NRS 3026 EXAM 1 2026/2027
QUESTIONS AND ANSWERS OAKLAND
UNIVERSITY VERIFIED EXAM |ALREADY
GRADED A
A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away.
The nurse knows the pigmentation will fade after birth due to:
a. increased estrogen.
b. increased progesterone.
c. decreased human placental lactogen.
d. decreased melanocyte-stimulating hormone.
d
Which clinical finding should the nurse suspect if the fundus is palpated on the right side
of the abdomen above the expected level?
a. Distended bladder
b. Normal involution
c. Been lying on her right side too long.
d. Stretched ligaments that are unable to support the uterus
a
Which situation would require the administration of Rho(D) immune globulin?
a. Mother Rh-negative, baby Rh-positive
b. Mother Rh-negative, baby Rh-negative
c. Mother Rh-positive, baby Rh-positive
d. Mother Rh-positive, baby Rh-negative
a
,Which measure is optimal in order to prevent abdominal distention following a cesarean
birth?
a. Rectal suppositories
b. Carbonated beverages
c. Early and frequent ambulation
d. Tightening and relaxing abdominal questions
c
To assess fundal contraction 6 hours after cesarean birth, which technique should the
nurse utilize?
a. Assess lochial flow rather than palpating the fundus.
b. Palpate forcefully through the abdominal dressing.
c. Place hands on both sides of the abdomen and press downward.
d. Gently palpate, applying the same technique used for vaginal deliveries
d
The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago.
Which amount of lochia consists of a moderate amount?
a. Saturated peripad
b. 10 to 15 cm (4- to 6-inch) stain on the peripad
c. 2.5 to 10 cm (1- to 4-inch) stain on the peripad
d. Less than a 1-inch stain on the peripad
b
The postpartum nurse has completed discharge teaching for a patient being discharged
after an uncomplicated vaginal birth. Which statement by the patient indicates that
further teaching is necessary?
a. "I may not have a bowel movement until the 2nd postpartum day."
b. "If I breastfeed and supplement with formula, I won't need any birth control."
c. "I know my normal pattern of bowel elimination won't return until about 8 to 10 days."
d. "If I am not breastfeeding, I should use birth control when I resume sexual relations
with my husband."
b
,The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours
ago. Which assessment finding should the nurse report to the healthcare provider?
a. Pulse rate of 50
b. Temperature of 38º C (100.4º F)
c. Firm fundus, but excessive lochia
d. Lightheaded when moving from a lying to standing position
c
To facilitate adequate urinary elimination during the postpartum period, the nurse should
incorporate which intervention into the plan of care?
a. Have the patient drink carbonated beverages to promote urinary excretion
b. Tell the patient that because of postpartum diuresis there is less risk to develop
dehydration
c. Limit fluid intake to prevent polyuria
d. Teach the patient to perform pelvic floor exercises to combat potential stress
incontinence
d
When assessing the A of the acronym REEDA, the nurse should evaluate the:
a. skin color.
b. degree of edema.
c. edges of the episiotomy.
c. episiotomy for discharge.
c
If the rubella vaccine is indicated for a postpartum patient, which instructions should be
provided?
a. No specific instructions
b. Drinking plenty of fluids to prevent fever
c. Recommendation to stop breastfeeding for 24 hours after the injection
d. Explanation of the risks of becoming pregnant within 28 days following injection
d
, Which assessment finding 24 hours after vaginal birth would indicate a need for further
intervention?
a. Pain level 5 on a scale of 0 to 10
b. Saturated pad over a 2-hour period
c. Urinary output of 500 mL in one voiding
d. Uterine fundus 2 cm above the umbilicus
d
The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The
nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's
priority related to this finding?
a. Inform the health care provider
b. Encourage the patient to urinate
c. Massage the uterus to expel clots.
d. Document the finding in the patient's chart.
d
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off
report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial
assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra
immediately after breastfeeding her infant. What is the nurse's priority action with this
finding?
a. Weight the peripad
b. Replace the peripad.
c. Contact the health care provider.
d. Document the finding in the patient's chart.
c
The nurse includes the addition of ice sitz baths for the postpartum patient. Which
assessment finding indicates the treatment has been effective?
a. No swelling or edema to the perineal area
b. Patient complains that the sitz bath is too cold.
c. Patient reports she took two sitz baths in 12 hours.
d. Edges of the perineal laceration are well approximated.
QUESTIONS AND ANSWERS OAKLAND
UNIVERSITY VERIFIED EXAM |ALREADY
GRADED A
A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away.
The nurse knows the pigmentation will fade after birth due to:
a. increased estrogen.
b. increased progesterone.
c. decreased human placental lactogen.
d. decreased melanocyte-stimulating hormone.
d
Which clinical finding should the nurse suspect if the fundus is palpated on the right side
of the abdomen above the expected level?
a. Distended bladder
b. Normal involution
c. Been lying on her right side too long.
d. Stretched ligaments that are unable to support the uterus
a
Which situation would require the administration of Rho(D) immune globulin?
a. Mother Rh-negative, baby Rh-positive
b. Mother Rh-negative, baby Rh-negative
c. Mother Rh-positive, baby Rh-positive
d. Mother Rh-positive, baby Rh-negative
a
,Which measure is optimal in order to prevent abdominal distention following a cesarean
birth?
a. Rectal suppositories
b. Carbonated beverages
c. Early and frequent ambulation
d. Tightening and relaxing abdominal questions
c
To assess fundal contraction 6 hours after cesarean birth, which technique should the
nurse utilize?
a. Assess lochial flow rather than palpating the fundus.
b. Palpate forcefully through the abdominal dressing.
c. Place hands on both sides of the abdomen and press downward.
d. Gently palpate, applying the same technique used for vaginal deliveries
d
The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago.
Which amount of lochia consists of a moderate amount?
a. Saturated peripad
b. 10 to 15 cm (4- to 6-inch) stain on the peripad
c. 2.5 to 10 cm (1- to 4-inch) stain on the peripad
d. Less than a 1-inch stain on the peripad
b
The postpartum nurse has completed discharge teaching for a patient being discharged
after an uncomplicated vaginal birth. Which statement by the patient indicates that
further teaching is necessary?
a. "I may not have a bowel movement until the 2nd postpartum day."
b. "If I breastfeed and supplement with formula, I won't need any birth control."
c. "I know my normal pattern of bowel elimination won't return until about 8 to 10 days."
d. "If I am not breastfeeding, I should use birth control when I resume sexual relations
with my husband."
b
,The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours
ago. Which assessment finding should the nurse report to the healthcare provider?
a. Pulse rate of 50
b. Temperature of 38º C (100.4º F)
c. Firm fundus, but excessive lochia
d. Lightheaded when moving from a lying to standing position
c
To facilitate adequate urinary elimination during the postpartum period, the nurse should
incorporate which intervention into the plan of care?
a. Have the patient drink carbonated beverages to promote urinary excretion
b. Tell the patient that because of postpartum diuresis there is less risk to develop
dehydration
c. Limit fluid intake to prevent polyuria
d. Teach the patient to perform pelvic floor exercises to combat potential stress
incontinence
d
When assessing the A of the acronym REEDA, the nurse should evaluate the:
a. skin color.
b. degree of edema.
c. edges of the episiotomy.
c. episiotomy for discharge.
c
If the rubella vaccine is indicated for a postpartum patient, which instructions should be
provided?
a. No specific instructions
b. Drinking plenty of fluids to prevent fever
c. Recommendation to stop breastfeeding for 24 hours after the injection
d. Explanation of the risks of becoming pregnant within 28 days following injection
d
, Which assessment finding 24 hours after vaginal birth would indicate a need for further
intervention?
a. Pain level 5 on a scale of 0 to 10
b. Saturated pad over a 2-hour period
c. Urinary output of 500 mL in one voiding
d. Uterine fundus 2 cm above the umbilicus
d
The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The
nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's
priority related to this finding?
a. Inform the health care provider
b. Encourage the patient to urinate
c. Massage the uterus to expel clots.
d. Document the finding in the patient's chart.
d
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off
report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial
assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra
immediately after breastfeeding her infant. What is the nurse's priority action with this
finding?
a. Weight the peripad
b. Replace the peripad.
c. Contact the health care provider.
d. Document the finding in the patient's chart.
c
The nurse includes the addition of ice sitz baths for the postpartum patient. Which
assessment finding indicates the treatment has been effective?
a. No swelling or edema to the perineal area
b. Patient complains that the sitz bath is too cold.
c. Patient reports she took two sitz baths in 12 hours.
d. Edges of the perineal laceration are well approximated.
