MATERNITY NURSING: POSTPARTUM &
NEWBORN CARE
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ 40 Questions and Answers
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. On the second postpartum day, a client complains of burning, urgency, and frequency of
urination. Which measures help prevent and treat a urinary tract infection?
A. Limit fluid intake to avoid frequent urination
B. Complete prescribed medication
C. Wipe perineum back to front
D. Urinate frequently and drink at least 3000 mL/day
Answer: D
EXPLANATION: Encouraging frequent urination, adequate hydration, front-to-back wiping,
and completing antibiotics helps resolve and prevent urinary tract infections.
2. A client complains of breast discomfort due to engorgement. Which nursing instructions are
appropriate?
A. Avoid breastfeeding until swelling subsides
B. Apply warm moist heat before feeding
C. Feed infant every 2 hours
D. Wear a loose bra for comfort
Answer: B, C
EXPLANATION: Frequent feeding, applying moist heat, massaging breasts, and wearing a
supportive bra help relieve breast engorgement.
3. What instructions help prevent infection in a client with an episiotomy?
A. Use sitz bath three times daily
B. Wipe perineum front to back
C. Avoid rinsing perineum after elimination
D. Change pad once a day
Answer: A, B
EXPLANATION: Warm sitz baths, proper wiping, perineal rinsing, and frequent pad changes
are critical for preventing perineal infections.
, 4. Which signs are associated with abruptio placentae?
A. Painless vaginal bleeding
B. Acute abdominal pain
C. Hard, board-like abdomen
D. Uterine tenderness
Answer: B, C, D
EXPLANATION: Abruptio placentae presents with pain, uterine tenderness, and firm abdomen.
Painless bleeding suggests placenta previa.
5. Which are modes of heat loss in the newborn?
A. Conduction
B. Evaporation
C. Radiation
D. Urination
Answer: A, B, C
EXPLANATION: Heat loss occurs via conduction, radiation, convection, and evaporation—not
urination.
6. Vaginal examination during labor determines which parameters?
A. Effacement
B. Dilation
C. Station
D. Bloody show
Answer: A, B, C
EXPLANATION: Vaginal exams assess cervical effacement and dilation, and fetal station—
key progress indicators in labor.
7. A pregnant client believes pregnancy causes malnourishment. What is the nurse's best
response?
A. "You're correct. Malnourishment is common."
B. "Your nutrition needs slightly decrease."
C. "Pregnancy doesn't cause malnourishment if you eat properly."
D. "You should follow a low-calorie diet."
Answer: C
EXPLANATION: Pregnancy increases nutritional needs but doesn't cause malnourishment with
proper diet.
NEWBORN CARE
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ 40 Questions and Answers
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. On the second postpartum day, a client complains of burning, urgency, and frequency of
urination. Which measures help prevent and treat a urinary tract infection?
A. Limit fluid intake to avoid frequent urination
B. Complete prescribed medication
C. Wipe perineum back to front
D. Urinate frequently and drink at least 3000 mL/day
Answer: D
EXPLANATION: Encouraging frequent urination, adequate hydration, front-to-back wiping,
and completing antibiotics helps resolve and prevent urinary tract infections.
2. A client complains of breast discomfort due to engorgement. Which nursing instructions are
appropriate?
A. Avoid breastfeeding until swelling subsides
B. Apply warm moist heat before feeding
C. Feed infant every 2 hours
D. Wear a loose bra for comfort
Answer: B, C
EXPLANATION: Frequent feeding, applying moist heat, massaging breasts, and wearing a
supportive bra help relieve breast engorgement.
3. What instructions help prevent infection in a client with an episiotomy?
A. Use sitz bath three times daily
B. Wipe perineum front to back
C. Avoid rinsing perineum after elimination
D. Change pad once a day
Answer: A, B
EXPLANATION: Warm sitz baths, proper wiping, perineal rinsing, and frequent pad changes
are critical for preventing perineal infections.
, 4. Which signs are associated with abruptio placentae?
A. Painless vaginal bleeding
B. Acute abdominal pain
C. Hard, board-like abdomen
D. Uterine tenderness
Answer: B, C, D
EXPLANATION: Abruptio placentae presents with pain, uterine tenderness, and firm abdomen.
Painless bleeding suggests placenta previa.
5. Which are modes of heat loss in the newborn?
A. Conduction
B. Evaporation
C. Radiation
D. Urination
Answer: A, B, C
EXPLANATION: Heat loss occurs via conduction, radiation, convection, and evaporation—not
urination.
6. Vaginal examination during labor determines which parameters?
A. Effacement
B. Dilation
C. Station
D. Bloody show
Answer: A, B, C
EXPLANATION: Vaginal exams assess cervical effacement and dilation, and fetal station—
key progress indicators in labor.
7. A pregnant client believes pregnancy causes malnourishment. What is the nurse's best
response?
A. "You're correct. Malnourishment is common."
B. "Your nutrition needs slightly decrease."
C. "Pregnancy doesn't cause malnourishment if you eat properly."
D. "You should follow a low-calorie diet."
Answer: C
EXPLANATION: Pregnancy increases nutritional needs but doesn't cause malnourishment with
proper diet.
