FOUNDATIONS OF MATERNAL-
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1) Clinical Judgment and the Nursing Process
Reference: Ch. 1 / Part 1 — Clinical Judgment and the Nursing
Process
Stem:
A postpartum client 2 hours after vaginal birth tells the LPN, “I
feel a gush of blood.” The perineal pad is saturated, and the
fundus feels soft and displaced above the umbilicus. The client
is pale and asks for help sitting up. What should the LPN do
first?
,Options:
A. Massage the fundus and call for immediate assistance
B. Assist the client to the bathroom to empty the bladder
C. Reassure the client that bleeding is expected after birth
D. Apply a fresh pad and recheck in 30 minutes
Correct Answer: A
Rationales:
A is correct. A boggy, displaced fundus with heavy bleeding
suggests uterine atony, a postpartum emergency. The LPN
should initiate immediate basic intervention by massaging the
fundus and getting help at once.
B is incorrect. Emptying the bladder can help a displaced
uterus, but the priority is controlling the bleeding and
responding to possible shock.
C is incorrect. Some lochia is expected, but a saturated pad
with a soft fundus is abnormal and potentially life-threatening.
D is incorrect. Delaying care risks worsening hemorrhage
and instability.
Teaching Point:
Boggy fundus plus heavy bleeding = urgent action and
immediate reporting.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1.
,2) Safety and Quality Within Women’s Health
Reference: Ch. 1 / Part 1 — Safety and Quality Within Women’s
Health
Stem:
A laboring client received epidural analgesia 20 minutes ago
and now says, “My legs feel numb, but I need to use the
bathroom.” The client’s blood pressure is slightly lower than
before the epidural. What is the safest LPN action?
Options:
A. Assist the client to the bathroom with one steadying hand
B. Keep the client in bed and offer a bedpan or urinal
C. Encourage the client to stand slowly and walk to reduce
stiffness
D. Tell the client to wait until sensation returns before drinking
fluids
Correct Answer: B
Rationales:
B is correct. After epidural analgesia, numbness and
decreased blood pressure increase fall risk. The safest action is
to maintain safety with bed-level toileting.
A is incorrect. Even with assistance, ambulation is unsafe
when leg sensation is reduced.
, C is incorrect. Walking before motor control returns creates
a serious fall hazard.
D is incorrect. Fluids are not the safety issue here; mobility
is.
Teaching Point:
After epidural analgesia, prioritize fall prevention over
ambulation.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1.
3) Choices in Childbirth
Reference: Ch. 1 / Part 1 — Choices in Childbirth
Stem:
A low-risk laboring client says, “I want to stay upright and
change positions during labor, and I would like intermittent fetal
monitoring if it is safe.” Which LPN response is best?
Options:
A. “That can be supported if the RN and provider confirm there
are no complications.”
B. “You must stay in bed once labor starts to protect the baby.”
C. “Those choices are not allowed unless you are having a home
birth.”
D. “The baby must be monitored continuously in every labor.”
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1) Clinical Judgment and the Nursing Process
Reference: Ch. 1 / Part 1 — Clinical Judgment and the Nursing
Process
Stem:
A postpartum client 2 hours after vaginal birth tells the LPN, “I
feel a gush of blood.” The perineal pad is saturated, and the
fundus feels soft and displaced above the umbilicus. The client
is pale and asks for help sitting up. What should the LPN do
first?
,Options:
A. Massage the fundus and call for immediate assistance
B. Assist the client to the bathroom to empty the bladder
C. Reassure the client that bleeding is expected after birth
D. Apply a fresh pad and recheck in 30 minutes
Correct Answer: A
Rationales:
A is correct. A boggy, displaced fundus with heavy bleeding
suggests uterine atony, a postpartum emergency. The LPN
should initiate immediate basic intervention by massaging the
fundus and getting help at once.
B is incorrect. Emptying the bladder can help a displaced
uterus, but the priority is controlling the bleeding and
responding to possible shock.
C is incorrect. Some lochia is expected, but a saturated pad
with a soft fundus is abnormal and potentially life-threatening.
D is incorrect. Delaying care risks worsening hemorrhage
and instability.
Teaching Point:
Boggy fundus plus heavy bleeding = urgent action and
immediate reporting.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1.
,2) Safety and Quality Within Women’s Health
Reference: Ch. 1 / Part 1 — Safety and Quality Within Women’s
Health
Stem:
A laboring client received epidural analgesia 20 minutes ago
and now says, “My legs feel numb, but I need to use the
bathroom.” The client’s blood pressure is slightly lower than
before the epidural. What is the safest LPN action?
Options:
A. Assist the client to the bathroom with one steadying hand
B. Keep the client in bed and offer a bedpan or urinal
C. Encourage the client to stand slowly and walk to reduce
stiffness
D. Tell the client to wait until sensation returns before drinking
fluids
Correct Answer: B
Rationales:
B is correct. After epidural analgesia, numbness and
decreased blood pressure increase fall risk. The safest action is
to maintain safety with bed-level toileting.
A is incorrect. Even with assistance, ambulation is unsafe
when leg sensation is reduced.
, C is incorrect. Walking before motor control returns creates
a serious fall hazard.
D is incorrect. Fluids are not the safety issue here; mobility
is.
Teaching Point:
After epidural analgesia, prioritize fall prevention over
ambulation.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1.
3) Choices in Childbirth
Reference: Ch. 1 / Part 1 — Choices in Childbirth
Stem:
A low-risk laboring client says, “I want to stay upright and
change positions during labor, and I would like intermittent fetal
monitoring if it is safe.” Which LPN response is best?
Options:
A. “That can be supported if the RN and provider confirm there
are no complications.”
B. “You must stay in bed once labor starts to protect the baby.”
C. “Those choices are not allowed unless you are having a home
birth.”
D. “The baby must be monitored continuously in every labor.”
