MATERNITY AND PEDIATRIC NURSING 4TH EDITION
CLINICAL PRACTICE PATIENT CARE EXAM REVIEW 2026
2027 COURSE MULTIPLE QUESTIONS WITH 100 PERCENT
CORRECT ANSWERS EXPERT-VERIFIED GRADED A+
BLUEPRINT FOR GUARANTEED SUCCESS
During the taking-in phase, new mothers when interacting with their newborns spend
time claiming the newborn and touching him or her, commonly identifying specific
features in the newborn such as "he has my nose" or "his fingers are long like his
father's." Independence in self-care and interest in caring for the newborn are typical of
the taking-hold phase. Confidence in caring for the newborn is demonstrated during the
letting-go phase.
A postpartum client is experiencing subinvolution. When reviewing the woman's labor
and birth history, which of the following would the nurse identify as being least significant
to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
D) Pulse rate of 60 beats/minute - CORRECT ANSWER –A
A client who is breastfeeding her newborn tells the nurse, I notice that when I
feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having
contractions now? Which response by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
B) Let me check your vaginal discharge just to make sure everything is fine.
C) Your body is responding to the events of labor, just like after a tough workout.
D) The baby's sucking releases a hormone that causes the uterus to contract -
CORRECT ANSWER -D
Factors that inhibit involution include prolonged labor and difficult birth, incomplete
expulsion of amniotic membranes and placenta, uterine infection, overdistention of
, uterine muscles (such as by multiple gestation, hydramnios, or large singleton fetus), full
bladder (which displaces the uterus and interferes with contractions), anesthesia(which
relaxes uterine muscles), and close childbirth spacing. Factors that facilitate uterine
involution include complete expulsion of amniotic membranes and placenta at birth,
complication-free labor and birth process, breast-feeding, and early ambulation.
A woman who gave birth 24 hours ago tells the nurse, I've been urinating so much over
the past several hours. Which response by the nurse would be most appropriate?
A) You must have an infection, so let me get a urine specimen.
B) Your body is undergoing many changes that cause your bladder to fill quickly.
C) Your uterus is not contracting as quickly as it should.
D) The anesthesia that you received is wearing off and your bladder is working
again. - CORRECT ANSWER -B
Postpartum diuresis occurs as a result of several mechanisms: the large amounts of IV
fluids given during labor, a decreasing antidiuretic effect of oxytocin as its level declines,
the buildup and retention of extra fluids during pregnancy, and a decreasing production
of aldosterone—the hormone that decreases sodium retention and increases urine
production. All these factors contribute to rapid filling of the bladder within 12 hours of
birth. Diuresis begins within 12 hours after childbirth and continues throughout the first
week postpartum. Rapid bladder filling, possible infection, or effects of anesthesia are
not involved.
A group of students are reviewing the process of breast milk production. The students
demonstrate understanding when they identify which hormone as responsible for milk
let-down?
A) Prolactin
B) Estrogen
C) Progesterone
D) Oxytocin - CORRECT ANSWER -D
Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin)
CLINICAL PRACTICE PATIENT CARE EXAM REVIEW 2026
2027 COURSE MULTIPLE QUESTIONS WITH 100 PERCENT
CORRECT ANSWERS EXPERT-VERIFIED GRADED A+
BLUEPRINT FOR GUARANTEED SUCCESS
During the taking-in phase, new mothers when interacting with their newborns spend
time claiming the newborn and touching him or her, commonly identifying specific
features in the newborn such as "he has my nose" or "his fingers are long like his
father's." Independence in self-care and interest in caring for the newborn are typical of
the taking-hold phase. Confidence in caring for the newborn is demonstrated during the
letting-go phase.
A postpartum client is experiencing subinvolution. When reviewing the woman's labor
and birth history, which of the following would the nurse identify as being least significant
to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
D) Pulse rate of 60 beats/minute - CORRECT ANSWER –A
A client who is breastfeeding her newborn tells the nurse, I notice that when I
feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having
contractions now? Which response by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
B) Let me check your vaginal discharge just to make sure everything is fine.
C) Your body is responding to the events of labor, just like after a tough workout.
D) The baby's sucking releases a hormone that causes the uterus to contract -
CORRECT ANSWER -D
Factors that inhibit involution include prolonged labor and difficult birth, incomplete
expulsion of amniotic membranes and placenta, uterine infection, overdistention of
, uterine muscles (such as by multiple gestation, hydramnios, or large singleton fetus), full
bladder (which displaces the uterus and interferes with contractions), anesthesia(which
relaxes uterine muscles), and close childbirth spacing. Factors that facilitate uterine
involution include complete expulsion of amniotic membranes and placenta at birth,
complication-free labor and birth process, breast-feeding, and early ambulation.
A woman who gave birth 24 hours ago tells the nurse, I've been urinating so much over
the past several hours. Which response by the nurse would be most appropriate?
A) You must have an infection, so let me get a urine specimen.
B) Your body is undergoing many changes that cause your bladder to fill quickly.
C) Your uterus is not contracting as quickly as it should.
D) The anesthesia that you received is wearing off and your bladder is working
again. - CORRECT ANSWER -B
Postpartum diuresis occurs as a result of several mechanisms: the large amounts of IV
fluids given during labor, a decreasing antidiuretic effect of oxytocin as its level declines,
the buildup and retention of extra fluids during pregnancy, and a decreasing production
of aldosterone—the hormone that decreases sodium retention and increases urine
production. All these factors contribute to rapid filling of the bladder within 12 hours of
birth. Diuresis begins within 12 hours after childbirth and continues throughout the first
week postpartum. Rapid bladder filling, possible infection, or effects of anesthesia are
not involved.
A group of students are reviewing the process of breast milk production. The students
demonstrate understanding when they identify which hormone as responsible for milk
let-down?
A) Prolactin
B) Estrogen
C) Progesterone
D) Oxytocin - CORRECT ANSWER -D
Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin)
