Maternal-Child Nursing (Maternity) Exam 2 Practice 2026
|Chamberlain College
1. A nurse is assessing a client who is 12 hours postpartum. Where should the
nurse expect to find the fundus?
A. Halfway between the symphysis pubis and umbilicus
B. 2 cm below the umbilicus
C. 4 cm below the umbilicus
D. At the level of the umbilicus
Answer: D
Rationale: By 12 hours postpartum, the fundus should rise to the level of the umbilicus.
After that, it descends approximately 1 to 2 cm every 24 hours.
2. The nurse observes a postpartum patient’s lochia on day 2 and finds it to be
bright red with small clots. How should the nurse document this?
A. Lochia serosa
B. Lochia rubra
C. Lochia alba
D. Lochia sanguis
Answer: B
Rationale: Lochia rubra is the initial bright red discharge containing blood and debris,
typically lasting 1 to 3 days postpartum.
,3. While assessing a postpartum client, the nurse finds the fundus to be boggy
and displaced to the right. What is the priority nursing action?
A. Administer oxytocin
B. Perform fundal massage
C. Encourage the client to void
D. Notify the provider immediately
Answer: C
Rationale: A fundus displaced to the right usually indicates a distended bladder. Having
the client void allows the uterus to return to the midline and contract effectively.
4. A client who is not breastfeeding reports breast engorgement. Which of the
following interventions should the nurse recommend?
A. Apply warm compresses to the breasts
B. Express small amounts of milk manually
C. Apply cold cabbage leaves to the breasts
D. Stimulate the nipples during a shower
Answer: C
Rationale: For non-breastfeeding mothers, cold cabbage leaves, ice packs, and a supportive
bra help reduce engorgement. Warmth and nipple stimulation should be avoided as they
promote milk production.
5. A nurse is preparing to administer Methylergonovine (Methergine) to a client
with postpartum hemorrhage. Which vital sign should the nurse check first?
A. Respiratory rate
B. Blood pressure
C. Temperature
D. Oxygen saturation
Answer: B
, Rationale: Methylergonovine is contraindicated in patients with hypertension or
gestational hypertension because it can cause a significant rise in blood pressure.
6. A client is in the ‘Taking-In’ phase of postpartum recovery. Which behavior
should the nurse expect?
A. The client is eager to learn how to change diapers
B. The client is focused on her own needs for food and sleep
C. The client is taking charge of the infant’s care
D. The client is expressing anxiety about her mothering skills
Answer: B
Rationale: The Taking-In phase (first 24-48 hours) is characterized by the mother being
dependent and focused on her own recovery, food, and sleep.
7. Which of the following is a sign of mastitis in a breastfeeding mother?
A. Bilateral breast tenderness and swelling
B. A small white blister on the tip of the nipple
C. Breasts feeling hard and warm to the touch 3 days postpartum
D. Flu-like symptoms and a localized red, painful area on one breast
Answer: D
Rationale: Mastitis is typically unilateral and characterized by localized pain, redness,
warmth, and systemic symptoms like fever and chills.
8. A nurse is caring for a client who is Rh-negative and has an Rh-positive
newborn. When should Rho(D) immune globulin be administered?
A. Within 24 hours of delivery
B. Within 72 hours of delivery
C. At the 2-week follow-up appointment
D. Immediately before discharge
Answer: B
|Chamberlain College
1. A nurse is assessing a client who is 12 hours postpartum. Where should the
nurse expect to find the fundus?
A. Halfway between the symphysis pubis and umbilicus
B. 2 cm below the umbilicus
C. 4 cm below the umbilicus
D. At the level of the umbilicus
Answer: D
Rationale: By 12 hours postpartum, the fundus should rise to the level of the umbilicus.
After that, it descends approximately 1 to 2 cm every 24 hours.
2. The nurse observes a postpartum patient’s lochia on day 2 and finds it to be
bright red with small clots. How should the nurse document this?
A. Lochia serosa
B. Lochia rubra
C. Lochia alba
D. Lochia sanguis
Answer: B
Rationale: Lochia rubra is the initial bright red discharge containing blood and debris,
typically lasting 1 to 3 days postpartum.
,3. While assessing a postpartum client, the nurse finds the fundus to be boggy
and displaced to the right. What is the priority nursing action?
A. Administer oxytocin
B. Perform fundal massage
C. Encourage the client to void
D. Notify the provider immediately
Answer: C
Rationale: A fundus displaced to the right usually indicates a distended bladder. Having
the client void allows the uterus to return to the midline and contract effectively.
4. A client who is not breastfeeding reports breast engorgement. Which of the
following interventions should the nurse recommend?
A. Apply warm compresses to the breasts
B. Express small amounts of milk manually
C. Apply cold cabbage leaves to the breasts
D. Stimulate the nipples during a shower
Answer: C
Rationale: For non-breastfeeding mothers, cold cabbage leaves, ice packs, and a supportive
bra help reduce engorgement. Warmth and nipple stimulation should be avoided as they
promote milk production.
5. A nurse is preparing to administer Methylergonovine (Methergine) to a client
with postpartum hemorrhage. Which vital sign should the nurse check first?
A. Respiratory rate
B. Blood pressure
C. Temperature
D. Oxygen saturation
Answer: B
, Rationale: Methylergonovine is contraindicated in patients with hypertension or
gestational hypertension because it can cause a significant rise in blood pressure.
6. A client is in the ‘Taking-In’ phase of postpartum recovery. Which behavior
should the nurse expect?
A. The client is eager to learn how to change diapers
B. The client is focused on her own needs for food and sleep
C. The client is taking charge of the infant’s care
D. The client is expressing anxiety about her mothering skills
Answer: B
Rationale: The Taking-In phase (first 24-48 hours) is characterized by the mother being
dependent and focused on her own recovery, food, and sleep.
7. Which of the following is a sign of mastitis in a breastfeeding mother?
A. Bilateral breast tenderness and swelling
B. A small white blister on the tip of the nipple
C. Breasts feeling hard and warm to the touch 3 days postpartum
D. Flu-like symptoms and a localized red, painful area on one breast
Answer: D
Rationale: Mastitis is typically unilateral and characterized by localized pain, redness,
warmth, and systemic symptoms like fever and chills.
8. A nurse is caring for a client who is Rh-negative and has an Rh-positive
newborn. When should Rho(D) immune globulin be administered?
A. Within 24 hours of delivery
B. Within 72 hours of delivery
C. At the 2-week follow-up appointment
D. Immediately before discharge
Answer: B
