,NU 170 EXAM 3 Maternal-Child Nursing Questions And Answers
2026/2027 Galen College
Q1. A client gives birth to a newborn weighing 4,600 g (10 lb 2 oz).
Which maternal complication should the nurse prioritize assessing
for during the immediate postpartum period?
A) Uterine atony
B) Hyperemesis gravidarum
C) Placenta previa
D) Urinary tract infection
Correct Answer: A) Uterine atony
Rationale: Fetal macrosomia can overstretch the uterine muscle, increasing
the risk of uterine atony and postpartum hemorrhage.
Q2. Which finding is most concerning for uterine atony after birth?
A) Firm fundus at the midline
B) Boggy uterus with heavy vaginal bleeding
C) Decreasing lochia
D) Mild uterine cramping
Correct Answer: B) Boggy uterus with heavy vaginal bleeding
Rationale: A boggy uterus indicates inadequate contraction, which can cause
significant postpartum hemorrhage.
Q3. What should the nurse do first when a postpartum client's
fundus is boggy and bleeding is excessive?
A) Massage the fundus
B) Encourage ambulation
C) Place the client prone
D) Offer oral fluids
Correct Answer: A) Massage the fundus
Rationale: Fundal massage stimulates uterine contraction and is an
immediate nursing intervention for uterine atony.
Q4. Which factor increases the risk for postpartum hemorrhage due
to uterine atony?
A) Macrosomia
B) Small-for-gestational-age fetus
, C) Short labor
D) Early ambulation
Correct Answer: A) Macrosomia
Rationale: An excessively large fetus can overstretch the uterus, impairing
effective postpartum contraction.
Q5. Which medication is commonly prescribed to promote uterine
contraction after postpartum hemorrhage caused by uterine atony?
A) Oxytocin
B) Magnesium sulfate
C) Terbutaline
D) Betamethasone
Correct Answer: A) Oxytocin
Rationale: Oxytocin stimulates uterine contractions and is commonly used to
treat or prevent postpartum hemorrhage caused by uterine atony.
Q6. Which assessment finding indicates that a postpartum client's
uterus is involuting appropriately?
A) Fundus remains boggy
B) Fundus gradually descends
C) Vaginal bleeding progressively increases
D) Uterus remains enlarged indefinitely
Correct Answer: B) Fundus gradually descends
Rationale: Normal uterine involution causes the fundus to descend
progressively as the uterus returns toward its prepregnancy size.
Q7. Which lochia is expected during the first few postpartum days?
A) Lochia alba
B) Lochia serosa
C) Lochia rubra
D) Purulent drainage
Correct Answer: C) Lochia rubra
Rationale: Lochia rubra is the initial postpartum discharge and is primarily
blood mixed with decidual tissue and mucus.
Q8. Which lochia normally follows lochia rubra?
2026/2027 Galen College
Q1. A client gives birth to a newborn weighing 4,600 g (10 lb 2 oz).
Which maternal complication should the nurse prioritize assessing
for during the immediate postpartum period?
A) Uterine atony
B) Hyperemesis gravidarum
C) Placenta previa
D) Urinary tract infection
Correct Answer: A) Uterine atony
Rationale: Fetal macrosomia can overstretch the uterine muscle, increasing
the risk of uterine atony and postpartum hemorrhage.
Q2. Which finding is most concerning for uterine atony after birth?
A) Firm fundus at the midline
B) Boggy uterus with heavy vaginal bleeding
C) Decreasing lochia
D) Mild uterine cramping
Correct Answer: B) Boggy uterus with heavy vaginal bleeding
Rationale: A boggy uterus indicates inadequate contraction, which can cause
significant postpartum hemorrhage.
Q3. What should the nurse do first when a postpartum client's
fundus is boggy and bleeding is excessive?
A) Massage the fundus
B) Encourage ambulation
C) Place the client prone
D) Offer oral fluids
Correct Answer: A) Massage the fundus
Rationale: Fundal massage stimulates uterine contraction and is an
immediate nursing intervention for uterine atony.
Q4. Which factor increases the risk for postpartum hemorrhage due
to uterine atony?
A) Macrosomia
B) Small-for-gestational-age fetus
, C) Short labor
D) Early ambulation
Correct Answer: A) Macrosomia
Rationale: An excessively large fetus can overstretch the uterus, impairing
effective postpartum contraction.
Q5. Which medication is commonly prescribed to promote uterine
contraction after postpartum hemorrhage caused by uterine atony?
A) Oxytocin
B) Magnesium sulfate
C) Terbutaline
D) Betamethasone
Correct Answer: A) Oxytocin
Rationale: Oxytocin stimulates uterine contractions and is commonly used to
treat or prevent postpartum hemorrhage caused by uterine atony.
Q6. Which assessment finding indicates that a postpartum client's
uterus is involuting appropriately?
A) Fundus remains boggy
B) Fundus gradually descends
C) Vaginal bleeding progressively increases
D) Uterus remains enlarged indefinitely
Correct Answer: B) Fundus gradually descends
Rationale: Normal uterine involution causes the fundus to descend
progressively as the uterus returns toward its prepregnancy size.
Q7. Which lochia is expected during the first few postpartum days?
A) Lochia alba
B) Lochia serosa
C) Lochia rubra
D) Purulent drainage
Correct Answer: C) Lochia rubra
Rationale: Lochia rubra is the initial postpartum discharge and is primarily
blood mixed with decidual tissue and mucus.
Q8. Which lochia normally follows lochia rubra?
