GALEN COLLEGE OF NURSING · COLLEGE OF NURSING
NUR 254 OB — Exam 2
Maternal/Newborn
Nursing
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Postpartum & Newborn Nursing
Exam 2 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Postpartum Assessment & Physiology 2
3. Postpartum Complications 3
4. Maternal Psychosocial & Breastfeeding 3
,5. Newborn Assessment 4
6. Newborn Complications & Care 5
NUR 254 · Galen College of Nursing Page 1
, NUR 254 OB — EXAM 2 INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 OB Exam 2.
Postpartum Assessment & Physiology
1 A nurse is assessing a postpartum client who is 2 days post-delivery. The client's
lochia is bright red and moderate in amount. The nurse correctly documents this as:
A Lochia rubra
B Lochia serosa
C Lochia alba
D Lochia normalis
Why A is correct: Lochia rubra is bright red in color and typically lasts from days 1–3 after
delivery. It contains blood, decidual tissue, and mucus.
B — Lochia serosa is brownish-pink and occurs days 4–10.
C — Lochia alba is white and occurs days 11–14.
D — Lochia normalis is not a standard term.
NUR 254 OB — Exam 2
Maternal/Newborn
Nursing
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Postpartum & Newborn Nursing
Exam 2 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Postpartum Assessment & Physiology 2
3. Postpartum Complications 3
4. Maternal Psychosocial & Breastfeeding 3
,5. Newborn Assessment 4
6. Newborn Complications & Care 5
NUR 254 · Galen College of Nursing Page 1
, NUR 254 OB — EXAM 2 INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 OB Exam 2.
Postpartum Assessment & Physiology
1 A nurse is assessing a postpartum client who is 2 days post-delivery. The client's
lochia is bright red and moderate in amount. The nurse correctly documents this as:
A Lochia rubra
B Lochia serosa
C Lochia alba
D Lochia normalis
Why A is correct: Lochia rubra is bright red in color and typically lasts from days 1–3 after
delivery. It contains blood, decidual tissue, and mucus.
B — Lochia serosa is brownish-pink and occurs days 4–10.
C — Lochia alba is white and occurs days 11–14.
D — Lochia normalis is not a standard term.
