg) newborn
C. Labor lasting 25 hours with forceps-assisted delivery
D. Fourth-degree perineal laceration
E. Estimated blood loss of 600 mL after vaginal delivery
F. Supportive spouse present at the bedside
G. Blood type A positive
Correct Answers: A, B, C, D, E
Rationale:
Option A – Correct: Grand multiparity is associated with reduced uterine muscle tone
and increased risk for uterine atony.
Option B – Correct: A macrosomic newborn can overdistend the uterus, increasing the
risk for uterine atony.
Option C – Correct: Prolonged labor can exhaust the uterine musculature, while
operative vaginal delivery can increase trauma.
Option D – Correct: Severe genital-tract lacerations can cause significant postpartum
blood loss.
Option E – Correct: Blood loss of 600 mL following vaginal birth exceeds the traditional
500-mL threshold and warrants close assessment.
, Option F – Incorrect: Family support does not increase the physiologic risk of
hemorrhage.
Option G – Incorrect: An A-positive blood type does not independently increase
postpartum hemorrhage risk.
Question 4. Based on a postpartum client’s history of prolonged labor, operative
vaginal delivery, significant laceration, and reduced mobility, which two
complications should the nurse recognize as major risks?
A. Venous thromboembolism and postpartum hemorrhage
B. Hyperthyroidism and hypoglycemia
C. Placenta previa and ectopic pregnancy
D. Gestational diabetes and hyperemesis gravidarum
Correct Answer: A
Rationale:
The postpartum period itself increases clotting risk, while immobility and tissue trauma
further increase the risk for venous thromboembolism. Prolonged labor, uterine
overdistention, and birth trauma increase postpartum hemorrhage risk.
Why the other options are incorrect:
Option B: These conditions are not the priority risks associated with the presented
postpartum findings.
Option C: Placenta previa and ectopic pregnancy are pregnancy complications rather
than postpartum complications in this scenario.
Option D: Gestational diabetes and hyperemesis are antepartum conditions.
Question 5. The nurse assesses a postpartum client and finds a boggy fundus
displaced to the right. Which interpretation is most appropriate?
A. The client is at risk for hemorrhage related to inadequate uterine contraction.
B. The client has a normal postpartum uterine assessment.
C. The client is developing postpartum hypertension.
D. The client has normal involution associated with breastfeeding.
Correct Answer: A
EXAM 1
(Family Nursing)
Actual Questions w/Correct Answers
(NCLEX (NGN) style Questions)
Herzing University
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept reinforcement.
,Question 1. A postpartum client who is Rh-negative refuses to receive Rho(D)
immune globulin after delivering an Rh-positive infant. Which information should
the nurse provide?
A. Rho(D) immune globulin prevents maternal antibody formation that could affect future
Rh-positive pregnancies.
B. Rho(D) immune globulin increases the newborn’s production of red blood cells.
C. Rho(D) immune globulin prevents postpartum hemorrhage in Rh-negative clients.
D. Rho(D) immune globulin provides lifelong immunity against all blood incompatibilities.
Correct Answer: A
Rationale:
Rho(D) immune globulin prevents an Rh-negative mother from becoming sensitized to
Rh-positive fetal red blood cells. This decreases the risk of hemolytic disease in a future
Rh-positive fetus.
Why the other options are incorrect:
Option B: The medication acts on the maternal immune response, not on newborn red
blood cell production.
Option C: Rho(D) immune globulin does not prevent uterine atony or postpartum
hemorrhage.
Option D: It specifically helps prevent Rh sensitization and does not provide immunity
against all blood-group incompatibilities.
Question 2. The nurse is providing preconception counseling. Which supplement
should the nurse recommend to reduce the risk of neural tube defects such as
anencephaly?
A. Vitamin C
B. Folic acid
C. Vitamin D
D. Calcium carbonate
Correct Answer: B
,Rationale:
Adequate folic acid intake before conception and during early pregnancy reduces the
risk of neural tube defects such as anencephaly and spina bifida.
Why the other options are incorrect:
Option A: Vitamin C is important for tissue health and iron absorption but does not
specifically prevent neural tube defects.
Option C: Vitamin D supports calcium metabolism and skeletal health.
Option D: Calcium supports fetal bone development but does not specifically prevent
neural tube defects.
Question 3. The nurse reviews the history and physical examination of a
postpartum client. Which findings increase the client’s risk for postpartum
hemorrhage? Select all that apply.
A. Gravida 5, para 5
B. Delivery of a 9 lb 1 oz (4.1 kg) newborn
C. Labor lasting 25 hours with forceps-assisted delivery
D. Fourth-degree perineal laceration
E. Estimated blood loss of 600 mL after vaginal delivery
F. Supportive spouse present at the bedside
G. Blood type A positive
Correct Answers: A, B, C, D, E
Rationale:
Option A – Correct: Grand multiparity is associated with reduced uterine muscle tone
and increased risk for uterine atony.
Option B – Correct: A macrosomic newborn can overdistend the uterus, increasing the
risk for uterine atony.
Option C – Correct: Prolonged labor can exhaust the uterine musculature, while
operative vaginal delivery can increase trauma.
Option D – Correct: Severe genital-tract lacerations can cause significant postpartum
blood loss.
Option E – Correct: Blood loss of 600 mL following vaginal birth exceeds the traditional
500-mL threshold and warrants close assessment.
, Option F – Incorrect: Family support does not increase the physiologic risk of
hemorrhage.
Option G – Incorrect: An A-positive blood type does not independently increase
postpartum hemorrhage risk.
Question 4. Based on a postpartum client’s history of prolonged labor, operative
vaginal delivery, significant laceration, and reduced mobility, which two
complications should the nurse recognize as major risks?
A. Venous thromboembolism and postpartum hemorrhage
B. Hyperthyroidism and hypoglycemia
C. Placenta previa and ectopic pregnancy
D. Gestational diabetes and hyperemesis gravidarum
Correct Answer: A
Rationale:
The postpartum period itself increases clotting risk, while immobility and tissue trauma
further increase the risk for venous thromboembolism. Prolonged labor, uterine
overdistention, and birth trauma increase postpartum hemorrhage risk.
Why the other options are incorrect:
Option B: These conditions are not the priority risks associated with the presented
postpartum findings.
Option C: Placenta previa and ectopic pregnancy are pregnancy complications rather
than postpartum complications in this scenario.
Option D: Gestational diabetes and hyperemesis are antepartum conditions.
Question 5. The nurse assesses a postpartum client and finds a boggy fundus
displaced to the right. Which interpretation is most appropriate?
A. The client is at risk for hemorrhage related to inadequate uterine contraction.
B. The client has a normal postpartum uterine assessment.
C. The client is developing postpartum hypertension.
D. The client has normal involution associated with breastfeeding.
Correct Answer: A
