MB (ASCP) ACTUAL FINAL EXAM AND
PRACTICE QUESTIONS COMPLETE ACCURATE
EXAM 2026-2027 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
MB 12, 13
Q1:
A woman who is 12 hours postpartum had a pulse rate around 80 beats
per minute during pregnancy. Now, the nurse finds a pulse of 60 beats
per minute. Which of these actions should the nurse take?
A) Document the finding, as it is a normal finding at this time.
B) Contact the physician, as it indicates early DIC.
C) Contact the physician, as it is a first sign of postpartum eclampsia.
D) Obtain an order for a CBC, as it suggests postpartum anemia.
Correct Answer:
A. Rationale: Puerperal bradycardia (pulse 50-70 bpm) is common and
normal up to 6-10 days postpartum due to decreased cardiac workload.
,Q2:
To decrease the pain associated with an episiotomy immediately after
birth, which action by the nurse would be most appropriate?
A) Offer warm blankets.
B) Encourage the woman to void.
C) Apply an ice pack to the site.
D) Offer a warm sitz bath.
Correct Answer:
C. Rationale: Applying an ice pack to the perineum immediately after
birth helps reduce swelling and numbs the area to decrease pain.
Q3:
A postpartum client has a fourth-degree perineal laceration. The nurse
would expect which of the following medications to be ordered?
A) Ferrous sulfate (Feosol)
B) Methylergonovine (Methergine)
C) Docusate (Colace)
D) Bromocriptine (Parlodel)
Correct Answer:
C. Rationale: Docusate (Colace) is a stool softener used to prevent
straining during bowel movements, which is critical for healing a fourth-
degree laceration.
,Q4:
Which statement would alert the nurse to the potential for impaired
bonding between mother and newborn?
A) You have your daddys eyes.
B) He looks like a frog to me.
C) Where did you get all that hair?
D) He seems to sleep a lot.
Correct Answer: B. Rationale: Disparaging or negative remarks about the
newborn's appearance can be an early indicator of impaired maternal-
infant bonding.
Q5:
After a normal labor and birth, a client is discharged from the hospital 12
hours later. When the community health nurse makes a home visit 2 days
later, which finding would alert the nurse to the need for further
intervention?
A) Presence of lochia serosa
B) Frequent scant voidings
C) Fundus firm, below umbilicus
D) Milk filling in both breasts
Correct Answer: B. Rationale: Frequent scant voidings suggest urinary
retention or a urinary tract infection, requiring immediate clinical follow-
up.
, Q6:
A primipara client who is bottle feeding her baby begins to experience
breast engorgement on her third postpartum day. Which instruction
would be most appropriate to aid in relieving her discomfort?
A) Express some milk from your breasts every so often to relieve the
distention.
B) Remove your bra to relieve the pressure on your sensitive nipples and
breasts.
C) Apply ice packs to your breasts to reduce the amount of milk being
produced.
D) Take several warm showers daily to stimulate the milk let-down reflex.
Correct Answer: C. Rationale: For non-breastfeeding mothers, ice packs
help reduce milk production and relieve engorgement discomfort
without stimulating further lactation.
Q7:
The nurse administers RhoGAM to an Rh-negative client after delivery of
an Rh-positive newborn based on the understanding that this drug will
prevent her from:
A) Becoming Rh positive
B) Developing Rh sensitivity
C) Developing AB antigens in her blood
D) Becoming pregnant with an Rh-positive fetus
Correct Answer: B. Rationale: RhoGAM prevents the maternal immune
system from developing Rh sensitivity/antibodies against Rh-positive
blood cells.
PRACTICE QUESTIONS COMPLETE ACCURATE
EXAM 2026-2027 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION
MB 12, 13
Q1:
A woman who is 12 hours postpartum had a pulse rate around 80 beats
per minute during pregnancy. Now, the nurse finds a pulse of 60 beats
per minute. Which of these actions should the nurse take?
A) Document the finding, as it is a normal finding at this time.
B) Contact the physician, as it indicates early DIC.
C) Contact the physician, as it is a first sign of postpartum eclampsia.
D) Obtain an order for a CBC, as it suggests postpartum anemia.
Correct Answer:
A. Rationale: Puerperal bradycardia (pulse 50-70 bpm) is common and
normal up to 6-10 days postpartum due to decreased cardiac workload.
,Q2:
To decrease the pain associated with an episiotomy immediately after
birth, which action by the nurse would be most appropriate?
A) Offer warm blankets.
B) Encourage the woman to void.
C) Apply an ice pack to the site.
D) Offer a warm sitz bath.
Correct Answer:
C. Rationale: Applying an ice pack to the perineum immediately after
birth helps reduce swelling and numbs the area to decrease pain.
Q3:
A postpartum client has a fourth-degree perineal laceration. The nurse
would expect which of the following medications to be ordered?
A) Ferrous sulfate (Feosol)
B) Methylergonovine (Methergine)
C) Docusate (Colace)
D) Bromocriptine (Parlodel)
Correct Answer:
C. Rationale: Docusate (Colace) is a stool softener used to prevent
straining during bowel movements, which is critical for healing a fourth-
degree laceration.
,Q4:
Which statement would alert the nurse to the potential for impaired
bonding between mother and newborn?
A) You have your daddys eyes.
B) He looks like a frog to me.
C) Where did you get all that hair?
D) He seems to sleep a lot.
Correct Answer: B. Rationale: Disparaging or negative remarks about the
newborn's appearance can be an early indicator of impaired maternal-
infant bonding.
Q5:
After a normal labor and birth, a client is discharged from the hospital 12
hours later. When the community health nurse makes a home visit 2 days
later, which finding would alert the nurse to the need for further
intervention?
A) Presence of lochia serosa
B) Frequent scant voidings
C) Fundus firm, below umbilicus
D) Milk filling in both breasts
Correct Answer: B. Rationale: Frequent scant voidings suggest urinary
retention or a urinary tract infection, requiring immediate clinical follow-
up.
, Q6:
A primipara client who is bottle feeding her baby begins to experience
breast engorgement on her third postpartum day. Which instruction
would be most appropriate to aid in relieving her discomfort?
A) Express some milk from your breasts every so often to relieve the
distention.
B) Remove your bra to relieve the pressure on your sensitive nipples and
breasts.
C) Apply ice packs to your breasts to reduce the amount of milk being
produced.
D) Take several warm showers daily to stimulate the milk let-down reflex.
Correct Answer: C. Rationale: For non-breastfeeding mothers, ice packs
help reduce milk production and relieve engorgement discomfort
without stimulating further lactation.
Q7:
The nurse administers RhoGAM to an Rh-negative client after delivery of
an Rh-positive newborn based on the understanding that this drug will
prevent her from:
A) Becoming Rh positive
B) Developing Rh sensitivity
C) Developing AB antigens in her blood
D) Becoming pregnant with an Rh-positive fetus
Correct Answer: B. Rationale: RhoGAM prevents the maternal immune
system from developing Rh sensitivity/antibodies against Rh-positive
blood cells.
