MATERNITY EXAM 3 STUDY GUIDE | COMPLETE MATERNAL-NEWBORN NURSING
EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
The nurse is caring for a client diagnosed with chorioamnionitis. Which clinical manifestation will the
nurse expect to assess? Select all that apply.
A. Fetal tachycardia
B. Hematuria
C. Foul-smelling amniotic fluid
D. Maternal fever
E. Uterine tenderness - correct answer ✔✔A,C,D,E
Which assessment finding is associated with postpartum puerperal infection? - correct answer ✔✔Fever
of 100.4°F for two consecutive days (after 24 hours)
Which intervention will help reduce the incident of endometritis in a client having a cesarean section?
Select all that apply
A. Avoid wearing a bra until inflammation has subsided
B. do not take analgesics, since they can cross into breastmilk
C. Apply warm compresses to your breast to encourage milk release
D. Breast-feed or pump, often until both breasts are emptied
E. Limit your fluid intake, it will help relieve the pain - correct answer ✔✔C,D
A postpartum client is experiencing prolonged lochia discharge with irregular bleeding. A pelvic exam
reveals an enlarged uterus. The nurse identifies the findings as consistent with which conditions?
A. Inversion of the uterus
B. Pelvic hematoma
C. Vaginal infection
D. Subinvolution of the uterus - correct answer ✔✔D
The nurse is caring for a postpartum client, who sustained a perineal laceration during delivery.
Assessment findings revealed pale skin. That is cool, clammy to touch, weak, rapid pulse, and
hypotension. The nurse immediately notifies the provider anticipating the client is experiencing which of
the following?
A. DIC
B. Displaced fundus
C. Early onset of infection
D. Hypovolemic shock - correct answer ✔✔D
The nurse is caring for a postpartum client, following a C-section who is hypovolemic. Which diagnosis is
most appropriate? - correct answer ✔✔Risk for altered tissue perfusion
The nurse is caring for a client treated for idiopathic thrombocytopenic purpura during pregnancy. Which
medication will the nurse anticipate administering?
A. Eupogen
B. Neupogen
C. Neumega
, D. Corticosteroids - correct answer ✔✔D
The nurse is caring for a postpartum mother, who is experiencing occasional periods of sadness, anxiety,
and difficulty sleeping. The client continues to be active in the infants, care and displays appropriate
bonding with her child. The nurse explains to the client that she is experiencing which of the following
conditions?
A. Postpartum psychosis
B. Postpartum depression
C. Baby blues
D. Bipolar depression - correct answer ✔✔C
Which statement made by postpartum client will alert the nurse to assess her for postpartum psychosis?
A. I have these bizarre thoughts that scare me, almost like I hear voices
B. I am experiencing thoughts of suicide
C. Being home was overwhelming for the first few days
D. Can't seem to stop crying, it keeps getting worse and worse every day - correct answer ✔✔A
After assigning a newborn, their first Apgar score of 7, which is the nurses action?
A. Repeat the assessment in five minutes
B. Notify the healthcare provider
C. Call the rapid response teams
D. Repeat the assessment every five minutes for 20 minutes - correct answer ✔✔A
Which describes the benefit of skin to skin contact immediately following delivery? Select all that apply.
A. Lower blood glucose levels
B. Positive maternal-infant bonding
C. Cardiopulmonary stability
D. Decrease need for immediate breast-feeding
E. Stable body temperature - correct answer ✔✔B,C,E
Which nursing intervention promotes thermal stability in the newborn, following birth?
A. Swaddle the newborn in a warm, blanket and place it on the mothers chest immediately postpartum
B. Place newborn under radiant heat lamp
C. Vigorously dry the newborn immediately after birth
D. Place newborn on mother's chest immediately postpartum - correct answer ✔✔D
Which medication will the nurse administer to a newborn to stimulate the production of red blood cells
and prevent hemorrhagic complications?
A. Epogen
B. Vitamin K
C. Neupogen
D. Vitamin D - correct answer ✔✔B
A nurse is preparing to administer a medication to promote hemostasis in a newborn. Which medication
is given routinely to all newborns?
A. Vitamin K
B. Protamine sulfate
C. Hemabate
EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
The nurse is caring for a client diagnosed with chorioamnionitis. Which clinical manifestation will the
nurse expect to assess? Select all that apply.
A. Fetal tachycardia
B. Hematuria
C. Foul-smelling amniotic fluid
D. Maternal fever
E. Uterine tenderness - correct answer ✔✔A,C,D,E
Which assessment finding is associated with postpartum puerperal infection? - correct answer ✔✔Fever
of 100.4°F for two consecutive days (after 24 hours)
Which intervention will help reduce the incident of endometritis in a client having a cesarean section?
Select all that apply
A. Avoid wearing a bra until inflammation has subsided
B. do not take analgesics, since they can cross into breastmilk
C. Apply warm compresses to your breast to encourage milk release
D. Breast-feed or pump, often until both breasts are emptied
E. Limit your fluid intake, it will help relieve the pain - correct answer ✔✔C,D
A postpartum client is experiencing prolonged lochia discharge with irregular bleeding. A pelvic exam
reveals an enlarged uterus. The nurse identifies the findings as consistent with which conditions?
A. Inversion of the uterus
B. Pelvic hematoma
C. Vaginal infection
D. Subinvolution of the uterus - correct answer ✔✔D
The nurse is caring for a postpartum client, who sustained a perineal laceration during delivery.
Assessment findings revealed pale skin. That is cool, clammy to touch, weak, rapid pulse, and
hypotension. The nurse immediately notifies the provider anticipating the client is experiencing which of
the following?
A. DIC
B. Displaced fundus
C. Early onset of infection
D. Hypovolemic shock - correct answer ✔✔D
The nurse is caring for a postpartum client, following a C-section who is hypovolemic. Which diagnosis is
most appropriate? - correct answer ✔✔Risk for altered tissue perfusion
The nurse is caring for a client treated for idiopathic thrombocytopenic purpura during pregnancy. Which
medication will the nurse anticipate administering?
A. Eupogen
B. Neupogen
C. Neumega
, D. Corticosteroids - correct answer ✔✔D
The nurse is caring for a postpartum mother, who is experiencing occasional periods of sadness, anxiety,
and difficulty sleeping. The client continues to be active in the infants, care and displays appropriate
bonding with her child. The nurse explains to the client that she is experiencing which of the following
conditions?
A. Postpartum psychosis
B. Postpartum depression
C. Baby blues
D. Bipolar depression - correct answer ✔✔C
Which statement made by postpartum client will alert the nurse to assess her for postpartum psychosis?
A. I have these bizarre thoughts that scare me, almost like I hear voices
B. I am experiencing thoughts of suicide
C. Being home was overwhelming for the first few days
D. Can't seem to stop crying, it keeps getting worse and worse every day - correct answer ✔✔A
After assigning a newborn, their first Apgar score of 7, which is the nurses action?
A. Repeat the assessment in five minutes
B. Notify the healthcare provider
C. Call the rapid response teams
D. Repeat the assessment every five minutes for 20 minutes - correct answer ✔✔A
Which describes the benefit of skin to skin contact immediately following delivery? Select all that apply.
A. Lower blood glucose levels
B. Positive maternal-infant bonding
C. Cardiopulmonary stability
D. Decrease need for immediate breast-feeding
E. Stable body temperature - correct answer ✔✔B,C,E
Which nursing intervention promotes thermal stability in the newborn, following birth?
A. Swaddle the newborn in a warm, blanket and place it on the mothers chest immediately postpartum
B. Place newborn under radiant heat lamp
C. Vigorously dry the newborn immediately after birth
D. Place newborn on mother's chest immediately postpartum - correct answer ✔✔D
Which medication will the nurse administer to a newborn to stimulate the production of red blood cells
and prevent hemorrhagic complications?
A. Epogen
B. Vitamin K
C. Neupogen
D. Vitamin D - correct answer ✔✔B
A nurse is preparing to administer a medication to promote hemostasis in a newborn. Which medication
is given routinely to all newborns?
A. Vitamin K
B. Protamine sulfate
C. Hemabate
