Galen College of Nursing NUR 254 Maternal Nursing Ultimate Final Exam Bundle | Comprehensive Review, Study Notes, & Clinical Assessment Prep (2026/2027)

2026/2027


2026/2027 Galen College of Nursing NUR
254 Maternal Nursing Final Exam Review,
Study Notes, and Assessment Preparation
Guide


Question 1:
What is postpartum hemorrhage best assessed by?

A. Blood pressure monitoring
B. Checking peri-pads for bleeding amount
C. Fundal height measurement only
D. Urine output levels

Correct Answer: B. Checking peri-pads for bleeding amount
Rationale: Peri-pads help estimate actual blood loss. Blood pressure (A) is indirect,
fundal height (C) assesses uterus not bleeding, and urine output (D) is unrelated.


Question 2:
Normal blood loss after a vaginal delivery is:

A. 1000 mL
B. 1500 mL
C. 500 mL
D. 200 mL

Correct Answer: C.500 mL
Rationale: Vaginal delivery typically allows up to 500 mL blood loss. 1000 mL (A)
applies to C-section, 1500 mL (B) is excessive, and 200 mL (D) is too low as a
standard limit.


Question 3:
Normal blood loss after a C-section is:

A. 500 mL
B. 1000 mL
C. 150 mL
D. 2000 mL

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Correct Answer: B. 1000mL
Rationale: C-sections normally allow up to 1000 mL blood loss. 500 mL (A) is
vaginal delivery standard, while 150 mL (C) is too low and 2000 mL (D) indicates
severe hemorrhage.


Question 4:
Lochia refers to:

A. Uterine contractions
B. Postpartum vaginal discharge
C. Breast milk production
D. Cervical dilation

Correct Answer: B. Postpartum vaginal discharge
Rationale: Lochia is postpartum discharge. Uterine contractions (A) help involution,
breast milk (C) is lactation, and cervical dilation (D) occurs during labor.


Question 5:
Rubra lochia typically lasts:

A. 1–2 weeks
B. 3–5 days
C. 6–8 weeks
D. 1 day only

Correct Answer: B. 3–5days
Rationale: Rubra is the early red discharge phase lasting 3–5 days. 1–2 weeks (A)
applies to serosa, while C and D are incorrect durations.


Question 6:
Serosa lochia lasts:

A. 3 days to 2 weeks
B. 1 day
C. 6 weeks
D. 1 month

Correct Answer: A. 3 days to 2 weeks
Rationale: Serosa is the pinkish discharge phase lasting up to 2 weeks. Other options
reflect incorrect or excessive durations.

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Question 7:
Alba lochia is characterized as:

A. Red discharge
B. Pink discharge
C. White/yellow discharge
D. No discharge

Correct Answer: C.White/yellow discharge
Rationale: Alba is the final healing phase with whitish discharge. Red (A) is rubra,
pink (B) is serosa, and no discharge (D) is incorrect.


Question 8:
The correct order of lochia is:

A. Serosa, Rubra, Alba
B. Alba, Rubra, Serosa
C. Rubra, Serosa, Alba
D. Rubra, Alba, Serosa

Correct Answer: C.
Rubra, Serosa, Alba
Rationale: Lochia progresses from red → pink → white. Other sequences
misrepresent normal postpartum healing stages.


Question 9:
The best way to promote uterine contraction is:

A. Bed rest only
B. Breastfeeding
C. Avoid touching abdomen
D. Increase sugar intake

Correct Answer: B. Breastfeeding
Rationale: Breastfeeding releases oxytocin, stimulating uterine contraction. Other
options do not promote contraction.


Question 10:
Another medication used to promote uterine contraction is:

A. Insulin
B. Oxytocin