Maternal Newborn & Women's Health
Nursing Exam Revision Questions
2025
1. Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus
B. 2cm above the umbilicus
C. 1cm below the umbilicus
D. midway between the symphysis pubis and umbilicus
2. When reading the postpartum chart, the nurse notices that the patient's fundus is
recorded as "u+1." The nurse understands that this means the fundus is
A. 1cm above the umbilicus
B. 1cm below the umbilicus
C. 1in. above the umbilicus
D. 1in. below the umbilicus
3. During the second postpartum day, a woman asks the nurse, "Why are my afterpains
so much worse this time than after the birth of my other child?" The best answer by the
nurse would be:
A. "Most women forget how strong the afterpains can be."
B."They should not be strong with you because you are breastfeeding."
C."You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth."
,4. The nurse is assessing the patient's vaginal discharge. It is red and has about a 2-inch
stain on the peri pad. The nurse will record this finding as a
A. light amount of lochia rubra
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia alba.
5. The new mother is complaining of pain at the episiotomy site; however, because she is
breastfeeding, she does not want any medication. What other alternatives can the nurse
offer this mother to help relieve the pain?
A. Ambulation
B. Topical Anesthetics
C. hot fluids to drink
D. stool softeners
6. A mother who is 3 days postpartum calls the clinic and complains of "night sweats."
She is afraid that she is going into early menopause. The nurse should base her answer
on the fact that
A. Birth may put some women into early menopause; an appointment is needed to have this
checked out.
B. night sweats may be an indication of many other problems; an appointment is needed to
assess the problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be suggested
to the mother.
D. diaphoresis is normal only if the mother is breastfeeding.
,7. On the first postpartum day a patient's white blood cell count is 25,000/mm3. The
nurse's next action should be to
A. notify the physician for an antibiotic order.
B. assess the patient's temperature and blood pressure.
C. request the count be repeated.
D. note the results in the chart.
8. One nursing measure that can help prevent postpartum hemorrhage and urinary tract
infections is
A. forcing fluids.
B. perineal care.
C. encouraging voiding every 2 to 3 hours.
D. encouraging the use of stool softeners.
9. While doing patient teaching, the woman tells the nurse, "I don't have to worry about
contraception because I am breastfeeding." The nurse should base her answer on the
fact that
A. breastfeeding can be considered a reliable system of birth control.
B. breastfeeding can be used as a contraceptive method if strict guidelines are followed through
C.breastfeeding is not a reliable contraceptive method.
10. A woman was admitted to the ED with her newborn baby. The baby was born 4 days
ago at home. The woman had no prenatal care. The nurse is assessing the lab work and
sees that the mother has an O-negative blood type, the baby is O-positive, and the
Coombs test shows that the mother is not sensitized to the positive blood. The nurse's
next action should be
, A. order Rho(D) immune globulin to be given to the mother.
B. order Rho(D) immune globulin to be given to the baby.
C. record the findings of the lab work and not plan on any further action at this time.
11. The first time a woman ambulates after the birth of the newborn, she has a nursing
diagnosis of Risk for injury because of the
A. risk for developing orthostatic hypotension.
B. development of bradycardia.
C. increase in cardiac output.
D. increase in circulatory volume
13. During the early post-cesarean section phase, it is important for the woman to turn,
cough, and deep breathe. The rationale for this is to prevent
A. pooling of secretions in the airway.
B. thrombus formation in the lower legs.
C. gas formation in the intestinal tract.
D. urinary retention.
14. As part of the postpartum assessment, the nurse examines the breasts of a
primiparous breastfeeding woman who is 1 day postpartum. An expected finding would
be
A. Soft, nontender; colostrum is present.
B. Leakage of milk at let-down.
C. Swollen, warm, and tender on palpation.
Nursing Exam Revision Questions
2025
1. Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus
B. 2cm above the umbilicus
C. 1cm below the umbilicus
D. midway between the symphysis pubis and umbilicus
2. When reading the postpartum chart, the nurse notices that the patient's fundus is
recorded as "u+1." The nurse understands that this means the fundus is
A. 1cm above the umbilicus
B. 1cm below the umbilicus
C. 1in. above the umbilicus
D. 1in. below the umbilicus
3. During the second postpartum day, a woman asks the nurse, "Why are my afterpains
so much worse this time than after the birth of my other child?" The best answer by the
nurse would be:
A. "Most women forget how strong the afterpains can be."
B."They should not be strong with you because you are breastfeeding."
C."You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth."
,4. The nurse is assessing the patient's vaginal discharge. It is red and has about a 2-inch
stain on the peri pad. The nurse will record this finding as a
A. light amount of lochia rubra
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia alba.
5. The new mother is complaining of pain at the episiotomy site; however, because she is
breastfeeding, she does not want any medication. What other alternatives can the nurse
offer this mother to help relieve the pain?
A. Ambulation
B. Topical Anesthetics
C. hot fluids to drink
D. stool softeners
6. A mother who is 3 days postpartum calls the clinic and complains of "night sweats."
She is afraid that she is going into early menopause. The nurse should base her answer
on the fact that
A. Birth may put some women into early menopause; an appointment is needed to have this
checked out.
B. night sweats may be an indication of many other problems; an appointment is needed to
assess the problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be suggested
to the mother.
D. diaphoresis is normal only if the mother is breastfeeding.
,7. On the first postpartum day a patient's white blood cell count is 25,000/mm3. The
nurse's next action should be to
A. notify the physician for an antibiotic order.
B. assess the patient's temperature and blood pressure.
C. request the count be repeated.
D. note the results in the chart.
8. One nursing measure that can help prevent postpartum hemorrhage and urinary tract
infections is
A. forcing fluids.
B. perineal care.
C. encouraging voiding every 2 to 3 hours.
D. encouraging the use of stool softeners.
9. While doing patient teaching, the woman tells the nurse, "I don't have to worry about
contraception because I am breastfeeding." The nurse should base her answer on the
fact that
A. breastfeeding can be considered a reliable system of birth control.
B. breastfeeding can be used as a contraceptive method if strict guidelines are followed through
C.breastfeeding is not a reliable contraceptive method.
10. A woman was admitted to the ED with her newborn baby. The baby was born 4 days
ago at home. The woman had no prenatal care. The nurse is assessing the lab work and
sees that the mother has an O-negative blood type, the baby is O-positive, and the
Coombs test shows that the mother is not sensitized to the positive blood. The nurse's
next action should be
, A. order Rho(D) immune globulin to be given to the mother.
B. order Rho(D) immune globulin to be given to the baby.
C. record the findings of the lab work and not plan on any further action at this time.
11. The first time a woman ambulates after the birth of the newborn, she has a nursing
diagnosis of Risk for injury because of the
A. risk for developing orthostatic hypotension.
B. development of bradycardia.
C. increase in cardiac output.
D. increase in circulatory volume
13. During the early post-cesarean section phase, it is important for the woman to turn,
cough, and deep breathe. The rationale for this is to prevent
A. pooling of secretions in the airway.
B. thrombus formation in the lower legs.
C. gas formation in the intestinal tract.
D. urinary retention.
14. As part of the postpartum assessment, the nurse examines the breasts of a
primiparous breastfeeding woman who is 1 day postpartum. An expected finding would
be
A. Soft, nontender; colostrum is present.
B. Leakage of milk at let-down.
C. Swollen, warm, and tender on palpation.
