NRSG 3302 MATERNITY CERTIFICATION
EVALUATION EXAMS SOLVED QUESTIONS
STUDY GUIDE GUARANTEED TO PASS
◉ A nurse is caring for a client in the immediate postpartum period.
Upon assessment, the nurse notes heavy bleeding and a boggy uterus
that does not respond to fundal massage. What are the priority nursing
actions? Place in the correct order.
1. Increase the frequency of vital signs.
2. Notify the physician or midwife of excessive blood loss.
3. Perform fundal massage.
4. Titrate the standing order of oxytocin as appropriate. Answer: 1.
Perform fundal massage.
2. Titrate the standing order of oxytocin as appropriate.
3. Notify the physician or midwife of excessive blood loss.
4. Increase the frequency of vital signs.
Rationale: Immediate nursing actions for excessive bleeding include
massaging the uterus if it is boggy and following the standing order
for oxytocin administration, then notifying the healthcare provider.
While awaiting the arrival of the evaluating clinician, the bedside
nurse should increase the frequency of vital signs.
,◉ When educating a non-breastfeeding primiparous client, what
information is important for the nurse to include? Select all that apply.
1. "Wear a supportive bra or sports bra 24 hours a day."
2. "If your breasts become engorged, you should pump to relieve the
pressure."
3. "Do not apply ice packs to the breasts because it will stimulate milk
production."
4. "You can take an analgesic for pain."
5. "You may experience milk leakage for the first 1 to 2 weeks."
Answer: 1. (CORRECT) "Wear a supportive bra or sports bra 24
hours a day."
Rationale: Non-breastfeeding women should be instructed to wear a
supportive bra until their breasts become soft.
2. "If your breasts become engorged, you should pump to relieve the
pressure."
Rationale: Women should avoid expending milk or stimulating the
breasts.
3. "Do not apply ice packs to the breasts because it will stimulate milk
production."
, Rationale: Women experiencing engorgement should apply ice to
their breasts.
4. (CORRECT) "You can take an analgesic for pain."
Rationale: Women experiencing engorgement may take an analgesic
for pain.
5. "You may experience milk leakage for the first 1 to 2 weeks."
Rationale: Non-breastfeeding women may experience milk leakage
between 1 to 4 days postdelivery.
◉ Immediately after birth, the nurse notes the client's fundus is
palpated midway between the umbilicus and symphysis pubis. What
is the priority nursing action?
1. Document the findings as within normal limits.
2. Perform fundal massage.
3. Instruct the woman to empty her bladder.
4. Reassess every 5 minutes. Answer: 1. (CORRECT) Document the
findings as within normal limits.
Rationale: An expected finding immediately after birth is a uterine
fundus that is palpated midway between the umbilicus and symphysis
pubis and is firm and midline.
EVALUATION EXAMS SOLVED QUESTIONS
STUDY GUIDE GUARANTEED TO PASS
◉ A nurse is caring for a client in the immediate postpartum period.
Upon assessment, the nurse notes heavy bleeding and a boggy uterus
that does not respond to fundal massage. What are the priority nursing
actions? Place in the correct order.
1. Increase the frequency of vital signs.
2. Notify the physician or midwife of excessive blood loss.
3. Perform fundal massage.
4. Titrate the standing order of oxytocin as appropriate. Answer: 1.
Perform fundal massage.
2. Titrate the standing order of oxytocin as appropriate.
3. Notify the physician or midwife of excessive blood loss.
4. Increase the frequency of vital signs.
Rationale: Immediate nursing actions for excessive bleeding include
massaging the uterus if it is boggy and following the standing order
for oxytocin administration, then notifying the healthcare provider.
While awaiting the arrival of the evaluating clinician, the bedside
nurse should increase the frequency of vital signs.
,◉ When educating a non-breastfeeding primiparous client, what
information is important for the nurse to include? Select all that apply.
1. "Wear a supportive bra or sports bra 24 hours a day."
2. "If your breasts become engorged, you should pump to relieve the
pressure."
3. "Do not apply ice packs to the breasts because it will stimulate milk
production."
4. "You can take an analgesic for pain."
5. "You may experience milk leakage for the first 1 to 2 weeks."
Answer: 1. (CORRECT) "Wear a supportive bra or sports bra 24
hours a day."
Rationale: Non-breastfeeding women should be instructed to wear a
supportive bra until their breasts become soft.
2. "If your breasts become engorged, you should pump to relieve the
pressure."
Rationale: Women should avoid expending milk or stimulating the
breasts.
3. "Do not apply ice packs to the breasts because it will stimulate milk
production."
, Rationale: Women experiencing engorgement should apply ice to
their breasts.
4. (CORRECT) "You can take an analgesic for pain."
Rationale: Women experiencing engorgement may take an analgesic
for pain.
5. "You may experience milk leakage for the first 1 to 2 weeks."
Rationale: Non-breastfeeding women may experience milk leakage
between 1 to 4 days postdelivery.
◉ Immediately after birth, the nurse notes the client's fundus is
palpated midway between the umbilicus and symphysis pubis. What
is the priority nursing action?
1. Document the findings as within normal limits.
2. Perform fundal massage.
3. Instruct the woman to empty her bladder.
4. Reassess every 5 minutes. Answer: 1. (CORRECT) Document the
findings as within normal limits.
Rationale: An expected finding immediately after birth is a uterine
fundus that is palpated midway between the umbilicus and symphysis
pubis and is firm and midline.
