NR 327 Maternal-Child Nursing Week 7 Study Guide 2026
|Chamberlain College
1. Which of the following is the most common cause of early postpartum
hemorrhage?
A. Retained placental fragments
B. Coagulation disorders
C. Lacerations of the birth canal
D. Uterine atony
Answer: D
Rationale: Uterine atony, the failure of the uterus to contract firmly, is the most common
cause of early postpartum hemorrhage (occurring within 24 hours of delivery).
2. A postpartum nurse is assessing a patient 4 hours after delivery. The nurse
finds the fundus is boggy and displaced to the right. What is the priority action?
A. Administer oxytocin as ordered
B. Assist the patient to void
C. Notify the provider immediately
D. Perform fundal massage
Answer: B
Rationale: A fundus that is displaced to the right usually indicates a full bladder, which
prevents the uterus from contracting. Emptying the bladder is the priority to allow the
fundus to return to the midline and contract.
,3. Which medication is typically the first-line drug used to manage uterine
atony?
A. Misoprostol (Cytotec)
B. Methylergonovine (Methergine)
C. Carboprost (Hemabate)
D. Oxytocin (Pitocin)
Answer: D
Rationale: Oxytocin is the first-line medication for the prevention and treatment of
postpartum hemorrhage caused by uterine atony.
4. A nurse is caring for a patient with suspected postpartum endometritis.
Which clinical finding supports this diagnosis?
A. Clear, odorless lochia
B. Localized redness in the calf
C. Breast tenderness and fever
D. Pelvic pain and foul-smelling lochia
Answer: D
Rationale: Endometritis is an infection of the uterine lining, commonly characterized by
pelvic pain, uterine tenderness, and foul-smelling lochia.
5. What is the primary characteristic of Postpartum Blues that distinguishes it
from Postpartum Depression?
A. It requires antidepressant medication
B. It typically resolves within 10 to 14 days without intervention
C. It involves thoughts of harming the infant
D. It lasts for at least 6 months after delivery
Answer: B
Rationale: Postpartum blues is a mild, self-limiting condition that usually resolves within
two weeks. Depression is more severe and persistent.
, 6. A newborn has an APGAR score of 9 at 1 minute and 5 minutes. What does
this score indicate?
A. Severe distress
B. Moderate difficulty adjusting
C. Excellent transition to extrauterine life
D. Need for immediate resuscitation
Answer: C
Rationale: An APGAR score of 7 to 10 is considered normal and indicates the newborn is
making a good transition to extrauterine life.
7. Which finding in a newborn assessment requires immediate notification of
the healthcare provider?
A. Acrocyanosis
B. Milia on the nose
C. Molding of the head
D. Generalized petechiae
Answer: D
Rationale: Petechiae (small purple/red spots) can indicate a clotting factor deficiency or
infection and require investigation, unlike acrocyanosis or milia which are normal.
8. What is the priority nursing intervention for a newborn receiving
phototherapy for hyperbilirubinemia?
A. Applying lotion to the skin to prevent drying
B. Dressing the infant in a onesie to prevent chilling
C. Covering the newborn’s eyes with patches
D. Limiting fluid intake to concentrate bilirubin
Answer: C
|Chamberlain College
1. Which of the following is the most common cause of early postpartum
hemorrhage?
A. Retained placental fragments
B. Coagulation disorders
C. Lacerations of the birth canal
D. Uterine atony
Answer: D
Rationale: Uterine atony, the failure of the uterus to contract firmly, is the most common
cause of early postpartum hemorrhage (occurring within 24 hours of delivery).
2. A postpartum nurse is assessing a patient 4 hours after delivery. The nurse
finds the fundus is boggy and displaced to the right. What is the priority action?
A. Administer oxytocin as ordered
B. Assist the patient to void
C. Notify the provider immediately
D. Perform fundal massage
Answer: B
Rationale: A fundus that is displaced to the right usually indicates a full bladder, which
prevents the uterus from contracting. Emptying the bladder is the priority to allow the
fundus to return to the midline and contract.
,3. Which medication is typically the first-line drug used to manage uterine
atony?
A. Misoprostol (Cytotec)
B. Methylergonovine (Methergine)
C. Carboprost (Hemabate)
D. Oxytocin (Pitocin)
Answer: D
Rationale: Oxytocin is the first-line medication for the prevention and treatment of
postpartum hemorrhage caused by uterine atony.
4. A nurse is caring for a patient with suspected postpartum endometritis.
Which clinical finding supports this diagnosis?
A. Clear, odorless lochia
B. Localized redness in the calf
C. Breast tenderness and fever
D. Pelvic pain and foul-smelling lochia
Answer: D
Rationale: Endometritis is an infection of the uterine lining, commonly characterized by
pelvic pain, uterine tenderness, and foul-smelling lochia.
5. What is the primary characteristic of Postpartum Blues that distinguishes it
from Postpartum Depression?
A. It requires antidepressant medication
B. It typically resolves within 10 to 14 days without intervention
C. It involves thoughts of harming the infant
D. It lasts for at least 6 months after delivery
Answer: B
Rationale: Postpartum blues is a mild, self-limiting condition that usually resolves within
two weeks. Depression is more severe and persistent.
, 6. A newborn has an APGAR score of 9 at 1 minute and 5 minutes. What does
this score indicate?
A. Severe distress
B. Moderate difficulty adjusting
C. Excellent transition to extrauterine life
D. Need for immediate resuscitation
Answer: C
Rationale: An APGAR score of 7 to 10 is considered normal and indicates the newborn is
making a good transition to extrauterine life.
7. Which finding in a newborn assessment requires immediate notification of
the healthcare provider?
A. Acrocyanosis
B. Milia on the nose
C. Molding of the head
D. Generalized petechiae
Answer: D
Rationale: Petechiae (small purple/red spots) can indicate a clotting factor deficiency or
infection and require investigation, unlike acrocyanosis or milia which are normal.
8. What is the priority nursing intervention for a newborn receiving
phototherapy for hyperbilirubinemia?
A. Applying lotion to the skin to prevent drying
B. Dressing the infant in a onesie to prevent chilling
C. Covering the newborn’s eyes with patches
D. Limiting fluid intake to concentrate bilirubin
Answer: C
