NUR 230 Exam 2 – In-Class Questions & Answers | Med-Surg Nursing (2025)
The nurse is teaching a bottle-feeding mother how to manage engorgement when she gets home.
Which of the following statements indicates a lack of understanding by the mother on this topic –
Answer✅️ ☑️running warm water over my breasts or expressing milk will help if my breasts get
overly full
Reliable indicators of impending shock from early postpartum hemorrhage include all of the
following EXCEPT – Answer✅️ ☑️ blood pressure
If a postpartum woman complains of extreme perineal pain, especially after having received pain
medication, the FIRST action by the nurse should be – Answer✅️ ☑a️ ssess the perineum
Upon examining a patient on day 2 after spontaneous vaginal delivery, a nurse finds the perineal
pad to be completely saturated with bright red blood over the last 15 minutes. The priority in this
scenario is – Answer✅️ ☑️ massage the fundus
Blood loss of delivery is replenished by all of the following EXCEPT – Answer✅️
☑️reduction
of intravascular fluid through dehydration in labor
Which of the following information regarding postpartum women’s bladder and bowel patterns is
FALSE – Answer✅️ ☑️ rectal suppositories and enemas may be safely used by all clients in the
postpartum period
Which of the following types of birth control are contraindicated after hospital discharge for the
breastfeeding mother in the early postpartum period – Answer✅️ ☑o️ ral contraceptives, mirena
IUD
, The nurse recognizes all of the following PP changes are normal EXCEPT – Answer✅️
☑️WBC
of 40,000/mm^3
The nurse is teaching a postpartum mother about skin changes in the postpartum period. The
nurse recognizes the mother needs additional teaching when the mother states – Answer✅️ ☑️i
will have some hair loss for the first 12 months postpartum
Which postpartum clients require Rhogam – Answer✅️ ☑m ️other who is A- infant is A+, mother
who is AB- infant is unknown and father is B-, mother who is B- status post miscarriage at 8
weeks
A nurse receives report on four mother and baby couplets. Which client should the nurse assess
first – Answer✅️ ☑a️ mother who calls out stating that an employee without the MBU ID badge
is going to take her newborn for an X ray
With the completion of the THIRD stage of labor and beginning of the FOURTH stage, there are
many necessary nursing interventions. SATA – Answer✅️ ☑m ️assage the fundus, assist the
mother with breastfeeding, administer IV oxytocin/pitocin rapidly per institution protocol
Related to uterine involution, the nurse recognizes all of the following statements are true
EXCEPT – Answer✅️ ☑t️ he uterus should not be palpable abdominally after 2 days
A nurse is caring for a postpartum client. She notices the mother saying to the father, “she has
your beautiful eyes” this is a specific example of which of the following – Answer✅️ ☑c️ laiming
A couple is concerned that their four year old infant will have problems once their new baby
delivers in 6 weeks. What is the best recommendation for this couple – Answer✅️ ☑️ encourage
the parents to take their 4 year old to sibling classes
A nursery nurse is caring for a newborn infant. She has just bathed a baby boy who is laying
quietly under the warmer. The nurse uses an animated, high pitched voice and softly says, “what
a big boy you are! You are so handsome! And so strong! Arent you just a cutie pie!” as she says
The nurse is teaching a bottle-feeding mother how to manage engorgement when she gets home.
Which of the following statements indicates a lack of understanding by the mother on this topic –
Answer✅️ ☑️running warm water over my breasts or expressing milk will help if my breasts get
overly full
Reliable indicators of impending shock from early postpartum hemorrhage include all of the
following EXCEPT – Answer✅️ ☑️ blood pressure
If a postpartum woman complains of extreme perineal pain, especially after having received pain
medication, the FIRST action by the nurse should be – Answer✅️ ☑a️ ssess the perineum
Upon examining a patient on day 2 after spontaneous vaginal delivery, a nurse finds the perineal
pad to be completely saturated with bright red blood over the last 15 minutes. The priority in this
scenario is – Answer✅️ ☑️ massage the fundus
Blood loss of delivery is replenished by all of the following EXCEPT – Answer✅️
☑️reduction
of intravascular fluid through dehydration in labor
Which of the following information regarding postpartum women’s bladder and bowel patterns is
FALSE – Answer✅️ ☑️ rectal suppositories and enemas may be safely used by all clients in the
postpartum period
Which of the following types of birth control are contraindicated after hospital discharge for the
breastfeeding mother in the early postpartum period – Answer✅️ ☑o️ ral contraceptives, mirena
IUD
, The nurse recognizes all of the following PP changes are normal EXCEPT – Answer✅️
☑️WBC
of 40,000/mm^3
The nurse is teaching a postpartum mother about skin changes in the postpartum period. The
nurse recognizes the mother needs additional teaching when the mother states – Answer✅️ ☑️i
will have some hair loss for the first 12 months postpartum
Which postpartum clients require Rhogam – Answer✅️ ☑m ️other who is A- infant is A+, mother
who is AB- infant is unknown and father is B-, mother who is B- status post miscarriage at 8
weeks
A nurse receives report on four mother and baby couplets. Which client should the nurse assess
first – Answer✅️ ☑a️ mother who calls out stating that an employee without the MBU ID badge
is going to take her newborn for an X ray
With the completion of the THIRD stage of labor and beginning of the FOURTH stage, there are
many necessary nursing interventions. SATA – Answer✅️ ☑m ️assage the fundus, assist the
mother with breastfeeding, administer IV oxytocin/pitocin rapidly per institution protocol
Related to uterine involution, the nurse recognizes all of the following statements are true
EXCEPT – Answer✅️ ☑t️ he uterus should not be palpable abdominally after 2 days
A nurse is caring for a postpartum client. She notices the mother saying to the father, “she has
your beautiful eyes” this is a specific example of which of the following – Answer✅️ ☑c️ laiming
A couple is concerned that their four year old infant will have problems once their new baby
delivers in 6 weeks. What is the best recommendation for this couple – Answer✅️ ☑️ encourage
the parents to take their 4 year old to sibling classes
A nursery nurse is caring for a newborn infant. She has just bathed a baby boy who is laying
quietly under the warmer. The nurse uses an animated, high pitched voice and softly says, “what
a big boy you are! You are so handsome! And so strong! Arent you just a cutie pie!” as she says
