Page 1 of 33
SAFE MATERNITY AND PEDIATRIC NURSING CARE
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
1. Review of a primiparous woman's labor and birth record reveals a prolonged
second stage of labor and extended time in the stirrups. Based on an
interpretation of these findings, the nurse would be especially alert for which
of the following?
A) Retained placental fragments
B) Hypertension
C) Thrombophlebitis
D) Uterine subinvolution
C
2. As part of an inservice program, a nurse is describing a transient, self-
limiting mood disorder that affects mothers after childbirth. The nurse
correctly identifies this as postpartum:
A) Depression
B) Psychosis
C) Bipolar disorder
D) Blues
D
3. A woman who is 2 weeks postpartum calls the clinic and says, "My left
breast hurts." After further assessment on the phone, the nurse suspects the
woman has mastitis. In addition to pain, the nurse would assess for which of
the following?
A) An inverted nipple on the affected breast
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B) No breast milk in the affected breast
C) An ecchymotic area on the affected breast
D) Hardening of an area in the affected breast
D
4. A group of students are reviewing the causes of postpartum hemorrhage.
The students demonstrate understanding of the information when they identify
which of the following as the most common cause?
A) Labor augmentation
B) Uterine atony
C) Cervical or vaginal lacerations
D) Uterine inversion
B
5. After presenting a class on measures to prevent postpartum hemorrhage,
the presenter determines that the teaching was successful when the class
states which of the following as an important measure to prevent postpartum
hemorrhage due to retained placental fragments?
A) Administering broad-spectrum antibiotics
B) Inspecting the placenta after delivery for intactness
C) Manually removing the placenta at delivery
D) Applying pressure to the umbilical cord to remove the placenta
B
6. A multipara client develops thrombophlebitis after delivery. Which of the
following would alert the nurse to the need for immediate intervention?
A) Dyspnea, diaphoresis, hypotension, and chest pain
B) Dyspnea, bradycardia, hypertension, and confusion
C) Weakness, anorexia, change in level of consciousness, and coma
D) Pallor, tachycardia, seizures, and jaundice
A
7. A client experienced prolonged labor with prolonged premature rupture of
membranes. The nurse would be alert for which of the following in the mother
and the newborn?
A) Infection
B) Hemorrhage
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C) Trauma
D) Hypovolemia
A
8. When assessing the postpartum woman, the nurse uses indicators other
than pulse rate and blood pressure for postpartum hemorrhage based on the
knowledge that:
A) These measurements may not change until after the blood loss is large
B) The body's compensatory mechanisms activate and prevent any changes
C) They relate more to change in condition than to the amount of blood lost
D) Maternal anxiety adversely affects these vital signs
A
9. The nurse is assessing a woman with abruption placentae who has just
given birth. The nurse would be alert for which of the following?
A) Severe uterine pain
B) Board-like abdomen
C) Appearance of petechiae
D) Inversion of the uterus
C
10. A nurse is assessing a postpartum woman. Which finding would cause the
nurse to be most concerned?
A) Leg pain on ambulation with mild ankle edema
B) Calf pain with dorsiflexion of the foot.
C) Perineal pain with swelling along the episiotomy
D) Sharp stabbing chest pain with shortness of breath
D
11. A woman experiencing postpartum hemorrhage is ordered to receive a
uterotonic agent. Which of the following would the nurse least expect to
administer?
A) Oxytocin
B) Methylergonovine
C) Carboprost
D) Terbutaline
D
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12. Which of the following would be most appropriate when massaging a
woman's fundus?
A) Place the hands on the sides of the abdomen to grasp the uterus.
B) Use an up-and-down motion to massage the uterus.
C) Wait until the uterus is firm to express clots.
D) Continue massaging the uterus for at least 5 minutes.
C
13. After teaching a woman with a postpartum infection about care after
discharge, which client statement indicates the need for additional teaching?
A) "I need to call my doctor if my temperature goes above 100.4° F."
B) "When I put on a new pad, I'll start at the back and go forward."
C) "If I have chills or my discharge has a strange odor, I'll call my doctor."
D) "I'll point the spray of the peribottle so the water flows front to back."
B
14. A nurse suspects that a postpartum client is experiencing postpartum
psychosis. Which of the following would most likely lead the nurse to suspect
this condition?
A) Delirium
B) Feelings of anxiety
C) Sadness
D) Insomnia
A
15. A postpartum woman is diagnosed with metritis. The nurse interprets this
as an infection involving which of the following? (Select all that apply.)
A) Endometrium
B) Decidua
C) Myometrium
D) Broad ligament
E) Ovaries
F) Fallopian tubes
A, B, C
16. A group of nursing students are reviewing information about mastitis and
its causes. The students demonstrate understanding of the information when
they identify which of the following as the most common cause?
SAFE MATERNITY AND PEDIATRIC NURSING CARE
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
1. Review of a primiparous woman's labor and birth record reveals a prolonged
second stage of labor and extended time in the stirrups. Based on an
interpretation of these findings, the nurse would be especially alert for which
of the following?
A) Retained placental fragments
B) Hypertension
C) Thrombophlebitis
D) Uterine subinvolution
C
2. As part of an inservice program, a nurse is describing a transient, self-
limiting mood disorder that affects mothers after childbirth. The nurse
correctly identifies this as postpartum:
A) Depression
B) Psychosis
C) Bipolar disorder
D) Blues
D
3. A woman who is 2 weeks postpartum calls the clinic and says, "My left
breast hurts." After further assessment on the phone, the nurse suspects the
woman has mastitis. In addition to pain, the nurse would assess for which of
the following?
A) An inverted nipple on the affected breast
, Page 2 of 33
B) No breast milk in the affected breast
C) An ecchymotic area on the affected breast
D) Hardening of an area in the affected breast
D
4. A group of students are reviewing the causes of postpartum hemorrhage.
The students demonstrate understanding of the information when they identify
which of the following as the most common cause?
A) Labor augmentation
B) Uterine atony
C) Cervical or vaginal lacerations
D) Uterine inversion
B
5. After presenting a class on measures to prevent postpartum hemorrhage,
the presenter determines that the teaching was successful when the class
states which of the following as an important measure to prevent postpartum
hemorrhage due to retained placental fragments?
A) Administering broad-spectrum antibiotics
B) Inspecting the placenta after delivery for intactness
C) Manually removing the placenta at delivery
D) Applying pressure to the umbilical cord to remove the placenta
B
6. A multipara client develops thrombophlebitis after delivery. Which of the
following would alert the nurse to the need for immediate intervention?
A) Dyspnea, diaphoresis, hypotension, and chest pain
B) Dyspnea, bradycardia, hypertension, and confusion
C) Weakness, anorexia, change in level of consciousness, and coma
D) Pallor, tachycardia, seizures, and jaundice
A
7. A client experienced prolonged labor with prolonged premature rupture of
membranes. The nurse would be alert for which of the following in the mother
and the newborn?
A) Infection
B) Hemorrhage
, Page 3 of 33
C) Trauma
D) Hypovolemia
A
8. When assessing the postpartum woman, the nurse uses indicators other
than pulse rate and blood pressure for postpartum hemorrhage based on the
knowledge that:
A) These measurements may not change until after the blood loss is large
B) The body's compensatory mechanisms activate and prevent any changes
C) They relate more to change in condition than to the amount of blood lost
D) Maternal anxiety adversely affects these vital signs
A
9. The nurse is assessing a woman with abruption placentae who has just
given birth. The nurse would be alert for which of the following?
A) Severe uterine pain
B) Board-like abdomen
C) Appearance of petechiae
D) Inversion of the uterus
C
10. A nurse is assessing a postpartum woman. Which finding would cause the
nurse to be most concerned?
A) Leg pain on ambulation with mild ankle edema
B) Calf pain with dorsiflexion of the foot.
C) Perineal pain with swelling along the episiotomy
D) Sharp stabbing chest pain with shortness of breath
D
11. A woman experiencing postpartum hemorrhage is ordered to receive a
uterotonic agent. Which of the following would the nurse least expect to
administer?
A) Oxytocin
B) Methylergonovine
C) Carboprost
D) Terbutaline
D
, Page 4 of 33
12. Which of the following would be most appropriate when massaging a
woman's fundus?
A) Place the hands on the sides of the abdomen to grasp the uterus.
B) Use an up-and-down motion to massage the uterus.
C) Wait until the uterus is firm to express clots.
D) Continue massaging the uterus for at least 5 minutes.
C
13. After teaching a woman with a postpartum infection about care after
discharge, which client statement indicates the need for additional teaching?
A) "I need to call my doctor if my temperature goes above 100.4° F."
B) "When I put on a new pad, I'll start at the back and go forward."
C) "If I have chills or my discharge has a strange odor, I'll call my doctor."
D) "I'll point the spray of the peribottle so the water flows front to back."
B
14. A nurse suspects that a postpartum client is experiencing postpartum
psychosis. Which of the following would most likely lead the nurse to suspect
this condition?
A) Delirium
B) Feelings of anxiety
C) Sadness
D) Insomnia
A
15. A postpartum woman is diagnosed with metritis. The nurse interprets this
as an infection involving which of the following? (Select all that apply.)
A) Endometrium
B) Decidua
C) Myometrium
D) Broad ligament
E) Ovaries
F) Fallopian tubes
A, B, C
16. A group of nursing students are reviewing information about mastitis and
its causes. The students demonstrate understanding of the information when
they identify which of the following as the most common cause?
