Maternal-Newborn Nursing Test Bank 2026 | Murray 8th Edition MCQs | OB Nursing NCLEX Questions & Women’s Health Study Guide

FOUNDATIONS OF MATERNAL-
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY

TEST BANK
1) Clinical Judgment and the Nursing Process
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A postpartum client is 1 hour after a vaginal birth. The LPN
notices that the fundus is soft and above the umbilicus, and the
client’s perineal pad is saturated with bright red blood in less
than 15 minutes. The client says she feels “weak and dizzy.”
What should the nurse do first?
Options:
A. Massage the fundus and notify the RN immediately

,B. Document the findings and reassess in 30 minutes
C. Encourage the client to walk to improve circulation
D. Apply an ice pack to the perineum and give fluids
Correct Answer: A
Rationale — Correct Answer:
A boggy fundus with heavy bleeding suggests uterine atony, a
postpartum emergency. The LPN should take immediate action
within basic nursing care by massaging the fundus and
reporting the findings to the RN at once. Rapid response helps
reduce blood loss and supports client safety.
Rationale — Incorrect Options:
B is unsafe because delayed action can worsen hemorrhage.
C is inappropriate because ambulation may increase instability
in a bleeding client.
D may be useful later for comfort, but it does not address the
priority problem of hemorrhage.
Teaching Point:
Heavy bleeding with a boggy fundus requires immediate action
and prompt reporting.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Part 1 — Clinical Judgment
and the Nursing Process.


2) Clinical Judgment and the Nursing Process

,Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A newborn is 35 minutes old in the nursery. The LPN notes
respiratory rate 72/min, mild nasal flaring, and intermittent
grunting. The newborn is pink but appears restless. What is the
most appropriate action?
Options:
A. Recheck the newborn in 1 hour because this is expected after
birth
B. Place the newborn supine and increase feeding frequency
C. Notify the RN or provider immediately
D. Swaddle the newborn tightly to reduce energy use
Correct Answer: C
Rationale — Correct Answer:
Tachypnea with nasal flaring and grunting are signs of
respiratory distress, not normal transition findings. The LPN
should report these abnormal assessment findings promptly so
the newborn can be evaluated. Early recognition helps prevent
worsening respiratory compromise.
Rationale — Incorrect Options:
A is unsafe because the findings are not low-risk normal
variations.
B does not treat the likely breathing problem.
D may interfere with breathing and does not address the
priority concern.

, Teaching Point:
Grunting and nasal flaring in a newborn are reportable signs of
distress.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Part 1 — Clinical Judgment
and the Nursing Process.


3) Clinical Judgment and the Nursing Process
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A pregnant client at 34 weeks says she has a severe headache
and “flashing lights” in her vision. Her blood pressure is 148/96
mm Hg and her deep tendon reflexes are brisk. What should the
nurse do next?
Options:
A. Teach the client to rest and return at the next scheduled visit
B. Notify the RN or provider immediately
C. Encourage the client to increase fluid intake
D. Reassure the client that these symptoms are common in
pregnancy
Correct Answer: B
Rationale — Correct Answer:
Headache, visual changes, elevated blood pressure, and brisk