Maternal Newborn Swift River Questions
and Answers Latest Version Graded A+
A new mother is breastfeeding her baby and complains of nipple pain. What should the nurse
assess for?
✔✔ Proper latch and positioning of the baby.
A postpartum woman reports feeling lightheaded when standing. What should the nurse check
for?
✔✔ Signs of orthostatic hypotension and monitor blood pressure.
A mother is concerned because her newborn is having trouble latching onto the breast. What is
the nurse’s best advice?
✔✔ Offer guidance on proper positioning and latch techniques, and consider a lactation
consultant referral.
A new mother expresses concern about her baby’s meconium stools. What should the nurse
explain?
✔✔ Meconium is normal in the first 24 to 48 hours after birth.
1
,A postpartum woman’s fundus is located 2 cm above the umbilicus, and it is firm. What is the
nurse's interpretation?
✔✔ The fundus is appropriately elevated postpartum, and the uterus is contracting normally.
A newborn has a heart rate of 110 beats per minute. What is the nurse’s action?
✔✔ Continue to monitor, as a heart rate of 110 bpm is within the normal range for a newborn.
A postpartum woman has a temperature of 100.4°F (38°C) on the second day after delivery.
What should the nurse do?
✔✔ Continue to monitor the mother for signs of infection; a low-grade fever can be normal in
the first 24-48 hours postpartum.
A mother reports difficulty with her baby's latch during breastfeeding. What is the nurse’s next
step?
✔✔ Assess the baby’s mouth and the mother’s breast for signs of latch issues, such as nipple
pain or tongue-tie.
A newborn has jaundice that appears on the second day of life. What is the nurse's priority?
✔✔ Monitor the bilirubin levels and assess for other signs of physiological jaundice.
2
,A mother expresses concern about not having enough breast milk for her newborn. What should
the nurse encourage?
✔✔ Frequent breastfeeding or pumping, and ensuring proper latch and positioning to help with
milk production.
A postpartum woman’s perineum is swollen and tender after a vaginal delivery. What should the
nurse recommend?
✔✔ Apply ice packs to the perineum and provide pain relief, such as sitz baths.
A newborn has a temperature of 99.6°F (37.6°C) and is warm to the touch. What is the nurse's
action?
✔✔ Continue monitoring the baby, as this temperature is within normal range for a newborn.
A woman who had a cesarean section delivery is experiencing difficulty with ambulation due to
incision pain. What should the nurse do?
✔✔ Offer pain medication and assist with gentle movement to encourage circulation and prevent
complications.
3
, A breastfeeding mother asks when she can introduce solids to her baby. What is the nurse’s best
advice?
✔✔ Introduce solids around 6 months of age, while continuing to breastfeed.
A postpartum mother is experiencing mood swings and tearfulness. What should the nurse assess
for?
✔✔ Assess for signs of postpartum depression or anxiety.
A newborn has difficulty breathing and is grunting. What should the nurse do immediately?
✔✔ Assess oxygen saturation and prepare for possible interventions like suctioning or oxygen
support.
A mother reports her baby is not waking up for feedings as expected. What should the nurse
assess for?
✔✔ Check the newborn’s blood glucose levels and overall alertness to rule out hypoglycemia or
other concerns.
A postpartum woman reports feeling constipated and unable to pass stool. What is the nurse’s
next step?
4
and Answers Latest Version Graded A+
A new mother is breastfeeding her baby and complains of nipple pain. What should the nurse
assess for?
✔✔ Proper latch and positioning of the baby.
A postpartum woman reports feeling lightheaded when standing. What should the nurse check
for?
✔✔ Signs of orthostatic hypotension and monitor blood pressure.
A mother is concerned because her newborn is having trouble latching onto the breast. What is
the nurse’s best advice?
✔✔ Offer guidance on proper positioning and latch techniques, and consider a lactation
consultant referral.
A new mother expresses concern about her baby’s meconium stools. What should the nurse
explain?
✔✔ Meconium is normal in the first 24 to 48 hours after birth.
1
,A postpartum woman’s fundus is located 2 cm above the umbilicus, and it is firm. What is the
nurse's interpretation?
✔✔ The fundus is appropriately elevated postpartum, and the uterus is contracting normally.
A newborn has a heart rate of 110 beats per minute. What is the nurse’s action?
✔✔ Continue to monitor, as a heart rate of 110 bpm is within the normal range for a newborn.
A postpartum woman has a temperature of 100.4°F (38°C) on the second day after delivery.
What should the nurse do?
✔✔ Continue to monitor the mother for signs of infection; a low-grade fever can be normal in
the first 24-48 hours postpartum.
A mother reports difficulty with her baby's latch during breastfeeding. What is the nurse’s next
step?
✔✔ Assess the baby’s mouth and the mother’s breast for signs of latch issues, such as nipple
pain or tongue-tie.
A newborn has jaundice that appears on the second day of life. What is the nurse's priority?
✔✔ Monitor the bilirubin levels and assess for other signs of physiological jaundice.
2
,A mother expresses concern about not having enough breast milk for her newborn. What should
the nurse encourage?
✔✔ Frequent breastfeeding or pumping, and ensuring proper latch and positioning to help with
milk production.
A postpartum woman’s perineum is swollen and tender after a vaginal delivery. What should the
nurse recommend?
✔✔ Apply ice packs to the perineum and provide pain relief, such as sitz baths.
A newborn has a temperature of 99.6°F (37.6°C) and is warm to the touch. What is the nurse's
action?
✔✔ Continue monitoring the baby, as this temperature is within normal range for a newborn.
A woman who had a cesarean section delivery is experiencing difficulty with ambulation due to
incision pain. What should the nurse do?
✔✔ Offer pain medication and assist with gentle movement to encourage circulation and prevent
complications.
3
, A breastfeeding mother asks when she can introduce solids to her baby. What is the nurse’s best
advice?
✔✔ Introduce solids around 6 months of age, while continuing to breastfeed.
A postpartum mother is experiencing mood swings and tearfulness. What should the nurse assess
for?
✔✔ Assess for signs of postpartum depression or anxiety.
A newborn has difficulty breathing and is grunting. What should the nurse do immediately?
✔✔ Assess oxygen saturation and prepare for possible interventions like suctioning or oxygen
support.
A mother reports her baby is not waking up for feedings as expected. What should the nurse
assess for?
✔✔ Check the newborn’s blood glucose levels and overall alertness to rule out hypoglycemia or
other concerns.
A postpartum woman reports feeling constipated and unable to pass stool. What is the nurse’s
next step?
4
