NSG 3500 Maternal Exam 3 Practice
Test Bank with Complete 200
Correctly Answered Practice
Questions/ Galen NSG 3500 Exam 3
MOST RECENT (GRADED A+)
Postpartum Assessment & Complications
Question 1
A postpartum nurse is caring for a client who is 12 hours post-delivery and
reports heavy, bright red bleeding with large clots. The nurse notes the
uterus is boggy and displaced to the right. What is the priority nursing
action?
A) Massage the uterine fundus firmly
B) Encourage the client to void
C) Administer prescribed oxytocin
D) Notify the healthcare provider immediately
Answer: B. Encourage the client to void
Rationale: A boggy uterus displaced to the right is a classic sign of a full
bladder displacing the uterus. This prevents effective uterine contraction
and can lead to hemorrhage. The priority is to have the client void to empty
the bladder, which often allows the uterus to contract and move back to
midline.
, Question 2
The nurse is assessing a postpartum client's lochia. The client reports blood
only when wiping. How should the nurse document this finding?
A) Scant
B) Light
C) Moderate
D) Heavy
Answer: A. Scant
Rationale: Lochia is described by the amount of saturation on a perineal
pad. "Scant" refers to less than a 1-inch stain, "light" is a 1- to 4-inch stain,
"moderate" is a 4- to 6-inch stain, and "heavy" is saturation of the pad
within 1 hour.
Question 3
A postpartum client presents with fever, chills, and a triangular area of
redness and warmth under the breast 3 weeks after delivery. What is the
most likely diagnosis?
A) Breast engorgement
B) Mastitis
C) Plugged milk duct
D) Breast abscess
Answer: B. Mastitis
Rationale: Mastitis is an infection of the breast tissue that typically occurs
during the postpartum period. Signs include fever, chills, malaise, and a
localized area of redness, warmth, and tenderness—often in a triangular
wedge shape. Treatment includes continued breastfeeding (starting with
the affected breast) and antibiotics.
, Question 4
What is endometritis?
A) Infection of the endometrium following delivery
B) Inflammation of the perineal incision
C) Infection of the breast tissue
D) Inflammation of the fallopian tubes
Answer: A. Infection of the endometrium following delivery
Rationale: Endometritis is a postpartum infection of the endometrial lining
of the uterus. Risk factors include prolonged labor, cesarean delivery,
retained placental fragments, and chorioamnionitis. Clinical signs include
fever, uterine tenderness, and foul-smelling lochia.
Question 5
Which clients are at highest risk for wound infection following cesarean
birth? (Select all that apply)
A) Diabetes
B) Smoking
C) Obesity
D) All of the above
Answer: D. All of the above
Rationale: Risk factors for wound infection following cesarean delivery
include diabetes, smoking, obesity, poor nutrition, anemia, poor hygiene,
and low socioeconomic status.
, Uterine Assessment
Question 6
Which position should the nurse place the client in to accurately assess the
uterine fundus during the postpartum period?
A) Trendelenburg position
B) Supine position with slight knee flexion
C) Left lateral recumbent position
D) High Fowler's position
Answer: B. Supine position with slight knee flexion
Rationale: The uterine fundus should be assessed with the client in the
supine position with slight knee flexion to relax abdominal muscles,
allowing the fundus to be easily palpated. The nurse should support the
suprapubic region with one hand while palpating the fundus with the other.
Question 7
A nurse is assessing a postpartum client's fundus and notes it is firm,
midline, and at the level of the umbilicus. The client is 4 hours postpartum.
What is the appropriate action?
A) Document the finding as normal
B) Massage the fundus vigorously
C) Notify the provider immediately
D) Increase IV fluids
Answer: A. Document the finding as normal
Rationale: A firm, midline fundus at the level of the umbilicus is a normal
finding at 4 hours postpartum. The fundus typically descends 1 cm per day,
remaining at or below the umbilicus during the first 24 hours.
Test Bank with Complete 200
Correctly Answered Practice
Questions/ Galen NSG 3500 Exam 3
MOST RECENT (GRADED A+)
Postpartum Assessment & Complications
Question 1
A postpartum nurse is caring for a client who is 12 hours post-delivery and
reports heavy, bright red bleeding with large clots. The nurse notes the
uterus is boggy and displaced to the right. What is the priority nursing
action?
A) Massage the uterine fundus firmly
B) Encourage the client to void
C) Administer prescribed oxytocin
D) Notify the healthcare provider immediately
Answer: B. Encourage the client to void
Rationale: A boggy uterus displaced to the right is a classic sign of a full
bladder displacing the uterus. This prevents effective uterine contraction
and can lead to hemorrhage. The priority is to have the client void to empty
the bladder, which often allows the uterus to contract and move back to
midline.
, Question 2
The nurse is assessing a postpartum client's lochia. The client reports blood
only when wiping. How should the nurse document this finding?
A) Scant
B) Light
C) Moderate
D) Heavy
Answer: A. Scant
Rationale: Lochia is described by the amount of saturation on a perineal
pad. "Scant" refers to less than a 1-inch stain, "light" is a 1- to 4-inch stain,
"moderate" is a 4- to 6-inch stain, and "heavy" is saturation of the pad
within 1 hour.
Question 3
A postpartum client presents with fever, chills, and a triangular area of
redness and warmth under the breast 3 weeks after delivery. What is the
most likely diagnosis?
A) Breast engorgement
B) Mastitis
C) Plugged milk duct
D) Breast abscess
Answer: B. Mastitis
Rationale: Mastitis is an infection of the breast tissue that typically occurs
during the postpartum period. Signs include fever, chills, malaise, and a
localized area of redness, warmth, and tenderness—often in a triangular
wedge shape. Treatment includes continued breastfeeding (starting with
the affected breast) and antibiotics.
, Question 4
What is endometritis?
A) Infection of the endometrium following delivery
B) Inflammation of the perineal incision
C) Infection of the breast tissue
D) Inflammation of the fallopian tubes
Answer: A. Infection of the endometrium following delivery
Rationale: Endometritis is a postpartum infection of the endometrial lining
of the uterus. Risk factors include prolonged labor, cesarean delivery,
retained placental fragments, and chorioamnionitis. Clinical signs include
fever, uterine tenderness, and foul-smelling lochia.
Question 5
Which clients are at highest risk for wound infection following cesarean
birth? (Select all that apply)
A) Diabetes
B) Smoking
C) Obesity
D) All of the above
Answer: D. All of the above
Rationale: Risk factors for wound infection following cesarean delivery
include diabetes, smoking, obesity, poor nutrition, anemia, poor hygiene,
and low socioeconomic status.
, Uterine Assessment
Question 6
Which position should the nurse place the client in to accurately assess the
uterine fundus during the postpartum period?
A) Trendelenburg position
B) Supine position with slight knee flexion
C) Left lateral recumbent position
D) High Fowler's position
Answer: B. Supine position with slight knee flexion
Rationale: The uterine fundus should be assessed with the client in the
supine position with slight knee flexion to relax abdominal muscles,
allowing the fundus to be easily palpated. The nurse should support the
suprapubic region with one hand while palpating the fundus with the other.
Question 7
A nurse is assessing a postpartum client's fundus and notes it is firm,
midline, and at the level of the umbilicus. The client is 4 hours postpartum.
What is the appropriate action?
A) Document the finding as normal
B) Massage the fundus vigorously
C) Notify the provider immediately
D) Increase IV fluids
Answer: A. Document the finding as normal
Rationale: A firm, midline fundus at the level of the umbilicus is a normal
finding at 4 hours postpartum. The fundus typically descends 1 cm per day,
remaining at or below the umbilicus during the first 24 hours.
