NURS 6551 – Advanced Maternal–Newborn Nursing Comprehensive Exam II: Postpartum & Neonatal Clinical Judgment (Latest Edition)

Walden University – Nurs 6551 Maternal–newborn Nursing Exam Ii




Walden University
College of Nursing
NURS 6551 – Advanced Maternal–
Newborn Nursing
Comprehensive Exam II: Postpartum
& Newborn Care (Latest Edition)

Exam Instructions
 Select the one best answer for each question.

 Questions are based on clinical scenarios

commonly encountered in postpartum and
newborn care.
 All correct answers are italicized.

 This exam is intended for academic review and

exam-preparation purposes.

,Walden University – Nurs 6551 Maternal–newborn Nursing Exam Ii




NURS 6551 – Advanced Maternal–Newborn
Nursing Comprehensive Exam II Questions


1. A nurse is caring for a client who gave birth 18 hours ago.
The client reports nipple tenderness and difficulty
breastfeeding. Which response by the nurse is most
appropriate?
 Try removing the infant’s clothing and placing the baby skin-

to-skin on your chest
 Wait until the baby is crying before attempting to breastfeed

 Compress the breast so the baby can get adequate tissue into

the mouth
 Apply topical breast cream before the next feeding


Correct Answer: Try removing the infant’s clothing and placing
the baby skin-to-skin on your chest


2. A client is 1 hour postpartum with moderate lochia rubra
and several small clots. The fundus is firm, midline, and at the
umbilicus. What action should the nurse take?
 Encourage the client to empty her bladder

 Increase fundal massage frequency

 Notify the provider

 Document findings and continue monitoring


Correct Answer: Document findings and continue monitoring the
client

, Walden University – Nurs 6551 Maternal–newborn Nursing Exam Ii




3. A nurse is teaching a client with type 1 diabetes mellitus
following delivery. Which information should be included?
 Switch to oral hypoglycemic medications

 Avoid breastfeeding due to insulin transfer

 Check urine ketones with every void

 Insulin requirements may decrease postpartum


Correct Answer: Insulin requirements may decrease postpartum


4. Which postpartum client should the nurse see first?
 Multipara who saturated one pad in 3 hours

 Primipara with breastfeeding latch difficulty

 Multipara who has not voided 4 hours after delivery

 Primipara requesting help with positioning after cesarean birth


Correct Answer: Multipara who has not voided 4 hours after
delivery


5. A nurse receives report on postpartum clients. Which client
should be assessed first?
 Passing a dime-sized clot

 Episiotomy discomfort

 Oral temperature of 100.3°F

 Pulse increase from 76 to 102 bpm


Correct Answer: Pulse increase from 76 to 102 bpm