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RIC Maternity Nursing Final Review 2025/2026 – 150+ NCLEX‑Style Questions & Rationales

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A concise yet comprehensive final‑exam review guide for maternity nursing, packed with over 150 NCLEX‑style questions and fully explained rationales tailored to the 2025/2026 academic year. Covering the entire spectrum of maternal–newborn care—from the stages of labor, postpartum assessments (BUBBLE‑HE), and management of hemorrhage, to newborn transition, pharmacologic interventions, and common obstetric infections—this PDF is designed to reinforce key concepts and boost confidence for final exams, HESI/ATI assessments, and the NCLEX®. Contents include: Third Stage of Labor & Involution Lochia Types & Postpartum Assessments (BUBBLE‑HE) Postpartum Hemorrhage & Thromboembolic Disorders Newborn Adaptation, Vital Signs & Immediate Care Pharmacologic Agents: Pitocin, Methergine, Cytotec, Hemabate, Tranexamic Acid Breastfeeding Physiology & Mastitis Management Contraceptive Methods & Emergency Contraception TORCH Infections & STI Management in Pregnancy Psychosocial Adaptation: Postpartum Blues vs. Depression

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RIC Maternity Nursing
Course
RIC Maternity Nursing

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RIC Maternity Nursing Final questions and
100% verified answers 2025/2026
3rd stage of labor - Answer Delivery of baby --> delivery of placenta (0-30min for both)



risk: PP hemorrhage, retained placenta



Signs of placental separation - Answer Gush of Blood



Lengthening of cord



Uterus becomes globular



Placental Presentation - Answer Shiny side is the Fetus side/surface



side that looks like hamburger meat is maternal side/surface



Uterus - Answer After birth its the size of a softball



12hrs PP its around umbilicus



decends 1-2 cm a day



day 10 shouldnt be palpable and should lie within pelvis



involution - Answer Shrinking of the uterus (womb) to its normal size after childbirth.



oxytocin releases from anterior pituitary and triggers "afterpains" or contractions

,breastfeeding triggers oxy release



subinvolution - Answer Delayed return of the uterus to its nonpregnant size and consistency.



common casues--

------retained placental fragmetns

------infection



What is lochia? - Answer vaginal discharge after childbirth



lochia types - Answer rubra,

serosa,

alba



Lochia rubra - Answer Bright red,

small clots,

1-3 days after delivery

fleshy odor



Lochia serosa - Answer Pinkish/brown,

serosanguineous.

Lasts day 4-10 postpartum



Lochia alba - Answer Yellowish,

white cream color.

Lasts approx 11 days-6 weeks postpartum



Oxytocin - Answer released from anterior putitary gland

, coordinates and strengthens contractiosn



breastfeeding stimulates release



pitocin(man made oxy) can help prevent or control hemorrhage



Hormones that drop during pregnancy - Answer Estrogen (by sweating, urination)

Placental insulinase (glucose levels drop)

PRogesterone// cortisol// human placental lactogen



Prolactin - Answer Rise through pregnancy

Delays return of menses in breastfeeding women (6 mths before menses returns)



Non lactating women by 3 weeks prolactin drops.

menses returns 2 1/2 months



*****OVULATION AND PREGNANCY CAN OCCUR BEFORE FIRST PP MENSES*****



Breast changes - Answer Colostrum

---low fat high protein and antibodies



Milk production starts day 2-4



musculoskeletal system - Answer PP 6-8wks joints return to prepregnant state and are stable



GI movement PP - Answer BM 2-3 days PP



any 3rd/4th degree lacerations usually resolve by 6 mths PP

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