Nurs 326 Final Exam 2026 MOST
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A client in the early postpartum period is very excited and talkative. They repeatedly tell
the nurse every detail of the labor and birth. Because the client will not stop talking, the
nurse is having difficulty completing the postpartum assessments. Which of the
following actions should the nurse take?
A. Come back later when the client is more cooperative
B. Give the client time to express feelings
C. Tell the client they need to be quiet so the assessment can be completed
D. Redirect the client's focus so that they will become quiet - ANSWERS-B. Give the
client time to express feelings
A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for
maternal adaptation and parent-infant bonding. Which of the following behaviors by the
client indicates a need for the nurse to intervene? (Select all that apply.)
,A. Demonstrates apathy when the newborn cries
B. Touches the newborn and maintains close physical proximity
C. Views the newborn's behavior as uncooperative during diaper changing
D. Identifies and relates newborn's characteristics to those of family members
E. Interprets the newborn's behavior as meaningful and a way of expressing needs -
ANSWERS-A. Demonstrates apathy when the newborn cries
C. Views the newborn's behavior as uncooperative during diaper changing
A nurse is caring for a client who is 2 days postpartum. The client states, "My 4 year old
son was toilet trained and now he is frequently wetting himself." Which of the following
statements should the nurse provide to the client?
A. "Your son was probably not ready for toilet training and should wear training agents."
B. "Your son is showing an adverse sibling response."
C. "Your son may need counseling."
D. "You should try sending your son to preschool to resolve the behavior." - ANSWERS-
B. "Your son is showing an adverse sibling response."
A nurse in the delivery room is planning to promote parent-infant bonding for a client
who just delivered. Which of the following is the priority action by the nurse?
A. Encourage the parents to touch and explore the neonate's features
B. Limit noise and interruption in the delivery room
C. Place the neonate at the client's breast
D. Position the neonate skin-to-skin on the client's chest - ANSWERS-D. Position the
neonate skin-to-skin on the client's chest
A nurse is conducting a home visit for a client who is 1 week postpartum and
breastfeeding. The client reports breast engorgement. Which of the following
recommendations should the nurse make?
,A. Apply cold compresses between feedings
B. Take a warm shower right after feedings
C. Apply breast milk to the nipples and allow them to air dry
D. Use the various infant positions for feeding - ANSWERS-A. Apply cold compresses
between feedings
When caring for a woman with mild preeclampsia, it is critical that during assessment
the nurse be alert for signs of progress to severe preeclampsia. Progress to severe
preeclampsia is indicated by this assessment finding:
A. Proteinuria greater than 2+, in two specimens collected 6 hours apart
B. Platelet count of 180,000/mm3
C. Positive ankle clonus
D. Blood pressure of 154/94 and 156/100, 6 hours apart - ANSWERS-C. Positive ankle
clonus
Rationale: Think about the effects on the CNS, specifically hyperreflexia.
The primary expected outcome for nursing care associated with the administration of
magnesium sulfate would be met if which assessment finding is present? The woman:
A. Exhibits a decrease in both systolic and diastolic blood pressure
B. Experiences no seizures
C. States that she feels more relaxed and calm
D. Urinates more frequently resulting in a decrease in pathologic edema - ANSWERS-
B. Experiences no seizures
A woman with severe preeclampsia is receiving nifedipine (Procardia). She asks the
nurse what this medication is far. The nurse should tell her that nifedipine is used to:
A. Prevent seizures
, B. Relieve the headache she is beginning to have.
C. Decrease her blood pressure.
D. Reduce the edema in her hands and legs - ANSWERS-C. Decrease her blood
pressure.
A woman's preeclampsia has advanced to the severe stage. She is admitted to the
hospital and her primary health care provider has ordered an infusion of magnesium
sulfate be started. In implementing this order, the nurse should: (Select all that apply.)
A. Prepare a solution of 20g of magnesium sulfate in 100 mL of 5% glucose in water
B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
E. Prepare to administer Apresoline if signs of toxicity appear
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider
immediately - ANSWERS-B. Monitor maternal vital signs FHR patterns and uterine
contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider
immediately
A nurse is admitting a client who is in labor and has HIV. Which of the following
interventions should the nurse identify as contraindicated for this client? (Select all that
apply.)
A. Vacuum extractor
B. Oxytocin infusion
C. The use of forceps during delivery should be avoided due to the risk of fetal bleeding
D. Cesarean birth
E. Internal fetal monitoring - ANSWERS-A. Vacuum extractor
C. The use of forceps during delivery should be avoided due to the risk of fetal bleeding
RecentTested,Actual Exam
Questions (2026) WITH Recent Newest
Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS
(100% Accurate Solutions) ||ALREADY
GRADED A+||Exam Guarantee Pass!!
A client in the early postpartum period is very excited and talkative. They repeatedly tell
the nurse every detail of the labor and birth. Because the client will not stop talking, the
nurse is having difficulty completing the postpartum assessments. Which of the
following actions should the nurse take?
A. Come back later when the client is more cooperative
B. Give the client time to express feelings
C. Tell the client they need to be quiet so the assessment can be completed
D. Redirect the client's focus so that they will become quiet - ANSWERS-B. Give the
client time to express feelings
A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for
maternal adaptation and parent-infant bonding. Which of the following behaviors by the
client indicates a need for the nurse to intervene? (Select all that apply.)
,A. Demonstrates apathy when the newborn cries
B. Touches the newborn and maintains close physical proximity
C. Views the newborn's behavior as uncooperative during diaper changing
D. Identifies and relates newborn's characteristics to those of family members
E. Interprets the newborn's behavior as meaningful and a way of expressing needs -
ANSWERS-A. Demonstrates apathy when the newborn cries
C. Views the newborn's behavior as uncooperative during diaper changing
A nurse is caring for a client who is 2 days postpartum. The client states, "My 4 year old
son was toilet trained and now he is frequently wetting himself." Which of the following
statements should the nurse provide to the client?
A. "Your son was probably not ready for toilet training and should wear training agents."
B. "Your son is showing an adverse sibling response."
C. "Your son may need counseling."
D. "You should try sending your son to preschool to resolve the behavior." - ANSWERS-
B. "Your son is showing an adverse sibling response."
A nurse in the delivery room is planning to promote parent-infant bonding for a client
who just delivered. Which of the following is the priority action by the nurse?
A. Encourage the parents to touch and explore the neonate's features
B. Limit noise and interruption in the delivery room
C. Place the neonate at the client's breast
D. Position the neonate skin-to-skin on the client's chest - ANSWERS-D. Position the
neonate skin-to-skin on the client's chest
A nurse is conducting a home visit for a client who is 1 week postpartum and
breastfeeding. The client reports breast engorgement. Which of the following
recommendations should the nurse make?
,A. Apply cold compresses between feedings
B. Take a warm shower right after feedings
C. Apply breast milk to the nipples and allow them to air dry
D. Use the various infant positions for feeding - ANSWERS-A. Apply cold compresses
between feedings
When caring for a woman with mild preeclampsia, it is critical that during assessment
the nurse be alert for signs of progress to severe preeclampsia. Progress to severe
preeclampsia is indicated by this assessment finding:
A. Proteinuria greater than 2+, in two specimens collected 6 hours apart
B. Platelet count of 180,000/mm3
C. Positive ankle clonus
D. Blood pressure of 154/94 and 156/100, 6 hours apart - ANSWERS-C. Positive ankle
clonus
Rationale: Think about the effects on the CNS, specifically hyperreflexia.
The primary expected outcome for nursing care associated with the administration of
magnesium sulfate would be met if which assessment finding is present? The woman:
A. Exhibits a decrease in both systolic and diastolic blood pressure
B. Experiences no seizures
C. States that she feels more relaxed and calm
D. Urinates more frequently resulting in a decrease in pathologic edema - ANSWERS-
B. Experiences no seizures
A woman with severe preeclampsia is receiving nifedipine (Procardia). She asks the
nurse what this medication is far. The nurse should tell her that nifedipine is used to:
A. Prevent seizures
, B. Relieve the headache she is beginning to have.
C. Decrease her blood pressure.
D. Reduce the edema in her hands and legs - ANSWERS-C. Decrease her blood
pressure.
A woman's preeclampsia has advanced to the severe stage. She is admitted to the
hospital and her primary health care provider has ordered an infusion of magnesium
sulfate be started. In implementing this order, the nurse should: (Select all that apply.)
A. Prepare a solution of 20g of magnesium sulfate in 100 mL of 5% glucose in water
B. Monitor maternal vital signs FHR patterns and uterine contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
E. Prepare to administer Apresoline if signs of toxicity appear
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider
immediately - ANSWERS-B. Monitor maternal vital signs FHR patterns and uterine
contractions
C. Expect the maintenance dose to be approximately 2g/hr
D. Administer a loading dose of 4 to 6 g over 15 to 30 minutes
F. Report a respiratory rate of 12 breaths or less to the Primary health care provider
immediately
A nurse is admitting a client who is in labor and has HIV. Which of the following
interventions should the nurse identify as contraindicated for this client? (Select all that
apply.)
A. Vacuum extractor
B. Oxytocin infusion
C. The use of forceps during delivery should be avoided due to the risk of fetal bleeding
D. Cesarean birth
E. Internal fetal monitoring - ANSWERS-A. Vacuum extractor
C. The use of forceps during delivery should be avoided due to the risk of fetal bleeding
