NSG 3500 Exam 3 Review Questions and 100% Correct Answers 2026/27 Latest -
Galen
The nurse is assessing a day 1 postpartum client and notes the fundus is above the umbilicus and over to
the right. The first intervention should be:
Assist the patient to the bathroom.
Your 42-year-old G4P4 patient no longer desires childbearing. She asks you what is the best method of
birth control for her, she does not smoke, but has a history of hypertension on lisinopril. What should
you recommend?
Mirena IUD. Tubal ligation is something the patient should request, hysterectomy is out of the
question, and the pill may be contraindicated with her hypertension.
You are taking care of a G1P1 who came in and delivered within 30 minutes. You are doing her admission
assessment and note her blood pressure is 150/90. Her prenatal blood pressure was 130/85. You would
first
Evaluate her urine protein. Look at all parameters for preeclampsia before calling the provider.
Your patient puts on her call light and tells you she experiences cramping in her left calf when going to
the bathroom. You first
Make sure the patient is sitting with leg elevated. Do not call the provider before you make sure
the patient is safe. Keep the patient with leg elevated until the leg doppler is completed and read.
You have a 10 day old infant in the ED that mom has brought in for jaundice. She tells you that she
doesn't feel like eating and sleeps most of the day. Her spouse is angry and tells her to "buck up". She
says "My baby is sick and it is all my fault. I must be a bad mother." Your response is
“have you ever felt this way in the past?” always have a low threshold for postpartum
depression.
You are examining an infant just after birth. You note that the infant is turning it's head towards the
mother and smacking its lips. Your intervention should be
Inform the mother these are feeding cues to look for when breastfeeding.
SG a G2P2 is 30 minutes post spontaneous vaginal delivery. On routine assessment you note a small
bruised area on her perineum. She is not in any pain. Best intervention:
Placed ice on the perineum. As long as the patient is stable and without pain, place ice and
continue to assess.
Your patient is bleeding and has a boggy uterus. She is on Magnesium Sulfate for preeclampsia. Which
order from the provider would you question?
Methergine 0.2 mg IM. Methergine is contraindicated in a hypertensive patient. Toradol is a
NSAID pain relief drug and is not contraindicated
NSG 3500 Exam 3
, Your patient is complaining of perineal pain one hour after giving birth. She had an epidural and has had
sensation return to her toes. Your first intervention is
Offer the patient 600 mg of ibuprofen. Remember common things happen commonly. Look for
the most common reason. Your patient’s epidural has worn off and sensation has returned.
Medicate her for pain and re-evaluate.
A 14-year-old G1P0 comes in to labor & delivery and states she is giving her baby up for adoption. What
statement is best?
Would you like to see and hold your baby after they are born?
Your 16-year-old G1P1 is being discharged today. You are asking her about her contraceptive plans and
she says "I only did it once and I am never doing THAT again-not after what I went through!" Your
response
Many young women feel like you do now, but it is important to make plans to avoid becoming
pregnant again. Reinforce the normalcy of what the patient is feeling. Do not label her as bad or
promiscuous.
You are working in an ED and a 10-day postpartum patient comes in complaining of excessive bleeding
with foul odor. The first thing you do.
Take the patients temperature. This patient likely has endometritis or subinvolution and needs
her temperature taken.
You are caring for a client who delivered 1 hour ago. You note she is continually trickling blood from the
vagina. You assess the fundus and it is firm. Your next intervention is
Inspect the vulva for lacerations. Use a systematic approach in your care. Remember the 4 T's;
tone, trauma, tissue and thrombin. In this case, stop massaging the fundus and inspect the
perineum for lacerations. Someone else can call the provider to the bedside
The first line drug for postpartum hemorrhage is
Pitocin (oxytocin)
Your patient says "I can't breastfeed it hurts my stomach too much." Your response is
Have you thought about taking something for pain prior to breastfeeding?
When evaluating a patient’s perineum, you note the laceration repairs stitches are coming apart and
there is a small amount of discharge. Priority intervention is to
Call the provider
Your 12-hour post op cesarean section patient had a regional anesthetic. The nurse is aware that
Before ambulation assess for sensation. Occasionally part of a foot or toes could still be numb,
so we check for full sensation. We only withhold PO pain meds on order of anesthesia. Patient does not
need to stay NPO after the procedure.
NSG 3500 Exam 3
Galen
The nurse is assessing a day 1 postpartum client and notes the fundus is above the umbilicus and over to
the right. The first intervention should be:
Assist the patient to the bathroom.
Your 42-year-old G4P4 patient no longer desires childbearing. She asks you what is the best method of
birth control for her, she does not smoke, but has a history of hypertension on lisinopril. What should
you recommend?
Mirena IUD. Tubal ligation is something the patient should request, hysterectomy is out of the
question, and the pill may be contraindicated with her hypertension.
You are taking care of a G1P1 who came in and delivered within 30 minutes. You are doing her admission
assessment and note her blood pressure is 150/90. Her prenatal blood pressure was 130/85. You would
first
Evaluate her urine protein. Look at all parameters for preeclampsia before calling the provider.
Your patient puts on her call light and tells you she experiences cramping in her left calf when going to
the bathroom. You first
Make sure the patient is sitting with leg elevated. Do not call the provider before you make sure
the patient is safe. Keep the patient with leg elevated until the leg doppler is completed and read.
You have a 10 day old infant in the ED that mom has brought in for jaundice. She tells you that she
doesn't feel like eating and sleeps most of the day. Her spouse is angry and tells her to "buck up". She
says "My baby is sick and it is all my fault. I must be a bad mother." Your response is
“have you ever felt this way in the past?” always have a low threshold for postpartum
depression.
You are examining an infant just after birth. You note that the infant is turning it's head towards the
mother and smacking its lips. Your intervention should be
Inform the mother these are feeding cues to look for when breastfeeding.
SG a G2P2 is 30 minutes post spontaneous vaginal delivery. On routine assessment you note a small
bruised area on her perineum. She is not in any pain. Best intervention:
Placed ice on the perineum. As long as the patient is stable and without pain, place ice and
continue to assess.
Your patient is bleeding and has a boggy uterus. She is on Magnesium Sulfate for preeclampsia. Which
order from the provider would you question?
Methergine 0.2 mg IM. Methergine is contraindicated in a hypertensive patient. Toradol is a
NSAID pain relief drug and is not contraindicated
NSG 3500 Exam 3
, Your patient is complaining of perineal pain one hour after giving birth. She had an epidural and has had
sensation return to her toes. Your first intervention is
Offer the patient 600 mg of ibuprofen. Remember common things happen commonly. Look for
the most common reason. Your patient’s epidural has worn off and sensation has returned.
Medicate her for pain and re-evaluate.
A 14-year-old G1P0 comes in to labor & delivery and states she is giving her baby up for adoption. What
statement is best?
Would you like to see and hold your baby after they are born?
Your 16-year-old G1P1 is being discharged today. You are asking her about her contraceptive plans and
she says "I only did it once and I am never doing THAT again-not after what I went through!" Your
response
Many young women feel like you do now, but it is important to make plans to avoid becoming
pregnant again. Reinforce the normalcy of what the patient is feeling. Do not label her as bad or
promiscuous.
You are working in an ED and a 10-day postpartum patient comes in complaining of excessive bleeding
with foul odor. The first thing you do.
Take the patients temperature. This patient likely has endometritis or subinvolution and needs
her temperature taken.
You are caring for a client who delivered 1 hour ago. You note she is continually trickling blood from the
vagina. You assess the fundus and it is firm. Your next intervention is
Inspect the vulva for lacerations. Use a systematic approach in your care. Remember the 4 T's;
tone, trauma, tissue and thrombin. In this case, stop massaging the fundus and inspect the
perineum for lacerations. Someone else can call the provider to the bedside
The first line drug for postpartum hemorrhage is
Pitocin (oxytocin)
Your patient says "I can't breastfeed it hurts my stomach too much." Your response is
Have you thought about taking something for pain prior to breastfeeding?
When evaluating a patient’s perineum, you note the laceration repairs stitches are coming apart and
there is a small amount of discharge. Priority intervention is to
Call the provider
Your 12-hour post op cesarean section patient had a regional anesthetic. The nurse is aware that
Before ambulation assess for sensation. Occasionally part of a foot or toes could still be numb,
so we check for full sensation. We only withhold PO pain meds on order of anesthesia. Patient does not
need to stay NPO after the procedure.
NSG 3500 Exam 3
