NUR 254 MATERNAL EXAM 2 | NEWBORN &
POSTPARTUM NURSING | 100% CORRECT |
GALEN COLLEGE OF NURSING | 2026.
146 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 2 | NEWBORN & POSTPARTUM NURSING | 100% CORRECT | GALEN
COLLEGE OF NURSING | 2026.. It contains 146 carefully selected questions that reflect the most current exam
content and testing strategies. Each question is accompanied by a correct answer and a detailed rationale that
explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 146 Questions
Foundations - Application - NUR 254 Maternal 2 Newborn & Postpartum Nursing 100 Correct Galen
College OF Nursing 2026 Maternal-newborn Nursing Newborn & Postpartum CARE Undergraduate YEAR 3
Baccalaureate Nursing Galen College OF Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Postpartum Physiological 1-25 Postpartum, Newborn, Finding, Indicates, Teaching
Adaptations AND Nursing
CARE
Postpartum Complications 26-50 Postpartum, Finding, Newborn, Reports, Indicates
Hemorrhage Infection AND
Thromboembolic Disorders
Postpartum Psychosocial 51-75 Postpartum, Finding, Newborn, Hours, First
Adaptation AND Perinatal
MOOD Disorders
Newborn Transition TO 76-100 Postpartum, Newborn, Hours, Indicates, Finding
Extrauterine LIFE AND Initial
Assessment
Newborn Physical 101-125 Newborn, Postpartum, Finding, Hours, Receiving
Assessment AND Gestational
AGE Evaluation
Newborn Nutrition Feeding 126-146 Postpartum, Finding, Newborn, Reports, Intervention
AND Metabolic Needs
TOTAL 146 All questions include answers and detailed rationales
,Section A - Postpartum Physiological Adaptations AND
Nursing CARE
Q1.
A postpartum client's fundus is firm, midline, and at the umbilicus, but the perineal pad is
saturated with bright red blood within 15 minutes. Which action should the nurse take
first?
A. Massage the fundus vigorously to expel B. Assess for lacerations or hematoma while
clots. monitoring vital signs.
C. Administer methylergonovine IM as D. Recheck the pad in 30 minutes before
ordered. intervening.
Correct: B - Assess for lacerations or hematoma while monitoring vital signs.
Rationale:A firm, midline fundus with continued bright red bleeding suggests a lower genital
tract cause (laceration, hematoma) rather than uterine atony, so the nurse inspects the
perineum/vagina and monitors hemodynamics. Massaging a firm fundus is unnecessary and
may cause trauma; uterotonics target atony, not lacerations; and delaying reassessment risks
unrecognized hemorrhage.
Why the other answers are wrong:
A. The fundus is already firm, so massage does not address the source and may worsen
bleeding.
C. Methylergonovine is indicated for uterine atony, not for a firm uterus with suspected
laceration.
D. Waiting 30 minutes delays recognition and treatment of ongoing hemorrhage.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 23.
Q2.
Which finding in a newborn at 24 hours of life requires immediate notification of the
provider?
A. Respiratory rate of 52 breaths/min with B. Axillary temperature of 36.8°C (98.2°F) in
brief periodic breathing. an open crib.
C. Yellow discoloration of the sclera and skin D. Heart rate of 130 beats/min while
of the face and chest. sleeping.
Correct: C - Yellow discoloration of the sclera and skin of the face and chest.
Page 3
, Section A - Postpartum Physiological Adaptations AND Nursing CARE
Rationale: Visible jaundice within the first 24 hours is always pathologic and suggests
hemolytic disease or infection, requiring prompt bilirubin measurement and provider
notification. Periodic breathing, a temperature of 36.8°C, and a sleeping heart rate of 130 are
all normal newborn findings.
Why the other answers are wrong:
A. Periodic breathing with a rate of 52 is a normal newborn respiratory pattern.
B. 36.8°C is within normal axillary range for a newborn in an open crib.
D. A sleeping heart rate of 130 is within the normal newborn range of 110-160.
Reference: Hockenberry, M.J., et al. (2024). Wong's Nursing Care of Infants and Children, 12th Ed., Ch.
6.
Q3.
A postpartum client receiving magnesium sulfate for preeclampsia has a respiratory rate
of 11 breaths/min and absent deep tendon reflexes. Which action should the nurse
anticipate?
A. Increase the magnesium infusion rate to B. Administer calcium gluconate and stop
maintain therapeutic levels. the magnesium infusion.
C. Encourage the client to take deep D. Obtain a serum magnesium level and
breaths and continue monitoring. continue the current infusion.
Correct: B - Administer calcium gluconate and stop the magnesium infusion.
Rationale:Respiratory depression and loss of deep tendon reflexes indicate magnesium
toxicity; the antidote is calcium gluconate with immediate discontinuation of the infusion.
Increasing the rate worsens toxicity, coaching breaths does not reverse the cause, and
continuing the infusion while awaiting levels endangers the client.
Why the other answers are wrong:
A. Increasing the rate would worsen magnesium toxicity.
C. Coaching breaths does not address the underlying magnesium toxicity.
D. Continuing the infusion delays antidote administration and risks respiratory arrest.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 21.
Q4.
Which statement by a breastfeeding mother indicates a need for further teaching about
newborn feeding cues?
A. "I will feed my baby when he shows B. "I will wait until my baby cries hard before
rooting and hand-to-mouth movements." putting him to breast."
C. "I will watch for rapid eye movements and D. "I will feed at least 8 to 12 times in 24
sucking motions during light sleep." hours during the first weeks."
Correct: B - "I will wait until my baby cries hard before putting him to breast."
Page 4
POSTPARTUM NURSING | 100% CORRECT |
GALEN COLLEGE OF NURSING | 2026.
146 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 254 MATERNAL EXAM 2 | NEWBORN & POSTPARTUM NURSING | 100% CORRECT | GALEN
COLLEGE OF NURSING | 2026.. It contains 146 carefully selected questions that reflect the most current exam
content and testing strategies. Each question is accompanied by a correct answer and a detailed rationale that
explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 146 Questions
Foundations - Application - NUR 254 Maternal 2 Newborn & Postpartum Nursing 100 Correct Galen
College OF Nursing 2026 Maternal-newborn Nursing Newborn & Postpartum CARE Undergraduate YEAR 3
Baccalaureate Nursing Galen College OF Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Postpartum Physiological 1-25 Postpartum, Newborn, Finding, Indicates, Teaching
Adaptations AND Nursing
CARE
Postpartum Complications 26-50 Postpartum, Finding, Newborn, Reports, Indicates
Hemorrhage Infection AND
Thromboembolic Disorders
Postpartum Psychosocial 51-75 Postpartum, Finding, Newborn, Hours, First
Adaptation AND Perinatal
MOOD Disorders
Newborn Transition TO 76-100 Postpartum, Newborn, Hours, Indicates, Finding
Extrauterine LIFE AND Initial
Assessment
Newborn Physical 101-125 Newborn, Postpartum, Finding, Hours, Receiving
Assessment AND Gestational
AGE Evaluation
Newborn Nutrition Feeding 126-146 Postpartum, Finding, Newborn, Reports, Intervention
AND Metabolic Needs
TOTAL 146 All questions include answers and detailed rationales
,Section A - Postpartum Physiological Adaptations AND
Nursing CARE
Q1.
A postpartum client's fundus is firm, midline, and at the umbilicus, but the perineal pad is
saturated with bright red blood within 15 minutes. Which action should the nurse take
first?
A. Massage the fundus vigorously to expel B. Assess for lacerations or hematoma while
clots. monitoring vital signs.
C. Administer methylergonovine IM as D. Recheck the pad in 30 minutes before
ordered. intervening.
Correct: B - Assess for lacerations or hematoma while monitoring vital signs.
Rationale:A firm, midline fundus with continued bright red bleeding suggests a lower genital
tract cause (laceration, hematoma) rather than uterine atony, so the nurse inspects the
perineum/vagina and monitors hemodynamics. Massaging a firm fundus is unnecessary and
may cause trauma; uterotonics target atony, not lacerations; and delaying reassessment risks
unrecognized hemorrhage.
Why the other answers are wrong:
A. The fundus is already firm, so massage does not address the source and may worsen
bleeding.
C. Methylergonovine is indicated for uterine atony, not for a firm uterus with suspected
laceration.
D. Waiting 30 minutes delays recognition and treatment of ongoing hemorrhage.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 23.
Q2.
Which finding in a newborn at 24 hours of life requires immediate notification of the
provider?
A. Respiratory rate of 52 breaths/min with B. Axillary temperature of 36.8°C (98.2°F) in
brief periodic breathing. an open crib.
C. Yellow discoloration of the sclera and skin D. Heart rate of 130 beats/min while
of the face and chest. sleeping.
Correct: C - Yellow discoloration of the sclera and skin of the face and chest.
Page 3
, Section A - Postpartum Physiological Adaptations AND Nursing CARE
Rationale: Visible jaundice within the first 24 hours is always pathologic and suggests
hemolytic disease or infection, requiring prompt bilirubin measurement and provider
notification. Periodic breathing, a temperature of 36.8°C, and a sleeping heart rate of 130 are
all normal newborn findings.
Why the other answers are wrong:
A. Periodic breathing with a rate of 52 is a normal newborn respiratory pattern.
B. 36.8°C is within normal axillary range for a newborn in an open crib.
D. A sleeping heart rate of 130 is within the normal newborn range of 110-160.
Reference: Hockenberry, M.J., et al. (2024). Wong's Nursing Care of Infants and Children, 12th Ed., Ch.
6.
Q3.
A postpartum client receiving magnesium sulfate for preeclampsia has a respiratory rate
of 11 breaths/min and absent deep tendon reflexes. Which action should the nurse
anticipate?
A. Increase the magnesium infusion rate to B. Administer calcium gluconate and stop
maintain therapeutic levels. the magnesium infusion.
C. Encourage the client to take deep D. Obtain a serum magnesium level and
breaths and continue monitoring. continue the current infusion.
Correct: B - Administer calcium gluconate and stop the magnesium infusion.
Rationale:Respiratory depression and loss of deep tendon reflexes indicate magnesium
toxicity; the antidote is calcium gluconate with immediate discontinuation of the infusion.
Increasing the rate worsens toxicity, coaching breaths does not reverse the cause, and
continuing the infusion while awaiting levels endangers the client.
Why the other answers are wrong:
A. Increasing the rate would worsen magnesium toxicity.
C. Coaching breaths does not address the underlying magnesium toxicity.
D. Continuing the infusion delays antidote administration and risks respiratory arrest.
Reference: Lowdermilk, D.L., et al. (2024). Maternity & Women's Health Care, 13th Ed., Ch. 21.
Q4.
Which statement by a breastfeeding mother indicates a need for further teaching about
newborn feeding cues?
A. "I will feed my baby when he shows B. "I will wait until my baby cries hard before
rooting and hand-to-mouth movements." putting him to breast."
C. "I will watch for rapid eye movements and D. "I will feed at least 8 to 12 times in 24
sucking motions during light sleep." hours during the first weeks."
Correct: B - "I will wait until my baby cries hard before putting him to breast."
Page 4
