NURS 254 EXAM 2 REVIEW SET ACCURATE
QUESTIONS AND ANSWERS 2026 GALEN COLLEGE
OF NURSING
1. What is a common treatment option for mastitis?
Antibiotics
Increased fluid intake
Surgery
Pain relievers
2. What is the definition of postpartum hemorrhaging?
Postpartum hemorrhaging is excessive bleeding following
childbirth.
Postpartum hemorrhaging is an infection of the uterus after delivery.
Postpartum hemorrhaging is the retention of placenta after delivery.
Postpartum hemorrhaging is the formation of blood clots in the
uterus.
3. A nurse is caring for a patient who is experiencing significant postpartum
hemorrhage. How might the nurse utilize Misoprostol in this situation?
Administer Misoprostol to stimulate uterine contractions and
control bleeding.
Administer Misoprostol to promote wound healing.
Prescribe Misoprostol to prevent mastitis.
Use Misoprostol to provide pain relief for the patient.
4. What is one potential cause of inadequate uterine contraction after delivery?
, Infection
Dehydration
Uterine atony
Excessive bleeding
5. Describe the physiological changes that occur in the cervix during the
postpartum period.
The cervix gradually closes over approximately 6 weeks after
childbirth, returning to its pre-pregnancy state.
The cervix closes immediately after delivery.
The cervix remains open for several months after childbirth.
The cervix only partially closes after childbirth.
6. What is nipple confusion in the context of breastfeeding?
A method to enhance milk production in breastfeeding mothers.
A term used to describe a baby's refusal to breastfeed.
A situation where the mother experiences pain while breastfeeding.
A condition where a breastfeeding infant has difficulty latching due
to the introduction of artificial nipples.
7. Postpartum Physiologic Changes: Reproductive System. What is involution?
The process by which the uterus returns to a nonpregnant state
The failure of the uterus to return to a nonpregnant state
8. When involution does not occur, it is called subinvolution. What can that be
linked to?
, Lochia Alba
Postpartum hemorrhage
Engorgement
9. What is a key contraindication for the use of Methergine in postpartum
patients?
Anemia
Hypertension
Hypotension
Diabetes
10. A postpartum patient has not had a bowel movement in 4 days. What
nursing interventions could be implemented to encourage bowel
movement?
Encourage increased fluid intake and dietary fiber.
Advise the patient to avoid all food until a bowel movement occurs.
Administer a laxative without consulting a physician.
Recommend bed rest to avoid straining.
11. Postpartum hemorrhage following a c-sections birth is clinically defined as
blood loss greater than:
500 mLs in the first 48hrs
1000 mLs in the first 48hrs
500 mLs in the first 24hrs
1000 mLs in the first 24 hrs
, 12. If a new mother is experiencing severe breast engorgement and is unable to
breastfeed due to pain, what alternative intervention could be
recommended?
Taking over-the-counter pain medication only
Using a breast pump to relieve pressure
Applying heat to the breasts before feeding
Ignoring the pain and waiting for it to subside
13. The recommended treatment for mastitis is _____ _.
to start a course of antibiotics and stop nursing
take vitamin E
to use an oxytocin nasal spray for 5 days
to start a course of antibiotics and continue nursing
14. Describe the role of colostrum in the early postpartum period for both the
mother and the newborn.
Colostrum provides essential nutrients and antibodies that help
protect the newborn and support the mother's recovery.
Colostrum is a type of medication given to mothers after delivery.
Colostrum helps in the production of breast milk but has no
immediate benefits.
Colostrum is primarily a source of carbohydrates for energy.
15. What is the standard treatment for retained placenta following vaginal
delivery?
Manual removal
QUESTIONS AND ANSWERS 2026 GALEN COLLEGE
OF NURSING
1. What is a common treatment option for mastitis?
Antibiotics
Increased fluid intake
Surgery
Pain relievers
2. What is the definition of postpartum hemorrhaging?
Postpartum hemorrhaging is excessive bleeding following
childbirth.
Postpartum hemorrhaging is an infection of the uterus after delivery.
Postpartum hemorrhaging is the retention of placenta after delivery.
Postpartum hemorrhaging is the formation of blood clots in the
uterus.
3. A nurse is caring for a patient who is experiencing significant postpartum
hemorrhage. How might the nurse utilize Misoprostol in this situation?
Administer Misoprostol to stimulate uterine contractions and
control bleeding.
Administer Misoprostol to promote wound healing.
Prescribe Misoprostol to prevent mastitis.
Use Misoprostol to provide pain relief for the patient.
4. What is one potential cause of inadequate uterine contraction after delivery?
, Infection
Dehydration
Uterine atony
Excessive bleeding
5. Describe the physiological changes that occur in the cervix during the
postpartum period.
The cervix gradually closes over approximately 6 weeks after
childbirth, returning to its pre-pregnancy state.
The cervix closes immediately after delivery.
The cervix remains open for several months after childbirth.
The cervix only partially closes after childbirth.
6. What is nipple confusion in the context of breastfeeding?
A method to enhance milk production in breastfeeding mothers.
A term used to describe a baby's refusal to breastfeed.
A situation where the mother experiences pain while breastfeeding.
A condition where a breastfeeding infant has difficulty latching due
to the introduction of artificial nipples.
7. Postpartum Physiologic Changes: Reproductive System. What is involution?
The process by which the uterus returns to a nonpregnant state
The failure of the uterus to return to a nonpregnant state
8. When involution does not occur, it is called subinvolution. What can that be
linked to?
, Lochia Alba
Postpartum hemorrhage
Engorgement
9. What is a key contraindication for the use of Methergine in postpartum
patients?
Anemia
Hypertension
Hypotension
Diabetes
10. A postpartum patient has not had a bowel movement in 4 days. What
nursing interventions could be implemented to encourage bowel
movement?
Encourage increased fluid intake and dietary fiber.
Advise the patient to avoid all food until a bowel movement occurs.
Administer a laxative without consulting a physician.
Recommend bed rest to avoid straining.
11. Postpartum hemorrhage following a c-sections birth is clinically defined as
blood loss greater than:
500 mLs in the first 48hrs
1000 mLs in the first 48hrs
500 mLs in the first 24hrs
1000 mLs in the first 24 hrs
, 12. If a new mother is experiencing severe breast engorgement and is unable to
breastfeed due to pain, what alternative intervention could be
recommended?
Taking over-the-counter pain medication only
Using a breast pump to relieve pressure
Applying heat to the breasts before feeding
Ignoring the pain and waiting for it to subside
13. The recommended treatment for mastitis is _____ _.
to start a course of antibiotics and stop nursing
take vitamin E
to use an oxytocin nasal spray for 5 days
to start a course of antibiotics and continue nursing
14. Describe the role of colostrum in the early postpartum period for both the
mother and the newborn.
Colostrum provides essential nutrients and antibodies that help
protect the newborn and support the mother's recovery.
Colostrum is a type of medication given to mothers after delivery.
Colostrum helps in the production of breast milk but has no
immediate benefits.
Colostrum is primarily a source of carbohydrates for energy.
15. What is the standard treatment for retained placenta following vaginal
delivery?
Manual removal
