Maternity Nursing Quiz #4 with Verified Solutions | 2025/2026 OB/Postpartum NCLEX & HESI Review Guide

This Maternity Nursing Quiz #4 is an essential tool for nursing students preparing for the 2025/2026 NCLEX or HESI. It includes detailed questions and verified answers on critical OB topics like postpartum complications, Rubin’s maternal phases, DVT prevention, prolapsed cord interventions, lactation, and hemorrhage management. Perfect for exam prep, clinical review, and quiz-based learning. Includes nursing rationales for enhanced comprehension. example;what is a prolapsed umbilical cord? - Answer -When the umbilical cord is displaced and comes out of the vagina before the presenting part Nursing interventions of a prolapsed umbilical cord - Answer Call for assistance. Do not leave pt. Stay calm. Have someone notify PCP Glove hand and push presenting part up to relieve pressure on cord Have woman move into knee-chest position (modified Sims position) or extreme Trendelenburg Or place a rolled towel under the mother's hip Do not attempt to replace cord into vagina or cervix If cord is protruding from vagina, loosely wrap it in sterile towel with warm saline Administer O2 by non-rebreather mask at 8-10 L/min Start IV or increase existing rate Monitor FHR Prepare for delivery Explain to pt. & partner what is happening Priority assessments during and after an Amniotomy - Answer Check FHTs Complications of a massive bleed: s/s disseminated intravascular coagulation - Answer Complication: Disseminated Intravascular Coagulation (DIC) •Clotting and anticlotting mechanisms occur at the same time •Not a primary condition; secondary to pregnancy complications (placental abruption, infection, preeclampsia/eclampsia, hemorrhage, etc.) •Manifestations include unusual spontaneous bleeding from gums and nose; oozing , trickling or flow of blood from incision/laceration; petechiae, hematuria •Institute emergency measures to control bleeding and impending shock; prepare to transfer to ICU •Identification of underlying condition and elimination of causative factors are essential •Labs: CBC, blood type/cross, clotting factors •Nursing Care •Administration of fluid volume replacement (can include blood/blood products) •Administer pharmacological interventions (antibiotics, vasoactive mediations, uterotonic agents) •Administer supplemental oxygen •Protect from injury Rubin's Taking In Phase - Answer •First 24-36 hours after birth •Focus on self: rely on others to meet their needs •Very dependent - may need to be reminded to eat, shower, sleep etc. •Desire to review birth experience Rubin's Taking Hold Phase - Answer •Starts 2nd day and lasts approximately 10 days •Alternates between need for extensive nurturing and a desire to take charge •Responds enthusiastically to opportunities to learn and practice baby care •Emotional change - possible experiences with the "blues" Rubin's Letting-Go Phase - Answer •Focus: forward movement of family as unit with interacting members •Reassertion of relationship with partner •Resolution of individual roles Nursing Interventions for Perineal Care PP - Answer Pat dry, wipe from front to back, hand hygine before and after voiding, peribottle with warm water to prevent perineal infections •Promoting comfort •Cold and heat applications •Ice pack (1st 24 hours), peribottle, Sitz bath (after 24 hours) •Topical preparations •Analgesics •Assisting with elimination •Promoting voiding •Promoting bowel elimination Fundal height related to # days postpartum - Answer Fundus is at umbilicus at 24 hrs, th