,NSG 432 Final Exam Nursing Care of the Childbearing Family
Questions And Answers 2026/2027 Grand canyon university
Q1. Which finding indicates that postpartum uterine involution is
progressing normally?
A) The uterus remains permanently enlarged.
B) The uterus gradually decreases in size and descends into the pelvis.
C) The fundus becomes increasingly higher each day.
D) Uterine size increases after placental delivery.
Correct Answer: B) The uterus gradually decreases in size and descends into
the pelvis.
Rationale: Uterine involution begins immediately after birth as the uterus
contracts and gradually returns toward its prepregnancy size.
Q2. Which characteristic describes lochia rubra?
A) Yellow-white discharge
B) Bright-red postpartum discharge containing blood and tissue
C) Green purulent drainage
D) Clear vaginal drainage
Correct Answer: B) Bright-red postpartum discharge containing blood and
tissue
Rationale: Lochia rubra is the initial postpartum discharge and is
predominantly red because it contains blood and decidual tissue.
Q3. Which change would be expected as lochia progresses normally?
A) Lochia becomes lighter and decreases over time.
B) Lochia becomes increasingly heavy for several weeks.
C) Lochia develops a foul odor.
D) Lochia remains bright red throughout the postpartum period.
Correct Answer: A) Lochia becomes lighter and decreases over time.
Rationale: Normal lochia progresses from rubra to serosa to alba, becoming
lighter and decreasing in amount as healing occurs.
Q4. A postpartum client has a boggy uterus and heavy vaginal
bleeding. What should the nurse do first?
A) Encourage ambulation.
B) Massage the fundus and reassess uterine tone.
, C) Place the client prone.
D) Delay intervention until the provider arrives.
Correct Answer: B) Massage the fundus and reassess uterine tone.
Rationale: A boggy uterus indicates inadequate uterine contraction. Fundal
massage promotes contraction and can reduce bleeding caused by uterine
atony.
Q5. Which condition is a major cause of early postpartum
hemorrhage?
A) Uterine atony
B) Mild constipation
C) Normal uterine involution
D) Breast engorgement
Correct Answer: A) Uterine atony
Rationale: Uterine atony prevents adequate compression of placental-site
blood vessels after delivery and is a leading cause of postpartum
hemorrhage.
Q6. Which medication is commonly used as a first-line uterotonic for
postpartum uterine atony?
A) Oxytocin
B) Terbutaline
C) Magnesium sulfate
D) Betamethasone
Correct Answer: A) Oxytocin
Rationale: Oxytocin promotes uterine contraction and is commonly
administered to reduce bleeding from uterine atony.
Q7. Which uterotonic should generally be avoided in a client with
significant asthma?
A) Oxytocin
B) Carboprost
C) Misoprostol
D) Methylergonovine
Correct Answer: B) Carboprost
Questions And Answers 2026/2027 Grand canyon university
Q1. Which finding indicates that postpartum uterine involution is
progressing normally?
A) The uterus remains permanently enlarged.
B) The uterus gradually decreases in size and descends into the pelvis.
C) The fundus becomes increasingly higher each day.
D) Uterine size increases after placental delivery.
Correct Answer: B) The uterus gradually decreases in size and descends into
the pelvis.
Rationale: Uterine involution begins immediately after birth as the uterus
contracts and gradually returns toward its prepregnancy size.
Q2. Which characteristic describes lochia rubra?
A) Yellow-white discharge
B) Bright-red postpartum discharge containing blood and tissue
C) Green purulent drainage
D) Clear vaginal drainage
Correct Answer: B) Bright-red postpartum discharge containing blood and
tissue
Rationale: Lochia rubra is the initial postpartum discharge and is
predominantly red because it contains blood and decidual tissue.
Q3. Which change would be expected as lochia progresses normally?
A) Lochia becomes lighter and decreases over time.
B) Lochia becomes increasingly heavy for several weeks.
C) Lochia develops a foul odor.
D) Lochia remains bright red throughout the postpartum period.
Correct Answer: A) Lochia becomes lighter and decreases over time.
Rationale: Normal lochia progresses from rubra to serosa to alba, becoming
lighter and decreasing in amount as healing occurs.
Q4. A postpartum client has a boggy uterus and heavy vaginal
bleeding. What should the nurse do first?
A) Encourage ambulation.
B) Massage the fundus and reassess uterine tone.
, C) Place the client prone.
D) Delay intervention until the provider arrives.
Correct Answer: B) Massage the fundus and reassess uterine tone.
Rationale: A boggy uterus indicates inadequate uterine contraction. Fundal
massage promotes contraction and can reduce bleeding caused by uterine
atony.
Q5. Which condition is a major cause of early postpartum
hemorrhage?
A) Uterine atony
B) Mild constipation
C) Normal uterine involution
D) Breast engorgement
Correct Answer: A) Uterine atony
Rationale: Uterine atony prevents adequate compression of placental-site
blood vessels after delivery and is a leading cause of postpartum
hemorrhage.
Q6. Which medication is commonly used as a first-line uterotonic for
postpartum uterine atony?
A) Oxytocin
B) Terbutaline
C) Magnesium sulfate
D) Betamethasone
Correct Answer: A) Oxytocin
Rationale: Oxytocin promotes uterine contraction and is commonly
administered to reduce bleeding from uterine atony.
Q7. Which uterotonic should generally be avoided in a client with
significant asthma?
A) Oxytocin
B) Carboprost
C) Misoprostol
D) Methylergonovine
Correct Answer: B) Carboprost
