NUR 2513 Maternal-Child Nursing Exam 2: 2026/2027
Latest Q&A
Section 1: Postpartum Assessment & Complications (Questions 1-30)
1. A nurse is assessing a client who is 2 hours postpartum. The fundus is palpated as
boggy and is displaced to the right side of the midline. What is the nurse's priority
action?
A) Administer oxytocin as prescribed
B) Massage the fundus until it becomes firm
C) Assist the client to void
D) Notify the healthcare provider
Correct Answer: C) Assist the client to void
2. The nurse assesses a postpartum client's vaginal discharge. It is red in color,
contains small clots, and is moderate in amount. The client is 2 days postpartum.
How should the nurse document this finding?
A) Lochia serosa
B) Lochia rubra
C) Lochia alba
D) Lochia profusa
Correct Answer: B) Lochia rubra
,3. A postpartum client has heavy bleeding and a firm uterus. Which cause should the
nurse consider?
A) Uterine atony
B) Retained placental fragments
C) Lacerations of the birth canal
D) Uterine inversion
Correct Answer: C) Lacerations of the birth canal
4. Which of the following risk factors increases a client's risk for postpartum
hemorrhage? (Select all that apply)
A) Dysfunctional or prolonged labor
B) Multiparity
C) Macrosomic infant
D) History of postpartum hemorrhage
Correct Answer: A, B, C, D
5. Why are postpartum women prone to urinary retention?
A) Decreased bladder sensation due to edema from birth
B) Catheterization reduces bladder tonicity
C) Frequent partial voiding
D) Mild dehydration
Correct Answer: A) Decreased bladder sensation due to edema from birth
6. Which medication may be administered to promote uterine contraction in
postpartum hemorrhage caused by uterine atony?
A) Oxytocin
B) Methergine
C) Hemabate
,D) All of the above
Correct Answer: D) All of the above
7. The nurse is providing discharge teaching to a postpartum client regarding mood
changes to report. In differentiating between postpartum depression and baby blues,
what should be included in the instructions?
A) Postpartum depression may occur on the 5th day but will resolve spontaneously by the
end of the 6th week
B) Baby blues are the result of hormonal shifts and should resolve by the end of the 6th
postpartum week
C) Baby blues may present in the first few days after birth and resolve prior to the second
postpartum week
D) Postpartum depression is the result of hormonal changes related to the end of pregnancy
and will not require intervention
Correct Answer: C) Baby blues may present in the first few days after birth and resolve prior
to the second postpartum week
8. After delivery, a client is diagnosed with postpartum preeclampsia. What care will
the nurse provide to this client? (Select all that apply)
A) Maintain on bed rest with bathroom privileges
B) Monitor urine output and daily weight
C) Instruct on the need for a fluid bolus
D) Administer magnesium sulfate as prescribed
E) Administer antihypertensive medication as prescribed
Correct Answer: A, B, D, E
9. A postpartum woman (gravida 1, para 1) asks the nurse immediately after delivery
if she should request rooming-in with her newborn. Which of the following is the best
, response?
A) This puts too much responsibility on the first time mother
B) It depends on whether you will breastfeed or not
C) Resting for the first 3 day postpartum will be better for you
D) Rooming-in allows increased maternal-newborn contact
Correct Answer: D) Rooming-in allows increased maternal-newborn contact
10. Which action by the mother relates to the nurse that she is accepting her child?
A) She turns her face to meet the newborn’s eyes when she holds her
B) She fills out the birth certificate while in the hospital
C) She has many visitors in the room
D) Her husband spends time holding the baby
Correct Answer: A) She turns her face to meet the newborn’s eyes when she holds her
11. A nurse is assessing a client who is 24 hours postpartum. The client's fundus is
firm at the umbilicus, and she has moderate lochia rubra. The client reports a sudden
sharp pain in her left calf. What is the nurse's priority action?
A) Massage the calf to relieve pain
B) Apply warm compresses to the calf
C) Assess for signs of deep vein thrombosis
D) Encourage the client to ambulate
Correct Answer: C) Assess for signs of deep vein thrombosis
12. Which finding would indicate a potential postpartum infection?
A) Temperature of 100.4°F (38°C) on the first postpartum day
B) Foul-smelling lochia
C) Heart rate of 90 bpm
Latest Q&A
Section 1: Postpartum Assessment & Complications (Questions 1-30)
1. A nurse is assessing a client who is 2 hours postpartum. The fundus is palpated as
boggy and is displaced to the right side of the midline. What is the nurse's priority
action?
A) Administer oxytocin as prescribed
B) Massage the fundus until it becomes firm
C) Assist the client to void
D) Notify the healthcare provider
Correct Answer: C) Assist the client to void
2. The nurse assesses a postpartum client's vaginal discharge. It is red in color,
contains small clots, and is moderate in amount. The client is 2 days postpartum.
How should the nurse document this finding?
A) Lochia serosa
B) Lochia rubra
C) Lochia alba
D) Lochia profusa
Correct Answer: B) Lochia rubra
,3. A postpartum client has heavy bleeding and a firm uterus. Which cause should the
nurse consider?
A) Uterine atony
B) Retained placental fragments
C) Lacerations of the birth canal
D) Uterine inversion
Correct Answer: C) Lacerations of the birth canal
4. Which of the following risk factors increases a client's risk for postpartum
hemorrhage? (Select all that apply)
A) Dysfunctional or prolonged labor
B) Multiparity
C) Macrosomic infant
D) History of postpartum hemorrhage
Correct Answer: A, B, C, D
5. Why are postpartum women prone to urinary retention?
A) Decreased bladder sensation due to edema from birth
B) Catheterization reduces bladder tonicity
C) Frequent partial voiding
D) Mild dehydration
Correct Answer: A) Decreased bladder sensation due to edema from birth
6. Which medication may be administered to promote uterine contraction in
postpartum hemorrhage caused by uterine atony?
A) Oxytocin
B) Methergine
C) Hemabate
,D) All of the above
Correct Answer: D) All of the above
7. The nurse is providing discharge teaching to a postpartum client regarding mood
changes to report. In differentiating between postpartum depression and baby blues,
what should be included in the instructions?
A) Postpartum depression may occur on the 5th day but will resolve spontaneously by the
end of the 6th week
B) Baby blues are the result of hormonal shifts and should resolve by the end of the 6th
postpartum week
C) Baby blues may present in the first few days after birth and resolve prior to the second
postpartum week
D) Postpartum depression is the result of hormonal changes related to the end of pregnancy
and will not require intervention
Correct Answer: C) Baby blues may present in the first few days after birth and resolve prior
to the second postpartum week
8. After delivery, a client is diagnosed with postpartum preeclampsia. What care will
the nurse provide to this client? (Select all that apply)
A) Maintain on bed rest with bathroom privileges
B) Monitor urine output and daily weight
C) Instruct on the need for a fluid bolus
D) Administer magnesium sulfate as prescribed
E) Administer antihypertensive medication as prescribed
Correct Answer: A, B, D, E
9. A postpartum woman (gravida 1, para 1) asks the nurse immediately after delivery
if she should request rooming-in with her newborn. Which of the following is the best
, response?
A) This puts too much responsibility on the first time mother
B) It depends on whether you will breastfeed or not
C) Resting for the first 3 day postpartum will be better for you
D) Rooming-in allows increased maternal-newborn contact
Correct Answer: D) Rooming-in allows increased maternal-newborn contact
10. Which action by the mother relates to the nurse that she is accepting her child?
A) She turns her face to meet the newborn’s eyes when she holds her
B) She fills out the birth certificate while in the hospital
C) She has many visitors in the room
D) Her husband spends time holding the baby
Correct Answer: A) She turns her face to meet the newborn’s eyes when she holds her
11. A nurse is assessing a client who is 24 hours postpartum. The client's fundus is
firm at the umbilicus, and she has moderate lochia rubra. The client reports a sudden
sharp pain in her left calf. What is the nurse's priority action?
A) Massage the calf to relieve pain
B) Apply warm compresses to the calf
C) Assess for signs of deep vein thrombosis
D) Encourage the client to ambulate
Correct Answer: C) Assess for signs of deep vein thrombosis
12. Which finding would indicate a potential postpartum infection?
A) Temperature of 100.4°F (38°C) on the first postpartum day
B) Foul-smelling lochia
C) Heart rate of 90 bpm
