NUR 254 EXAM 2
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1.) The nurse is teaching a client with Diabetes Mellitus (Type 1) who
just delivered a healthy baby. Which of the following information
should the nurse include in the client's teaching?
A. Change to oral hypoglycemia medications that will control sugar levels
better than insulin
B. Urine should be checked for ketones every time the client voids
C. Due to hormonal changes after delivery, the need for insulin may
decrease
D. Feed the baby formula since insulin received through breastfeeding may
cause low sugar
Correct Answer: C. Due to hormonal changes after delivery, the need for
insulin may decrease
Verified Explanation: Postpartum hormonal shifts can reduce insulin
resistance, leading to a decreased requirement for exogenous insulin.
Clients should be educated about this change to avoid hypoglycemia and
maintain appropriate glycemic control.
2.) The nurse is caring for the following clients in the postpartum unit.
Which client should the nurse see first?
A. Multipara mother who has saturated 2 perineal pads in one hour
B. Primipara mother who delivered 3 hours ago and is having difficulty
getting the baby to latch on to the breast
C. Primipara mother requesting help with repositioning her baby to
decrease incisional pain from a cesarean delivery
,D. Multipara mother who delivered 16 hours ago and is experiencing
abdominal cramping and sweating
Correct Answer: A. Multipara mother who has saturated 2 perineal pads in
one hour
Verified Explanation: Saturation of two pads within one hour indicates
possible postpartum hemorrhage, a potentially life-threatening complication
requiring immediate assessment and intervention, thus warranting priority
care.
3.) The nurse is assigned clients who delivered within the last 24
hours and just received the change of shift report. Which of the
following clients should the nurse assess first?
A. The client who reports discomfort in the perineal area from an
episiotomy
B. The client who has a temperature of 100.3°F orally
C. The client who reports passing a dime-sized clot with the last void
D. The client who has changes in pulse from 76 to 100
Correct Answer: D. The client who has changes in pulse from 76 to 100
Verified Explanation: Tachycardia, especially when correlated with recent
postpartum status, may suggest early signs of hemorrhage or infection,
necessitating urgent assessment.
4.) The nurse is caring for a client who gave birth 18 hours ago. The
client reports that her nipples are getting tender and the baby is not
,breastfeeding well. Which of the following responses is appropriate
by the nurse?
A. "Apply a small amount of topical breast cream to help with the
discomfort"
B. "Make sure to compress the breast so the baby can get an adequate
amount of breast tissue into the mouth."
C. "Wait until the baby is crying to show hunger, then breastfeed to help
improve latching."
D. "Try removing the infant's clothing and putting the baby skin to skin on
your chest."
Correct Answer: D. "Try removing the infant's clothing and putting the
baby skin to skin on your chest."
Verified Explanation: Early skin-to-skin contact promotes effective
breastfeeding by facilitating infant rooting and latch-on reflexes, which can
reduce nipple tenderness and improve feeding. This intervention supports
bonding and stimulates milk flow, enhancing successful breastfeeding
initiation.
5.) The nurse is caring for a client who is 1 hour postpartum and
observes a moderate amount of lochia rubra and several small clots
on the client's perineal pad. The fundus is midline and firm at the
umbilicus. Which of the following actions should the nurse
implement?
A. Notify the PCP
B. Document findings and continue to monitor the client
, C. Encourage the client to empty bladder
D. Increase the frequency of the fundal massage
Correct Answer: B. Document findings and continue to monitor the client
Verified Explanation: Moderate lochia rubra with small clots, along with a
firm, midline fundus at the umbilicus within the first hour post-delivery, is
typical. Therefore, documenting and ongoing monitoring are appropriate.
Fundal massage or other interventions are unnecessary unless the fundus
becomes boggy or displaced.
6.) The nurse is caring for a formula-feeding postpartum client who
reports painful swollen breasts on her third postpartum day. The
nurse should encourage the mother to
A. Gently massage the breasts
B. Refrain from expelling milk
C. Place lettuce leaves on the breasts
D. Stimulate the nipple manually
Correct Answer: B. Refrain from expelling milk
Verified Explanation: In formula-feeding mothers, breast engorgement
occurs due to milk production without removal. Encouraging the mother to
refrain from expressing milk facilitates natural involution and decreases
engorgement symptoms.
Maternal and Pediatrics
Galen College of Nursing.
Actual 50 Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ Actual 50 Questions and Answers
➢ 100% Guarantee Pass.
➢ Multiple-Choice (A–D).
➢ Each Question Includes The Correct Answer
➢ Expert-Verified explanation is essential in solidifying your
understanding and pinpointing weak areas.
,1.) The nurse is teaching a client with Diabetes Mellitus (Type 1) who
just delivered a healthy baby. Which of the following information
should the nurse include in the client's teaching?
A. Change to oral hypoglycemia medications that will control sugar levels
better than insulin
B. Urine should be checked for ketones every time the client voids
C. Due to hormonal changes after delivery, the need for insulin may
decrease
D. Feed the baby formula since insulin received through breastfeeding may
cause low sugar
Correct Answer: C. Due to hormonal changes after delivery, the need for
insulin may decrease
Verified Explanation: Postpartum hormonal shifts can reduce insulin
resistance, leading to a decreased requirement for exogenous insulin.
Clients should be educated about this change to avoid hypoglycemia and
maintain appropriate glycemic control.
2.) The nurse is caring for the following clients in the postpartum unit.
Which client should the nurse see first?
A. Multipara mother who has saturated 2 perineal pads in one hour
B. Primipara mother who delivered 3 hours ago and is having difficulty
getting the baby to latch on to the breast
C. Primipara mother requesting help with repositioning her baby to
decrease incisional pain from a cesarean delivery
,D. Multipara mother who delivered 16 hours ago and is experiencing
abdominal cramping and sweating
Correct Answer: A. Multipara mother who has saturated 2 perineal pads in
one hour
Verified Explanation: Saturation of two pads within one hour indicates
possible postpartum hemorrhage, a potentially life-threatening complication
requiring immediate assessment and intervention, thus warranting priority
care.
3.) The nurse is assigned clients who delivered within the last 24
hours and just received the change of shift report. Which of the
following clients should the nurse assess first?
A. The client who reports discomfort in the perineal area from an
episiotomy
B. The client who has a temperature of 100.3°F orally
C. The client who reports passing a dime-sized clot with the last void
D. The client who has changes in pulse from 76 to 100
Correct Answer: D. The client who has changes in pulse from 76 to 100
Verified Explanation: Tachycardia, especially when correlated with recent
postpartum status, may suggest early signs of hemorrhage or infection,
necessitating urgent assessment.
4.) The nurse is caring for a client who gave birth 18 hours ago. The
client reports that her nipples are getting tender and the baby is not
,breastfeeding well. Which of the following responses is appropriate
by the nurse?
A. "Apply a small amount of topical breast cream to help with the
discomfort"
B. "Make sure to compress the breast so the baby can get an adequate
amount of breast tissue into the mouth."
C. "Wait until the baby is crying to show hunger, then breastfeed to help
improve latching."
D. "Try removing the infant's clothing and putting the baby skin to skin on
your chest."
Correct Answer: D. "Try removing the infant's clothing and putting the
baby skin to skin on your chest."
Verified Explanation: Early skin-to-skin contact promotes effective
breastfeeding by facilitating infant rooting and latch-on reflexes, which can
reduce nipple tenderness and improve feeding. This intervention supports
bonding and stimulates milk flow, enhancing successful breastfeeding
initiation.
5.) The nurse is caring for a client who is 1 hour postpartum and
observes a moderate amount of lochia rubra and several small clots
on the client's perineal pad. The fundus is midline and firm at the
umbilicus. Which of the following actions should the nurse
implement?
A. Notify the PCP
B. Document findings and continue to monitor the client
, C. Encourage the client to empty bladder
D. Increase the frequency of the fundal massage
Correct Answer: B. Document findings and continue to monitor the client
Verified Explanation: Moderate lochia rubra with small clots, along with a
firm, midline fundus at the umbilicus within the first hour post-delivery, is
typical. Therefore, documenting and ongoing monitoring are appropriate.
Fundal massage or other interventions are unnecessary unless the fundus
becomes boggy or displaced.
6.) The nurse is caring for a formula-feeding postpartum client who
reports painful swollen breasts on her third postpartum day. The
nurse should encourage the mother to
A. Gently massage the breasts
B. Refrain from expelling milk
C. Place lettuce leaves on the breasts
D. Stimulate the nipple manually
Correct Answer: B. Refrain from expelling milk
Verified Explanation: In formula-feeding mothers, breast engorgement
occurs due to milk production without removal. Encouraging the mother to
refrain from expressing milk facilitates natural involution and decreases
engorgement symptoms.
