NRS 3026 EXAM 1(UPDATED 2026/2027)
QUESTIONS AND ANSWERS OAKLAND
UNIVERSITY VERIFIED EXAM |ALREADY
GRADED A+
Which patient would be most likely to have severe afterbirth pains and request a
narcotic analgesic?
a. Gravida 5, para 5
b. Primipara who delivered a 7-lb boy
c. Patient who is bottle feeding her first child
d. Patient who is breastfeeding her second child
a
Which maternal event is abnormal in the early postpartal period?
a. Diuresis and diaphoresis
b. Flatulence and constipation
c. Extreme hunger and thirst
d. Lochial color changes from rubra to alba
d
Which fundal assessment finding at 12 hours after birth requires further
assessment?
a. The fundus is palpable at the level of the umbilicus.
b. The fundus is palpable two fingerbreadths above the umbilicus.
c. The fundus is palpable one fingerbreadth below the umbilicus.
d. The fundus is palpable two fingerbreadths below the umbilicus.
b
If the patient's white blood cell (WBC) count is 25,000/mm3 on her second
postpartum day, which action should the nurse take?
a. Document the finding.
b. Inform the health care provider.
c. Begin antibiotic therapy immediately.
d. Have the laboratory draw blood for reanalysis.
a
Postpartal overdistention of the bladder and urinary retention can lead to which
complication?
a. Fever and increased blood pressure
,b. Postpartum hemorrhage and eclampsia
c. Urinary tract infection and uterine rupture
d. Postpartum hemorrhage and urinary tract infection
d
A postpartum patient asks, "Will these stretch marks ever go away?" Which is the
nurse's best response?
a. "No, never."
b. "Yes, eventually."
c. "They will fade to silvery lines but won't disappear completely."
d. "They will continue to fade and should be gone by your 6-week checkup."
c
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.
QUESTIONS AND ANSWERS OAKLAND
UNIVERSITY VERIFIED EXAM |ALREADY
GRADED A+
Which patient would be most likely to have severe afterbirth pains and request a
narcotic analgesic?
a. Gravida 5, para 5
b. Primipara who delivered a 7-lb boy
c. Patient who is bottle feeding her first child
d. Patient who is breastfeeding her second child
a
Which maternal event is abnormal in the early postpartal period?
a. Diuresis and diaphoresis
b. Flatulence and constipation
c. Extreme hunger and thirst
d. Lochial color changes from rubra to alba
d
Which fundal assessment finding at 12 hours after birth requires further
assessment?
a. The fundus is palpable at the level of the umbilicus.
b. The fundus is palpable two fingerbreadths above the umbilicus.
c. The fundus is palpable one fingerbreadth below the umbilicus.
d. The fundus is palpable two fingerbreadths below the umbilicus.
b
If the patient's white blood cell (WBC) count is 25,000/mm3 on her second
postpartum day, which action should the nurse take?
a. Document the finding.
b. Inform the health care provider.
c. Begin antibiotic therapy immediately.
d. Have the laboratory draw blood for reanalysis.
a
Postpartal overdistention of the bladder and urinary retention can lead to which
complication?
a. Fever and increased blood pressure
,b. Postpartum hemorrhage and eclampsia
c. Urinary tract infection and uterine rupture
d. Postpartum hemorrhage and urinary tract infection
d
A postpartum patient asks, "Will these stretch marks ever go away?" Which is the
nurse's best response?
a. "No, never."
b. "Yes, eventually."
c. "They will fade to silvery lines but won't disappear completely."
d. "They will continue to fade and should be gone by your 6-week checkup."
c
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.
