Galen College of Nursing NU 170
MATERNAL-CHILD NURSING • EXAM 4 • FALL 2026
Name: ____________________________________ Date: ____________________
50 multiple-choice questions • Choose the single best answer.
1. A postpartum patient requests that a relative translate sensitive care instructions. Which approach
best follows the uploaded notes?
A. Use an appropriate interpreter who is not a family member or in cultural or religious conflict with the
patient.
B. Assume the same dietary customs apply to all members of the family.
C. Avoid asking about health beliefs because they cannot affect care.
D. Use the relative regardless of the patient's preferences.
✓ Correct answer: A. Use an appropriate interpreter who is not a family member or in cultural or
religious conflict with the patient.
Rationale: The notes direct nurses to adapt care to beliefs, values, and practices and to use an appropriate
interpreter rather than a family member.
2. One day after birth, a patient's fundus is soft and difficult to locate firmly. What action is supported
by the notes?
A. Assume the fundus should remain soft for the first week.
B. Massage the boggy fundus until it becomes firm.
C. Wait for the fundus to descend before assessing bleeding.
D. Continue massaging a firm fundus throughout the shift.
✓ Correct answer: B. Massage the boggy fundus until it becomes firm.
Rationale: The notes state that a poorly contracted, boggy uterus should be massaged until firm to help
prevent hemorrhage.
3. Immediately after the placenta is expelled, which finding best matches the expected uterine
assessment in the notes?
A. A firm, midline fundus at or below the umbilicus.
B. A soft fundus above the umbilicus with large clots.
C. A fundus no longer palpable through the abdominal wall.
D. A fundus displaced to the side and steadily rising.
✓ Correct answer: A. A firm, midline fundus at or below the umbilicus.
Rationale: The notes describe a firm midline fundus at or below the umbilicus immediately after placental
expulsion.
, 4. At a postpartum visit, a patient asks what change in the uterine fundus to expect after the first day.
Which response is supported?
A. It stays at the umbilicus for six weeks.
B. It generally descends about 1 cm each day after the first 24 hours.
C. It becomes soft as involution progresses.
D. It rises about 1 cm each day for the next 10 days.
✓ Correct answer: B. It generally descends about 1 cm each day after the first 24 hours.
Rationale: The notes describe a descent of roughly 1 cm daily after 24 hours.
5. A patient has a sore, swollen perineum 8 hours after birth. Which comfort measure matches the
notes?
A. Avoid inspecting the perineum for edema and bruising.
B. Apply heat exclusively during the first hour.
C. Apply an ice pack during the first 12 to 24 hours.
D. Give aspirin routinely to speed clotting.
✓ Correct answer: C. Apply an ice pack during the first 12 to 24 hours.
Rationale: The notes recommend ice early to reduce edema and bruising, with heat after the initial 24
hours.
6. A postpartum patient feels dizzy when first standing. Which nursing action best reflects the notes?
A. Interpret dizziness as proof of a kidney infection.
B. Withhold assessment because dizziness is unrelated to postpartum circulation.
C. Encourage the patient to walk alone to build confidence.
D. Assist the patient with ambulation and recognize possible orthostatic hypotension.
✓ Correct answer: D. Assist the patient with ambulation and recognize possible orthostatic
hypotension.
Rationale: The notes describe a blood pressure drop upon sitting or standing and instruct nurses to assist
the patient.
7. After cesarean birth, which action specifically addresses the respiratory care identified in the
notes?
A. Restrict turning and cough suppression until discharge.
B. Avoid an incentive spirometer because it mobilizes secretions.
C. Encourage deep breathing, turning, coughing, and increasing mobility.
D. Stop auscultating the lungs once the dressing is checked.
✓ Correct answer: C. Encourage deep breathing, turning, coughing, and increasing mobility.
Rationale: The cesarean-care section calls for lung assessment, deep breathing, turning, coughing, and
mobility to move secretions.
MATERNAL-CHILD NURSING • EXAM 4 • FALL 2026
Name: ____________________________________ Date: ____________________
50 multiple-choice questions • Choose the single best answer.
1. A postpartum patient requests that a relative translate sensitive care instructions. Which approach
best follows the uploaded notes?
A. Use an appropriate interpreter who is not a family member or in cultural or religious conflict with the
patient.
B. Assume the same dietary customs apply to all members of the family.
C. Avoid asking about health beliefs because they cannot affect care.
D. Use the relative regardless of the patient's preferences.
✓ Correct answer: A. Use an appropriate interpreter who is not a family member or in cultural or
religious conflict with the patient.
Rationale: The notes direct nurses to adapt care to beliefs, values, and practices and to use an appropriate
interpreter rather than a family member.
2. One day after birth, a patient's fundus is soft and difficult to locate firmly. What action is supported
by the notes?
A. Assume the fundus should remain soft for the first week.
B. Massage the boggy fundus until it becomes firm.
C. Wait for the fundus to descend before assessing bleeding.
D. Continue massaging a firm fundus throughout the shift.
✓ Correct answer: B. Massage the boggy fundus until it becomes firm.
Rationale: The notes state that a poorly contracted, boggy uterus should be massaged until firm to help
prevent hemorrhage.
3. Immediately after the placenta is expelled, which finding best matches the expected uterine
assessment in the notes?
A. A firm, midline fundus at or below the umbilicus.
B. A soft fundus above the umbilicus with large clots.
C. A fundus no longer palpable through the abdominal wall.
D. A fundus displaced to the side and steadily rising.
✓ Correct answer: A. A firm, midline fundus at or below the umbilicus.
Rationale: The notes describe a firm midline fundus at or below the umbilicus immediately after placental
expulsion.
, 4. At a postpartum visit, a patient asks what change in the uterine fundus to expect after the first day.
Which response is supported?
A. It stays at the umbilicus for six weeks.
B. It generally descends about 1 cm each day after the first 24 hours.
C. It becomes soft as involution progresses.
D. It rises about 1 cm each day for the next 10 days.
✓ Correct answer: B. It generally descends about 1 cm each day after the first 24 hours.
Rationale: The notes describe a descent of roughly 1 cm daily after 24 hours.
5. A patient has a sore, swollen perineum 8 hours after birth. Which comfort measure matches the
notes?
A. Avoid inspecting the perineum for edema and bruising.
B. Apply heat exclusively during the first hour.
C. Apply an ice pack during the first 12 to 24 hours.
D. Give aspirin routinely to speed clotting.
✓ Correct answer: C. Apply an ice pack during the first 12 to 24 hours.
Rationale: The notes recommend ice early to reduce edema and bruising, with heat after the initial 24
hours.
6. A postpartum patient feels dizzy when first standing. Which nursing action best reflects the notes?
A. Interpret dizziness as proof of a kidney infection.
B. Withhold assessment because dizziness is unrelated to postpartum circulation.
C. Encourage the patient to walk alone to build confidence.
D. Assist the patient with ambulation and recognize possible orthostatic hypotension.
✓ Correct answer: D. Assist the patient with ambulation and recognize possible orthostatic
hypotension.
Rationale: The notes describe a blood pressure drop upon sitting or standing and instruct nurses to assist
the patient.
7. After cesarean birth, which action specifically addresses the respiratory care identified in the
notes?
A. Restrict turning and cough suppression until discharge.
B. Avoid an incentive spirometer because it mobilizes secretions.
C. Encourage deep breathing, turning, coughing, and increasing mobility.
D. Stop auscultating the lungs once the dressing is checked.
✓ Correct answer: C. Encourage deep breathing, turning, coughing, and increasing mobility.
Rationale: The cesarean-care section calls for lung assessment, deep breathing, turning, coughing, and
mobility to move secretions.
