Answers 2026/2027 graded A+
OVER 400 QUESTIONS WIT CORRECT ANSWER
While assessing Sierra, a 32yo mother of 3, you notice uterine bleeding and find
that her uterus is displayed upward and to the right. This is probably cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising - ANSWER c. distention of the bladder
Olga, a 38yo patient whom you administered the rubella vaccine, states that at her
age she plans to get pregnant right away. You tell her she should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery - ANSWER a. avoid
pregnancy for at least 8 weeks after receiving the MMR vaccine
Joan is a 17yo and just delivered a healthy baby boy 6 hours ago. She talks on her
cell phone whenever you are in the room and refuses to touch or hold her baby,
even when he cries. You overhear Joan tell someone that the baby is "ugly like his
father." Joan is most likely experiencing:
,a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression - ANSWER b. mal-attachment
Recommended advice for breastfeeding mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags -
ANSWER c. apply a warm compress to ease nipple pain
Samantha read in the discharge booklet that postpartum patients are at risk for
thrombophlebitis, and she asks you how she can prevent this from happening. You
instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs - ANSWER b. ambulate frequently
Suzanne delivered vaginally 8 hours ago. She has uterine cramping and rates her
pain a "9" but refuses pain medication. What is your best response regarding her
pain?
a. tell her she should take the ibuprofen as prescribed by her MD
,b. encourage her to fight the pain because it will make her stronger
c. ask her to use the call button if she changes her mind about taking pain
medication
d. offer her a non-drug option such as a hot pack or massage - ANSWER
d. offer her a non-drug option such as a hot pack or massage
Emily is a 28yo mother of 3 who delivered vaginally 4 hours ago. She reports she
is "bleeding a lot" and her perineal pad, changed 45 minutes ago, is fully saturated.
Palpation reveals a boggy uterus. Your first intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD - ANSWER c. massage her uterus until firm
Mei experienced premature rupture of membranes during her pregnancy and her
internal fetal monitors placed during labor. She later delivered by cesarean. 12
hours after delivery, her HR is 104 and her lochia smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis - ANSWER d. endometritis
You are preparing to discharge Maria after delivering a healthy boy. You believe
Maria understands the discharge teaching instructions when she states:
a. it is acceptable to have bleeding nipples after breastfeeding for the first few days
, b. I should not worry if I have a large mass under my breasts
c. I will call my nurse-midwife if I saturate a pad in one hour
d. suicidal thoughts are okay because the baby blues are normal - ANSWER
c. I will call my nurse-midwife if I saturate a pad in one hour
An infant born to a mother who abused drugs during pregnancy exhibited
withdrawal signs in the nursery that included fever and poor state control. After
stabilization and discharge, the caretaker called to report a return of withdrawal
symptoms. This pattern is consistent with maternal abuse of:
a. alcohol
b. cocaine
c. methadone - ANSWER b. cocaine
Leukocytosis that occurs in normal postpartum adaptation can be differentiated
from an infectious process by the presence of:
a. a 30% increase in WBC count in a 6 hour period
b. a concominant increase in the sedimentation rate
c. any elevation in temperature - ANSWER b. a concominant increase
in the sedimentation rate
Tachypnea, tachycardia, and poor feeding in a 12 hour old neonate, born to a
mother with diabetes mellitus, would be more consistent with the onset of:
a. congestive heart failure
b. hypoglycemia
c. respiratory distress syndrome - ANSWER b. hypoglycemia