NUR 2513 MATERNAL-CHILD NURSING | RASMUSSEN
COMPREHENSIVE PRACTICE EXAM 2 |COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES |LATEST UPDATE|
ALREADY GRADED A+||BRAND NEW VERSION!!
SECTION 1: POSTPARTUM ASSESSMENT & COMPLICATIONS (Questions 1–20)
Q1. A nurse is assessing a client who is 2 hours postpartum. The fundus is boggy
and displaced to the right of the midline. What is the priority action?
A) Administer oxytocin
B) Massage the fundus until firm
C) Assist the client to void
D) Notify the healthcare provider
Answer: C
Rationale: A boggy fundus displaced to the right usually indicates a full bladder.
Assist the client to void first, then reassess fundal tone.
Q2. A postpartum client has red vaginal discharge with small clots 2 days after
birth. How should the nurse document this?
A) Lochia serosa
B) Lochia rubra
C) Lochia alba
D) Lochia profusa
Answer: B
Rationale: Lochia rubra is red discharge occurring during the first 3–4 days
postpartum.
Q3. A postpartum client has heavy bleeding with a firm uterus. What should the
nurse suspect?
A) Uterine atony
B) Retained placental fragments
C) Cervical or vaginal laceration
D) Full bladder
Answer: C
Rationale: A firm uterus with heavy bleeding suggests a laceration of the cervix or
vagina.
1
,Q4. Which are risk factors for postpartum hemorrhage? (Select all that apply)
A) Prolonged labor
B) Multiparity
C) Macrosomic infant
D) Rapid delivery
E) History of cesarean birth
Answer: A, B, C
Rationale: Prolonged labor, multiparity, and macrosomic infant increase risk.
Rapid delivery is not a primary risk factor.
Q5. A first-time mother asks about rooming-in. What is the nurse’s best
response?
A) “This puts too much responsibility on you.”
B) “It depends on whether you breastfeed.”
C) “Resting for 3 days is better.”
D) “Rooming-in allows increased maternal-newborn contact.”
Answer: D
Rationale: Rooming-in promotes bonding, breastfeeding, and learning infant cues.
Q6. Which behavior indicates maternal acceptance of the newborn?
A) Turning her face to meet the newborn’s eyes
B) Filling out the birth certificate
C) Having many visitors
D) Husband holding the baby
Answer: A
Rationale: En face position is a positive bonding behavior.
Q7. How do baby blues differ from postpartum depression?
A) Baby blues are due to hormonal shifts and resolve by 6 weeks.
B) Baby blues appear in the first few days and resolve before the second
postpartum week.
C) Postpartum depression occurs on day 5 and resolves spontaneously by week 6.
D) Postpartum depression requires no intervention.
Answer: B
Rationale: Baby blues peak around day 5 and resolve by day 10–14. Postpartum
depression persists beyond 2 weeks and needs treatment.
2
, Q8. A client has postpartum preeclampsia. What care will the nurse provide?
(Select all that apply)
A) Bed rest with bathroom privileges
B) Monitor urine output and daily weight
C) Instruct on fluid bolus
D) Administer magnesium sulfate as prescribed
E) Administer antihypertensive as prescribed
Answer: A, B, D, E
Rationale: Management includes bed rest, monitoring output/weight, magnesium
sulfate, and antihypertensives. Fluid bolus is not routine.
Q9. Why are postpartum women prone to urinary retention?
A) Decreased bladder tone from anesthesia
B) Pressure on the bladder from the uterus
C) Dehydration from labor
D) Increased fluid intake after delivery
Answer: B
Rationale: The enlarged uterus puts pressure on the bladder, and delivery trauma
can decrease bladder tone.
Q10. A postpartum client has a firm fundus but continues to bleed heavily. The
nurse should suspect:
A) Uterine atony
B) Retained placental fragments
C) Lacerations of the birth canal
D) Coagulation disorder
Answer: C
Rationale: A firm fundus with heavy bleeding indicates a laceration of the cervix,
vagina, or perineum.
Q11. Which finding 1 day postpartum requires immediate intervention?
A) Fundus at umbilicus
B) Lochia rubra with small clots
C) Saturation of a peripad within 15 minutes
D) Temperature 37.8°C (100°F)
Answer: C
Rationale: Saturating a peripad within 15 minutes indicates postpartum
hemorrhage.
3
COMPREHENSIVE PRACTICE EXAM 2 |COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES |LATEST UPDATE|
ALREADY GRADED A+||BRAND NEW VERSION!!
SECTION 1: POSTPARTUM ASSESSMENT & COMPLICATIONS (Questions 1–20)
Q1. A nurse is assessing a client who is 2 hours postpartum. The fundus is boggy
and displaced to the right of the midline. What is the priority action?
A) Administer oxytocin
B) Massage the fundus until firm
C) Assist the client to void
D) Notify the healthcare provider
Answer: C
Rationale: A boggy fundus displaced to the right usually indicates a full bladder.
Assist the client to void first, then reassess fundal tone.
Q2. A postpartum client has red vaginal discharge with small clots 2 days after
birth. How should the nurse document this?
A) Lochia serosa
B) Lochia rubra
C) Lochia alba
D) Lochia profusa
Answer: B
Rationale: Lochia rubra is red discharge occurring during the first 3–4 days
postpartum.
Q3. A postpartum client has heavy bleeding with a firm uterus. What should the
nurse suspect?
A) Uterine atony
B) Retained placental fragments
C) Cervical or vaginal laceration
D) Full bladder
Answer: C
Rationale: A firm uterus with heavy bleeding suggests a laceration of the cervix or
vagina.
1
,Q4. Which are risk factors for postpartum hemorrhage? (Select all that apply)
A) Prolonged labor
B) Multiparity
C) Macrosomic infant
D) Rapid delivery
E) History of cesarean birth
Answer: A, B, C
Rationale: Prolonged labor, multiparity, and macrosomic infant increase risk.
Rapid delivery is not a primary risk factor.
Q5. A first-time mother asks about rooming-in. What is the nurse’s best
response?
A) “This puts too much responsibility on you.”
B) “It depends on whether you breastfeed.”
C) “Resting for 3 days is better.”
D) “Rooming-in allows increased maternal-newborn contact.”
Answer: D
Rationale: Rooming-in promotes bonding, breastfeeding, and learning infant cues.
Q6. Which behavior indicates maternal acceptance of the newborn?
A) Turning her face to meet the newborn’s eyes
B) Filling out the birth certificate
C) Having many visitors
D) Husband holding the baby
Answer: A
Rationale: En face position is a positive bonding behavior.
Q7. How do baby blues differ from postpartum depression?
A) Baby blues are due to hormonal shifts and resolve by 6 weeks.
B) Baby blues appear in the first few days and resolve before the second
postpartum week.
C) Postpartum depression occurs on day 5 and resolves spontaneously by week 6.
D) Postpartum depression requires no intervention.
Answer: B
Rationale: Baby blues peak around day 5 and resolve by day 10–14. Postpartum
depression persists beyond 2 weeks and needs treatment.
2
, Q8. A client has postpartum preeclampsia. What care will the nurse provide?
(Select all that apply)
A) Bed rest with bathroom privileges
B) Monitor urine output and daily weight
C) Instruct on fluid bolus
D) Administer magnesium sulfate as prescribed
E) Administer antihypertensive as prescribed
Answer: A, B, D, E
Rationale: Management includes bed rest, monitoring output/weight, magnesium
sulfate, and antihypertensives. Fluid bolus is not routine.
Q9. Why are postpartum women prone to urinary retention?
A) Decreased bladder tone from anesthesia
B) Pressure on the bladder from the uterus
C) Dehydration from labor
D) Increased fluid intake after delivery
Answer: B
Rationale: The enlarged uterus puts pressure on the bladder, and delivery trauma
can decrease bladder tone.
Q10. A postpartum client has a firm fundus but continues to bleed heavily. The
nurse should suspect:
A) Uterine atony
B) Retained placental fragments
C) Lacerations of the birth canal
D) Coagulation disorder
Answer: C
Rationale: A firm fundus with heavy bleeding indicates a laceration of the cervix,
vagina, or perineum.
Q11. Which finding 1 day postpartum requires immediate intervention?
A) Fundus at umbilicus
B) Lochia rubra with small clots
C) Saturation of a peripad within 15 minutes
D) Temperature 37.8°C (100°F)
Answer: C
Rationale: Saturating a peripad within 15 minutes indicates postpartum
hemorrhage.
3
