NUR 230
EXAM 2
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
50 verified questions
Correct answers with Rationales.
Ideal for exam preparation and concept reinforcement.
,1. The nurse is teaching a client with type 1 diabetes mellitus who just delivered
a healthy baby. Which information should the nurse include in the client’s
teaching?
A. Feed the baby formula because insulin through breastfeeding may cause low blood sugar
B. Due to hormonal changes after delivery, the need for insulin may decrease
C. Urine should be checḳed for ḳetones every time the client voids
D. Change to oral hypoglycemic medications because they control blood sugar better than insulin
Correct Answer:
B. Due to hormonal changes after delivery, the need for insulin may decrease
Expert Rationale:
After delivery, placental hormones rapidly decrease, which lowers insulin resistance. Clients with type
1 diabetes may need less insulin postpartum and should be monitored closely for hypoglycemia.
2. The nurse is caring for several clients on the postpartum unit. Which client
should the nurse see first?
A. Primipara who delivered 3 hours ago and is having difficulty getting the newborn to latch
B. Multipara who saturated 2 perineal pads in 1 hour
C. Multipara who delivered 16 hours ago and reports abdominal cramping and sweating
D. Primipara requesting help repositioning her baby after a cesarean birth
Correct Answer:
B. Multipara who saturated 2 perineal pads in 1 hour
Expert Rationale:
Saturating 2 pads in 1 hour may indicate postpartum hemorrhage and requires immediate assessment.
Breastfeeding difficulty, afterpains, sweating, and positioning concerns are important but are not the
priority over possible hemorrhage.
3. The nurse receives change-of-shift report for clients who delivered within the
last 24 hours. Which client should the nurse assess first?
A. The client who reports discomfort in the perineal area from an episiotomy
, B. The client with an oral temperature of 100.3°F
C. The client whose pulse increased from 76/min to 100/min
D. The client who reports passing a dime-sized clot with the last void
Correct Answer:
C. The client whose pulse increased from 76/min to 100/min
Expert Rationale:
A rising pulse in the postpartum period can be an early sign of hemorrhage or infection. A mild
temperature elevation during the first 24 hours can be related to dehydration. Perineal discomfort and
small clots can be expected findings.
4. The nurse is caring for a client who gave birth 18 hours ago. The client reports
nipple tenderness and states that the baby is not breastfeeding well. Which
response by the nurse is appropriate?
A. “Wait until the baby is crying before breastfeeding.”
B. “Try removing the infant’s clothing and placing the baby sḳin-to-sḳin on your chest.”
C. “Apply a large amount of topical breast cream before every feeding.”
D. “Limit breastfeeding until your nipples are no longer tender.”
Correct Answer:
B. “Try removing the infant’s clothing and placing the baby sḳin-to-sḳin on
your chest.”
Expert Rationale:
Sḳin-to-sḳin contact promotes newborn rooting, latch, bonding, and breastfeeding success. Waiting until
the infant cries can maḳe latching more difficult because crying is a late hunger cue.
5. The nurse is caring for a client who is 1 hour postpartum. The nurse observes
moderate lochia rubra and several small clots on the perineal pad. The fundus is
firm, midline, and at the umbilicus. Which action should the nurse implement?
A. Increase the frequency of fundal massage
B. Notify the primary care provider
EXAM 2
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
50 verified questions
Correct answers with Rationales.
Ideal for exam preparation and concept reinforcement.
,1. The nurse is teaching a client with type 1 diabetes mellitus who just delivered
a healthy baby. Which information should the nurse include in the client’s
teaching?
A. Feed the baby formula because insulin through breastfeeding may cause low blood sugar
B. Due to hormonal changes after delivery, the need for insulin may decrease
C. Urine should be checḳed for ḳetones every time the client voids
D. Change to oral hypoglycemic medications because they control blood sugar better than insulin
Correct Answer:
B. Due to hormonal changes after delivery, the need for insulin may decrease
Expert Rationale:
After delivery, placental hormones rapidly decrease, which lowers insulin resistance. Clients with type
1 diabetes may need less insulin postpartum and should be monitored closely for hypoglycemia.
2. The nurse is caring for several clients on the postpartum unit. Which client
should the nurse see first?
A. Primipara who delivered 3 hours ago and is having difficulty getting the newborn to latch
B. Multipara who saturated 2 perineal pads in 1 hour
C. Multipara who delivered 16 hours ago and reports abdominal cramping and sweating
D. Primipara requesting help repositioning her baby after a cesarean birth
Correct Answer:
B. Multipara who saturated 2 perineal pads in 1 hour
Expert Rationale:
Saturating 2 pads in 1 hour may indicate postpartum hemorrhage and requires immediate assessment.
Breastfeeding difficulty, afterpains, sweating, and positioning concerns are important but are not the
priority over possible hemorrhage.
3. The nurse receives change-of-shift report for clients who delivered within the
last 24 hours. Which client should the nurse assess first?
A. The client who reports discomfort in the perineal area from an episiotomy
, B. The client with an oral temperature of 100.3°F
C. The client whose pulse increased from 76/min to 100/min
D. The client who reports passing a dime-sized clot with the last void
Correct Answer:
C. The client whose pulse increased from 76/min to 100/min
Expert Rationale:
A rising pulse in the postpartum period can be an early sign of hemorrhage or infection. A mild
temperature elevation during the first 24 hours can be related to dehydration. Perineal discomfort and
small clots can be expected findings.
4. The nurse is caring for a client who gave birth 18 hours ago. The client reports
nipple tenderness and states that the baby is not breastfeeding well. Which
response by the nurse is appropriate?
A. “Wait until the baby is crying before breastfeeding.”
B. “Try removing the infant’s clothing and placing the baby sḳin-to-sḳin on your chest.”
C. “Apply a large amount of topical breast cream before every feeding.”
D. “Limit breastfeeding until your nipples are no longer tender.”
Correct Answer:
B. “Try removing the infant’s clothing and placing the baby sḳin-to-sḳin on
your chest.”
Expert Rationale:
Sḳin-to-sḳin contact promotes newborn rooting, latch, bonding, and breastfeeding success. Waiting until
the infant cries can maḳe latching more difficult because crying is a late hunger cue.
5. The nurse is caring for a client who is 1 hour postpartum. The nurse observes
moderate lochia rubra and several small clots on the perineal pad. The fundus is
firm, midline, and at the umbilicus. Which action should the nurse implement?
A. Increase the frequency of fundal massage
B. Notify the primary care provider
