1. Which of the following is the primary concern during the immediate
postpartum period?
A. Risk for infection
B. Risk for hemorrhage
C. Risk for deep vein thrombosis (DVT)
D. Risk for hypertension
Answer: B. Risk for hemorrhage
Rationale: Postpartum hemorrhage is the most common and immediate concern following
delivery due to the possibility of uterine atony, lacerations, or retained placental fragments.
2. A nurse is teaching a new mother how to breastfeed. Which of the following
should the nurse emphasize about latch-on?
A. The mother should ensure that only the nipple is in the infant’s mouth.
B. The infant should have as much of the areola in their mouth as possible.
C. The infant should latch onto the breast with minimal areola in the mouth.
D. The infant should latch with the nipple at the tip of the tongue.
Answer: B. The infant should have as much of the areola in their mouth as possible.
Rationale: A proper latch involves the infant taking in both the nipple and a portion of the areola
to ensure effective sucking and prevent nipple pain.
3. A nurse is assessing a newborn’s reflexes. Which of the following reflexes
should be present in a newborn at 2 days old?
A. Babinski reflex
B. Moro reflex
C. Grasp reflex
D. All of the above
Answer: D. All of the above
Rationale: The Babinski, Moro, and Grasp reflexes are all normal in newborns and typically
present at birth or shortly thereafter.
4. The nurse is caring for a mother who had a cesarean delivery. Which of the
following actions would help reduce the risk of deep vein thrombosis (DVT)?
,A. Encourage frequent ambulation.
B. Administer oral antibiotics as prescribed.
C. Apply warm compresses to the lower extremities.
D. Keep the legs elevated on pillows at all times.
Answer: A. Encourage frequent ambulation.
Rationale: Early ambulation is key to reducing the risk of DVT by promoting circulation in the
lower extremities and preventing blood stasis.
5. A postpartum client is experiencing uterine atony. The nurse should first
implement which of the following actions?
A. Administer a blood transfusion.
B. Massage the fundus to stimulate uterine contraction.
C. Insert a Foley catheter.
D. Administer a narcotic pain medication.
Answer: B. Massage the fundus to stimulate uterine contraction.
Rationale: Uterine atony is the most common cause of postpartum hemorrhage, and fundal
massage is the first step to stimulate contraction and reduce bleeding.
6. A nurse is caring for a newborn with jaundice. When assessing jaundice in a
neonate, the nurse should first check which of the following areas?
A. The abdomen
B. The sclera
C. The feet
D. The palms of the hands
Answer: B. The sclera
Rationale: Jaundice is most easily seen in the sclera of the eyes first and then progresses to other
parts of the body, such as the skin and mucous membranes.
7. Which of the following is a sign of a postpartum infection?
A. Absence of lochia
B. Fever greater than 100.4°F (38°C)
C. A firm, contracted uterus
D. Clear, non-smelly lochia
, Answer: B. Fever greater than 100.4°F (38°C)
Rationale: Fever is a key sign of infection, especially in the postpartum period, and warrants
further evaluation for possible endometritis or other infections.
8. What is the normal range for a newborn's heart rate during the first 24 hours
of life?
A. 60-80 beats per minute
B. 100-160 beats per minute
C. 120-180 beats per minute
D. 140-180 beats per minute
Answer: B. 100-160 beats per minute
Rationale: A newborn’s heart rate typically ranges from 100 to 160 beats per minute during the
first 24 hours after birth.
9. Which of the following is a normal finding in a newborn's first 24 hours of
life?
A. Anterior fontanelle bulging
B. Head circumference smaller than chest circumference
C. Meconium stool passed within 24 hours
D. Persistent respiratory rate of 80 breaths per minute
Answer: C. Meconium stool passed within 24 hours
Rationale: Meconium, the first stool, is typically passed within the first 24 hours of life, and this
is considered a normal finding.
10. A nurse is assessing a postpartum mother and notices that her blood pressure
is 160/100 mm Hg. What is the nurse’s priority action?
A. Administer an antihypertensive medication.
B. Assess for signs of preeclampsia.
C. Encourage fluid intake.
D. Document the finding and monitor it later.
Answer: B. Assess for signs of preeclampsia.
Rationale: A blood pressure of 160/100 mm Hg in a postpartum mother is concerning for
potential preeclampsia or postpartum hypertension, and further assessment is needed.
postpartum period?
A. Risk for infection
B. Risk for hemorrhage
C. Risk for deep vein thrombosis (DVT)
D. Risk for hypertension
Answer: B. Risk for hemorrhage
Rationale: Postpartum hemorrhage is the most common and immediate concern following
delivery due to the possibility of uterine atony, lacerations, or retained placental fragments.
2. A nurse is teaching a new mother how to breastfeed. Which of the following
should the nurse emphasize about latch-on?
A. The mother should ensure that only the nipple is in the infant’s mouth.
B. The infant should have as much of the areola in their mouth as possible.
C. The infant should latch onto the breast with minimal areola in the mouth.
D. The infant should latch with the nipple at the tip of the tongue.
Answer: B. The infant should have as much of the areola in their mouth as possible.
Rationale: A proper latch involves the infant taking in both the nipple and a portion of the areola
to ensure effective sucking and prevent nipple pain.
3. A nurse is assessing a newborn’s reflexes. Which of the following reflexes
should be present in a newborn at 2 days old?
A. Babinski reflex
B. Moro reflex
C. Grasp reflex
D. All of the above
Answer: D. All of the above
Rationale: The Babinski, Moro, and Grasp reflexes are all normal in newborns and typically
present at birth or shortly thereafter.
4. The nurse is caring for a mother who had a cesarean delivery. Which of the
following actions would help reduce the risk of deep vein thrombosis (DVT)?
,A. Encourage frequent ambulation.
B. Administer oral antibiotics as prescribed.
C. Apply warm compresses to the lower extremities.
D. Keep the legs elevated on pillows at all times.
Answer: A. Encourage frequent ambulation.
Rationale: Early ambulation is key to reducing the risk of DVT by promoting circulation in the
lower extremities and preventing blood stasis.
5. A postpartum client is experiencing uterine atony. The nurse should first
implement which of the following actions?
A. Administer a blood transfusion.
B. Massage the fundus to stimulate uterine contraction.
C. Insert a Foley catheter.
D. Administer a narcotic pain medication.
Answer: B. Massage the fundus to stimulate uterine contraction.
Rationale: Uterine atony is the most common cause of postpartum hemorrhage, and fundal
massage is the first step to stimulate contraction and reduce bleeding.
6. A nurse is caring for a newborn with jaundice. When assessing jaundice in a
neonate, the nurse should first check which of the following areas?
A. The abdomen
B. The sclera
C. The feet
D. The palms of the hands
Answer: B. The sclera
Rationale: Jaundice is most easily seen in the sclera of the eyes first and then progresses to other
parts of the body, such as the skin and mucous membranes.
7. Which of the following is a sign of a postpartum infection?
A. Absence of lochia
B. Fever greater than 100.4°F (38°C)
C. A firm, contracted uterus
D. Clear, non-smelly lochia
, Answer: B. Fever greater than 100.4°F (38°C)
Rationale: Fever is a key sign of infection, especially in the postpartum period, and warrants
further evaluation for possible endometritis or other infections.
8. What is the normal range for a newborn's heart rate during the first 24 hours
of life?
A. 60-80 beats per minute
B. 100-160 beats per minute
C. 120-180 beats per minute
D. 140-180 beats per minute
Answer: B. 100-160 beats per minute
Rationale: A newborn’s heart rate typically ranges from 100 to 160 beats per minute during the
first 24 hours after birth.
9. Which of the following is a normal finding in a newborn's first 24 hours of
life?
A. Anterior fontanelle bulging
B. Head circumference smaller than chest circumference
C. Meconium stool passed within 24 hours
D. Persistent respiratory rate of 80 breaths per minute
Answer: C. Meconium stool passed within 24 hours
Rationale: Meconium, the first stool, is typically passed within the first 24 hours of life, and this
is considered a normal finding.
10. A nurse is assessing a postpartum mother and notices that her blood pressure
is 160/100 mm Hg. What is the nurse’s priority action?
A. Administer an antihypertensive medication.
B. Assess for signs of preeclampsia.
C. Encourage fluid intake.
D. Document the finding and monitor it later.
Answer: B. Assess for signs of preeclampsia.
Rationale: A blood pressure of 160/100 mm Hg in a postpartum mother is concerning for
potential preeclampsia or postpartum hypertension, and further assessment is needed.
