NSG 3500 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ A woman has just had a macrosomic baby after a 12-hour labor. For which
of the following complications should the woman be carefully monitored?1.
Uterine atony.2. Hypoprolactinemia.3. Infection. 4. Mastitis..
Answer: 1
◍ client, G1 P0000, is PP1 from a normal spontaneous delivery of a baby boy,
Apgar 5/6. Because the client exhibited addictive behaviors, a toxicology
assessment was performed; the results were positive for alcohol and cocaine.
Which of the following interventions is appropriate for the nurse to perform
for this postpartum client?1. Strongly advise the client to breastfeed her
baby.2. Reprimand the mother for causing her baby to become addicted.3.
Suggest that the nursery nurse feed the baby in the nursery.4. Provide the
client with supervised instruction on baby-care skills..
Answer: 4
◍ A client, G2 P1102, is 30 minutes postpartum from a low forceps vaginal
delivery over a right mediolateral episiotomy. Her physician has just
finished repairing the incision. The client's legs are in stirrups and she is
breastfeeding her baby. Which of the following actions should the nurse
perform?1. Assess her feet and ankles for pitting edema.2. Advise the client
to stop feeding her baby while her blood pressure is assessed. 3. Lower both
of her legs at the same time.4. Measure the length of the episiotomy and
document the findings in the chart..
Answer: 3
◍ A woman has just had a low forceps delivery. For which of the following
should the nurse assess the woman during the immediate postpartum
period?1. Infection.2. Bloody urine.3. Heavy lochia.4. Rectal abrasions..
, Answer: 3
◍ A 3-day-postpartum client questions why she is to receive the rubella
vaccine before leaving the hospital. Which of the following rationales
should guide the nurse's response?1.The client's obstetric status is optimal
for receiving the vaccine.2. The client's immune system is highly responsive
during the postpartum period.3. The client's baby will be high risk for
acquiring rubella if the woman does notreceive the vaccine.4. The client's
insurance company will pay for the shot if it is given during theimmediate
postpartum period..
Answer: 11 This statement is correct. Because the vaccine is teratogenic, the
best time to administer it is when the client is not pregnant.This statement is
incorrect. The immune systems of women during their pregnancies and
immediately postpartum are slightly depressed.This statement is incorrect.
The baby will be susceptible to rubella whether or not the woman receives
the vaccine.In general, insurance companies will pay for vaccinations
whenever they are needed.
◍ A breastfeeding client, G10 P6408, delivered 10 minutes ago. Which of the
following assessments is most important for the nurse to perform at this
time? 1. Pulse.2. Fundus.3. Bladder.4. Breast..
Answer: 2
◍ Labor relaxation.
Answer: Counter pressure on sacral areaEffluersge Guided imageryTENs
unit
◍ The nurse is developing a standard care plan for the post-cesarean client.
Which of the following should the nurse plan to implement?1. Maintain the
client in left lateral recumbent position.2. Teach sitz bath use on second
postoperative day.3. Perform active range-of-motion exercises until
ambulating. 4. Assess central venous pressure during first postoperative
day..
Answer: 3
◍ The nurse is caring for a postpartum client who experienced a second-degree
, perineal laceration at delivery 2 hours ago. Which of the following
interventions should the nurse perform at this time?1. Apply an ice pack to
the perineum.2. Advise the woman to use a sitz bath after every voiding. 3.
Advise the woman to sit on a pillow.4. Teach the woman to insert nothing
into her rectum..
Answer: 1
◍ One nursing diagnosis that a nurse has identified for a postpartum client is:
Risk for intrauterine infection r/t vaginal delivery. During the postpartum
period, which of the following goals should the nurse include in the care
plan in relation to this diagnosis? Select all that apply.1. The client will
drink sufficient quantities of fluid.2. The client will have a stable white
blood cell (WBC) count. 3. The client will have a normal temperature.4. The
client will have normal-smelling vaginal discharge.5. The client will take
two or three sitz baths each day..
Answer: 2, 3, and 4
◍ rigid abdomen.
Answer: placenta abruption
◍ Immediately after delivery, a woman is shaking uncontrollably. Which of
the following nursing actions is most appropriate?1. Provide the woman
with warm blankets.2. Put the woman in the Trendelenburg position.3.
Notify the primary healthcare provider. 4. Increase the intravenous infusion..
Answer: 1
◍ A client who is 3 days postpartum asks the nurse, "When may my husband
and I begin having sexual relations again?" The nurse should encourage the
couple to wait until after which of the following has occurred?1. The client
has had her six-week postpartum checkup.2. The episiotomy has healed and
the lochia has stopped.3. The lochia has turned to pink and the vagina is no
longer tender. 4. The client has had her first postpartum menstrual period..
Answer: 1
◍ A nurse has administered Methergine (methylergonovine) 0.2 mg PO to a
grand multipara who delivered vaginally 30 minutes earlier. Which of the
, following outcomes indicates that the medication is effective?1. Blood
pressure 120/80.2. Pulse rate 80 bpm and regular. 3. Fundus firm at
umbilicus.4. Increase in prothrombin time..
Answer: 3
◍ A client is 3 days post-cesarean delivery for eclampsia. The client is
receiving hydralazine (Apresoline) 10 mg 4 times a day by mouth. Which of
the following findings would indicate that the medication is effective?1. The
client has had no seizures since delivery.2. The client's blood pressure has
dropped from 160/120 to 130/90. 3. The client's postoperative weight has
dropped from 154 to 144 lb. 4. The client states that her headache is gone..
Answer: 2
◍ A client is 10 minutes postpartum from a forceps delivery of a 4,500-gram
neonate with a cleft lip. The physician performed a right mediolateral
episiotomy during the delivery. The client is at risk for each of the following
nursing diagnoses. Which of the diagnoses is the highest priority at this
time?1. Ineffective breastfeeding. 2. Fluid volume deficit.3. Infection.4.
Pain..
Answer: 2
◍ A primipara, postpartum one day from a vaginal delivery, received
magnesium sulfate in labor for severe pre-eclampsia. Which of the
following healthcare referrals should the nurse recommend be made for the
patient? Referral to:1. Cardiologist.2. Gastroenterologist.3. Hepatologist.4.
Immunologist..
Answer: 1
◍ A postpartum nurse notes that a woman who took fluoxetine (Prozac) daily
for depression throughout her pregnancy has an order from the primary
healthcare provider for the medication to be continued postdelivery. The
woman wishes to breastfeed her baby. Which of the following actions is
appropriate for the nurse to make at this time?1. Inform the neonatalogist
regarding the antenatal medication so that an autism assessment will be
performed on the baby.2. Ask the client's primary healthcare provider if the
QUESTIONS WITH ANSWERS GRADED A+
◍ A woman has just had a macrosomic baby after a 12-hour labor. For which
of the following complications should the woman be carefully monitored?1.
Uterine atony.2. Hypoprolactinemia.3. Infection. 4. Mastitis..
Answer: 1
◍ client, G1 P0000, is PP1 from a normal spontaneous delivery of a baby boy,
Apgar 5/6. Because the client exhibited addictive behaviors, a toxicology
assessment was performed; the results were positive for alcohol and cocaine.
Which of the following interventions is appropriate for the nurse to perform
for this postpartum client?1. Strongly advise the client to breastfeed her
baby.2. Reprimand the mother for causing her baby to become addicted.3.
Suggest that the nursery nurse feed the baby in the nursery.4. Provide the
client with supervised instruction on baby-care skills..
Answer: 4
◍ A client, G2 P1102, is 30 minutes postpartum from a low forceps vaginal
delivery over a right mediolateral episiotomy. Her physician has just
finished repairing the incision. The client's legs are in stirrups and she is
breastfeeding her baby. Which of the following actions should the nurse
perform?1. Assess her feet and ankles for pitting edema.2. Advise the client
to stop feeding her baby while her blood pressure is assessed. 3. Lower both
of her legs at the same time.4. Measure the length of the episiotomy and
document the findings in the chart..
Answer: 3
◍ A woman has just had a low forceps delivery. For which of the following
should the nurse assess the woman during the immediate postpartum
period?1. Infection.2. Bloody urine.3. Heavy lochia.4. Rectal abrasions..
, Answer: 3
◍ A 3-day-postpartum client questions why she is to receive the rubella
vaccine before leaving the hospital. Which of the following rationales
should guide the nurse's response?1.The client's obstetric status is optimal
for receiving the vaccine.2. The client's immune system is highly responsive
during the postpartum period.3. The client's baby will be high risk for
acquiring rubella if the woman does notreceive the vaccine.4. The client's
insurance company will pay for the shot if it is given during theimmediate
postpartum period..
Answer: 11 This statement is correct. Because the vaccine is teratogenic, the
best time to administer it is when the client is not pregnant.This statement is
incorrect. The immune systems of women during their pregnancies and
immediately postpartum are slightly depressed.This statement is incorrect.
The baby will be susceptible to rubella whether or not the woman receives
the vaccine.In general, insurance companies will pay for vaccinations
whenever they are needed.
◍ A breastfeeding client, G10 P6408, delivered 10 minutes ago. Which of the
following assessments is most important for the nurse to perform at this
time? 1. Pulse.2. Fundus.3. Bladder.4. Breast..
Answer: 2
◍ Labor relaxation.
Answer: Counter pressure on sacral areaEffluersge Guided imageryTENs
unit
◍ The nurse is developing a standard care plan for the post-cesarean client.
Which of the following should the nurse plan to implement?1. Maintain the
client in left lateral recumbent position.2. Teach sitz bath use on second
postoperative day.3. Perform active range-of-motion exercises until
ambulating. 4. Assess central venous pressure during first postoperative
day..
Answer: 3
◍ The nurse is caring for a postpartum client who experienced a second-degree
, perineal laceration at delivery 2 hours ago. Which of the following
interventions should the nurse perform at this time?1. Apply an ice pack to
the perineum.2. Advise the woman to use a sitz bath after every voiding. 3.
Advise the woman to sit on a pillow.4. Teach the woman to insert nothing
into her rectum..
Answer: 1
◍ One nursing diagnosis that a nurse has identified for a postpartum client is:
Risk for intrauterine infection r/t vaginal delivery. During the postpartum
period, which of the following goals should the nurse include in the care
plan in relation to this diagnosis? Select all that apply.1. The client will
drink sufficient quantities of fluid.2. The client will have a stable white
blood cell (WBC) count. 3. The client will have a normal temperature.4. The
client will have normal-smelling vaginal discharge.5. The client will take
two or three sitz baths each day..
Answer: 2, 3, and 4
◍ rigid abdomen.
Answer: placenta abruption
◍ Immediately after delivery, a woman is shaking uncontrollably. Which of
the following nursing actions is most appropriate?1. Provide the woman
with warm blankets.2. Put the woman in the Trendelenburg position.3.
Notify the primary healthcare provider. 4. Increase the intravenous infusion..
Answer: 1
◍ A client who is 3 days postpartum asks the nurse, "When may my husband
and I begin having sexual relations again?" The nurse should encourage the
couple to wait until after which of the following has occurred?1. The client
has had her six-week postpartum checkup.2. The episiotomy has healed and
the lochia has stopped.3. The lochia has turned to pink and the vagina is no
longer tender. 4. The client has had her first postpartum menstrual period..
Answer: 1
◍ A nurse has administered Methergine (methylergonovine) 0.2 mg PO to a
grand multipara who delivered vaginally 30 minutes earlier. Which of the
, following outcomes indicates that the medication is effective?1. Blood
pressure 120/80.2. Pulse rate 80 bpm and regular. 3. Fundus firm at
umbilicus.4. Increase in prothrombin time..
Answer: 3
◍ A client is 3 days post-cesarean delivery for eclampsia. The client is
receiving hydralazine (Apresoline) 10 mg 4 times a day by mouth. Which of
the following findings would indicate that the medication is effective?1. The
client has had no seizures since delivery.2. The client's blood pressure has
dropped from 160/120 to 130/90. 3. The client's postoperative weight has
dropped from 154 to 144 lb. 4. The client states that her headache is gone..
Answer: 2
◍ A client is 10 minutes postpartum from a forceps delivery of a 4,500-gram
neonate with a cleft lip. The physician performed a right mediolateral
episiotomy during the delivery. The client is at risk for each of the following
nursing diagnoses. Which of the diagnoses is the highest priority at this
time?1. Ineffective breastfeeding. 2. Fluid volume deficit.3. Infection.4.
Pain..
Answer: 2
◍ A primipara, postpartum one day from a vaginal delivery, received
magnesium sulfate in labor for severe pre-eclampsia. Which of the
following healthcare referrals should the nurse recommend be made for the
patient? Referral to:1. Cardiologist.2. Gastroenterologist.3. Hepatologist.4.
Immunologist..
Answer: 1
◍ A postpartum nurse notes that a woman who took fluoxetine (Prozac) daily
for depression throughout her pregnancy has an order from the primary
healthcare provider for the medication to be continued postdelivery. The
woman wishes to breastfeed her baby. Which of the following actions is
appropriate for the nurse to make at this time?1. Inform the neonatalogist
regarding the antenatal medication so that an autism assessment will be
performed on the baby.2. Ask the client's primary healthcare provider if the
