MATERNAL CHILD NURSING EXAM 3 EXAM
PREP 2026 QUESTIONS AND ANSWERS
DETAILED STUDY GUIDE GRADED A+
◉ 1. Review of a primiparous woman's labor and birth record
reveals a prolonged second stage of labor and extended time in the
stirrups. Based on an interpretation of these findings, the nurse
would be especially alert for which of the following?
A) Retained placental fragments
B) Hypertension
C) Thrombophlebitis
D) Uterine subinvolution.
Answer: C
◉ 2. As part of an inservice program, a nurse is describing a
transient, self-limiting mood disorder that affects mothers after
childbirth. The nurse correctly identifies this as postpartum:
A) Depression
B) Psychosis
C) Bipolar disorder
D) Blues.
Answer: D
,◉ 3. A woman who is 2 weeks postpartum calls the clinic and says,
"My left breast hurts." After further assessment on the phone, the
nurse suspects the woman has mastitis. In addition to pain, the
nurse would assess for which of the following?
A) An inverted nipple on the affected breast
B) No breast milk in the affected breast
C) An ecchymotic area on the affected breast
D) Hardening of an area in the affected breast.
Answer: D
◉ 4. A group of students are reviewing the causes of postpartum
hemorrhage. The students demonstrate understanding of the
information when they identify which of the following as the most
common cause?
A) Labor augmentation
B) Uterine atony
C) Cervical or vaginal lacerations
D) Uterine inversion.
Answer: B
◉ 5. After presenting a class on measures to prevent postpartum
hemorrhage, the presenter determines that the teaching was
successful when the class states which of the following as an
,important measure to prevent postpartum hemorrhage due to
retained placental fragments?
A) Administering broad-spectrum antibiotics
B) Inspecting the placenta after delivery for intactness
C) Manually removing the placenta at delivery
D) Applying pressure to the umbilical cord to remove the placenta.
Answer: B
◉ 6. A multipara client develops thrombophlebitis after delivery.
Which of the following would alert the nurse to the need for
immediate intervention?
A) Dyspnea, diaphoresis, hypotension, and chest pain
B) Dyspnea, bradycardia, hypertension, and confusion
C) Weakness, anorexia, change in level of consciousness, and coma
D) Pallor, tachycardia, seizures, and jaundice.
Answer: A
◉ 7. A client experienced prolonged labor with prolonged
premature rupture of membranes. The nurse would be alert for
which of the following in the mother and the newborn?
A) Infection
B) Hemorrhage
C) Trauma
, D) Hypovolemia.
Answer: A
◉ 8. When assessing the postpartum woman, the nurse uses
indicators other than pulse rate and blood pressure for postpartum
hemorrhage based on the knowledge that:
A) These measurements may not change until after the blood loss is
large
B) The body's compensatory mechanisms activate and prevent any
changes
C) They relate more to change in condition than to the amount of
blood lost
D) Maternal anxiety adversely affects these vital signs.
Answer: A
◉ 9. The nurse is assessing a woman with abruption placentae who
has just given birth. The nurse would be alert for which of the
following?
A) Severe uterine pain
B) Board-like abdomen
C) Appearance of petechiae
D) Inversion of the uterus.
Answer: C
PREP 2026 QUESTIONS AND ANSWERS
DETAILED STUDY GUIDE GRADED A+
◉ 1. Review of a primiparous woman's labor and birth record
reveals a prolonged second stage of labor and extended time in the
stirrups. Based on an interpretation of these findings, the nurse
would be especially alert for which of the following?
A) Retained placental fragments
B) Hypertension
C) Thrombophlebitis
D) Uterine subinvolution.
Answer: C
◉ 2. As part of an inservice program, a nurse is describing a
transient, self-limiting mood disorder that affects mothers after
childbirth. The nurse correctly identifies this as postpartum:
A) Depression
B) Psychosis
C) Bipolar disorder
D) Blues.
Answer: D
,◉ 3. A woman who is 2 weeks postpartum calls the clinic and says,
"My left breast hurts." After further assessment on the phone, the
nurse suspects the woman has mastitis. In addition to pain, the
nurse would assess for which of the following?
A) An inverted nipple on the affected breast
B) No breast milk in the affected breast
C) An ecchymotic area on the affected breast
D) Hardening of an area in the affected breast.
Answer: D
◉ 4. A group of students are reviewing the causes of postpartum
hemorrhage. The students demonstrate understanding of the
information when they identify which of the following as the most
common cause?
A) Labor augmentation
B) Uterine atony
C) Cervical or vaginal lacerations
D) Uterine inversion.
Answer: B
◉ 5. After presenting a class on measures to prevent postpartum
hemorrhage, the presenter determines that the teaching was
successful when the class states which of the following as an
,important measure to prevent postpartum hemorrhage due to
retained placental fragments?
A) Administering broad-spectrum antibiotics
B) Inspecting the placenta after delivery for intactness
C) Manually removing the placenta at delivery
D) Applying pressure to the umbilical cord to remove the placenta.
Answer: B
◉ 6. A multipara client develops thrombophlebitis after delivery.
Which of the following would alert the nurse to the need for
immediate intervention?
A) Dyspnea, diaphoresis, hypotension, and chest pain
B) Dyspnea, bradycardia, hypertension, and confusion
C) Weakness, anorexia, change in level of consciousness, and coma
D) Pallor, tachycardia, seizures, and jaundice.
Answer: A
◉ 7. A client experienced prolonged labor with prolonged
premature rupture of membranes. The nurse would be alert for
which of the following in the mother and the newborn?
A) Infection
B) Hemorrhage
C) Trauma
, D) Hypovolemia.
Answer: A
◉ 8. When assessing the postpartum woman, the nurse uses
indicators other than pulse rate and blood pressure for postpartum
hemorrhage based on the knowledge that:
A) These measurements may not change until after the blood loss is
large
B) The body's compensatory mechanisms activate and prevent any
changes
C) They relate more to change in condition than to the amount of
blood lost
D) Maternal anxiety adversely affects these vital signs.
Answer: A
◉ 9. The nurse is assessing a woman with abruption placentae who
has just given birth. The nurse would be alert for which of the
following?
A) Severe uterine pain
B) Board-like abdomen
C) Appearance of petechiae
D) Inversion of the uterus.
Answer: C
