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NUR 230 MATERNAL EXAM 3 GALEN COLLEGE
OF NURSING 2026 ACTUAL EXAM | QUESTIONS
AND VERIFIED ANSWERS | NEW AND REVISED
1. A nurse assessing a postpartum client notes a boggy uterus. What
is the priority action?
A. Notify provider
B. Check blood pressure
C. Assist with breastfeeding
D. Massage the fundus
Rationale: A boggy uterus indicates uterine atony. Fundal
massage is the first intervention to prevent hemorrhage.
2. Which finding is expected on postpartum day 2?
A. Lochia alba
B. Lochia serosa
C. Heavy clots
D. Bright red bleeding
Rationale: Lochia serosa occurs days 3–10 postpartum.
3. A newborn’s normal heart rate range is:
A. 80–100 bpm
B. 110–160 bpm
C. 170–200 bpm
D. 60–90 bpm
Rationale: Normal neonatal heart rate is 110–160 bpm.
4. A priority nursing intervention after circumcision is:
A. Apply heat
B. Assess for bleeding
C. Feed immediately
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D. Remove dressing
Rationale: Hemorrhage is the most immediate complication.
5. Which maternal hormone triggers milk ejection?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Rationale: Oxytocin causes milk let-down.
6. A newborn with nasal flaring and retractions requires:
A. Feeding
B. Swaddling
C. Respiratory assessment
D. Vitamin K injection
Rationale: Signs indicate respiratory distress.
7. Fundus deviated right suggests:
A. Hemorrhage
B. Full bladder
C. Infection
D. Retained placenta
Rationale: Bladder distention displaces uterus.
8. APGAR evaluates:
A. Reflexes only
B. Oxygenation only
C. Neurologic maturity
D. Cardiopulmonary and neurologic status
Rationale: APGAR assesses adaptation to extrauterine life.
9. First stool of newborn is called:
A. Transitional stool
B. Meconium
C. Colostrum
D. Vernix
Rationale: Meconium is the initial stool.
10. Which is a sign of postpartum hemorrhage?
A. Bradycardia
B. Saturation of pad in <1 hour
NUR 230 MATERNAL EXAM 3 GALEN COLLEGE
OF NURSING 2026 ACTUAL EXAM | QUESTIONS
AND VERIFIED ANSWERS | NEW AND REVISED
1. A nurse assessing a postpartum client notes a boggy uterus. What
is the priority action?
A. Notify provider
B. Check blood pressure
C. Assist with breastfeeding
D. Massage the fundus
Rationale: A boggy uterus indicates uterine atony. Fundal
massage is the first intervention to prevent hemorrhage.
2. Which finding is expected on postpartum day 2?
A. Lochia alba
B. Lochia serosa
C. Heavy clots
D. Bright red bleeding
Rationale: Lochia serosa occurs days 3–10 postpartum.
3. A newborn’s normal heart rate range is:
A. 80–100 bpm
B. 110–160 bpm
C. 170–200 bpm
D. 60–90 bpm
Rationale: Normal neonatal heart rate is 110–160 bpm.
4. A priority nursing intervention after circumcision is:
A. Apply heat
B. Assess for bleeding
C. Feed immediately
, 2|Page
D. Remove dressing
Rationale: Hemorrhage is the most immediate complication.
5. Which maternal hormone triggers milk ejection?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Rationale: Oxytocin causes milk let-down.
6. A newborn with nasal flaring and retractions requires:
A. Feeding
B. Swaddling
C. Respiratory assessment
D. Vitamin K injection
Rationale: Signs indicate respiratory distress.
7. Fundus deviated right suggests:
A. Hemorrhage
B. Full bladder
C. Infection
D. Retained placenta
Rationale: Bladder distention displaces uterus.
8. APGAR evaluates:
A. Reflexes only
B. Oxygenation only
C. Neurologic maturity
D. Cardiopulmonary and neurologic status
Rationale: APGAR assesses adaptation to extrauterine life.
9. First stool of newborn is called:
A. Transitional stool
B. Meconium
C. Colostrum
D. Vernix
Rationale: Meconium is the initial stool.
10. Which is a sign of postpartum hemorrhage?
A. Bradycardia
B. Saturation of pad in <1 hour
