OBSTETRICS & NEONATAL NURSING 300 TEST BANK | WITH COMPLETE
QUESTIONS AND ANSWERS, A+ GUARANTEE SUCCESS
A postpartum nurse is taking the vital signs of a woman who delivered a healthy
newborn infant 4 hours ago. The nurse notes that the mother’s temperature is
100.2°F. Which of the following actions would be most appropriate?
1. Retake the temperature in 15 minutes
2. Notify the physician
3. Document the findings
☑️
4. Increase hydration by encouraging oral fluids
CORRECT ANSWER: 4. Increase hydration by encouraging oral fluids.
The most appropriate action is to increase hydration by encouraging oral fluids,
which should bring the temperature to a normal reading. Although the nurse
would document the findings, the most appropriate action would be to increase
hydration. The mother’s temperature may be taken every 4 hours while she is
awake. Temperatures up to 100.4°F (38°C) in the first 24 hours after birth are
often related to the dehydrating effects of labor.
The nurse is assessing a client who is 6 hours postpartum after delivering a
full-term healthy infant. The client complains to the nurse of feelings of faintness
and dizziness. Which of the following nursing actions would be most
appropriate?
1. Obtain hemoglobin and hematocrit levels
2. Instruct the mother to request help when getting out of bed
3. Elevate the mother’s legs
4. Inform the nursery nurse to avoid bringing the newborn infant to the mother until
☑️
the feelings of light-headedness and dizziness have subsided
CORRECT ANSWER: 2. Instruct the mother to request help when getting
out of bed.
Orthostatic hypotension may be evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that should caution the nurse to be
aware of the client’s safety. The nurse should advise the mother to get help the
, first few times she gets out of bed. Obtaining hemoglobin and hematocrit requires
a physician’s order.
☑️
5. What does BUBBLE-HE stand for?
CORRECT ANSWER:
B – Breasts (soft, filling, engorged)
U – Uterus (firm, boggy, midline, or deviated)
B – Bladder (empty or full)
B – Bowel (bowel movements or constipated)
L – Lochia (rubra, serosa, alba)
E – Episiotomy/lacerations (intact or infected)
H – Homans sign (+ or -)
E – Emotions (talkative or withdrawn)
☑️
What is uterine involution?
CORRECT ANSWER: Uterine involution is the return of the uterus to its
pre-pregnant state.
☑️
Where is the uterus (fundus) immediately after birth?
CORRECT ANSWER: The uterus (fundus) is midline immediately after birth.
☑️ CORRECT ANSWER: The fundus descends 1 or 2 fingerbreadths per day.
How many fingerbreadths does the fundus descend per day?
A postpartum nurse is preparing to care for a woman who has just delivered a
healthy newborn infant. In the immediate postpartum period the nurse plans to
take the woman's vital signs:
1. Every 30 minutes during the first hour and then every hour for the next two hours.
2. Every 15 minutes during the first hour and then every 30 minutes for the next
two hours.
3. Every hour for the first 2 hours and then every 4 hours
4. Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours.
2. Every 15 minutes during the first hour and then every 30 minutes for the next two
☑️
hours. -
CORRECT ANSWER 2. Every 15 minutes during the first hour and then every
30 minutes for the next two hours."
"A nurse is preparing to perform a fundal assessment on a postpartum client. The initial
nursing action in performing this assessment is which of the following?
1. Ask the client to turn on her side
2. Ask the client to lie flat on her back with the knees and legs flat and straight.
3. Ask the mother to urinate and empty her bladder
,☑️
4. Massage the fundus gently before determining the level of the fundus. -
CORRECT ANSWER 3. Before starting the fundal assessment, the nurse should ask
the mother to empty her bladder so that an accurate assessment can be done. When
the nurse is performing fundal assessment, the nurse asks the woman to lie flat on her
back with the knees flexed. Massaging the fundus is not appropriate unless the fundus
is boggy and soft, and then it should be massaged gently until firm."
The doctor suspects that the client has an ectopic pregnancy. Which symptom is
consistent with a diagnosis of ectopic pregnancy?
a. Painless vaginal bleeding
b. Abdominal cramping
c. Throbbing pain in the upper quadrant
☑️
d. Sudden, stabbing pain in the lower quadrant
CORRECT ANSWER: d. Sudden, stabbing pain in the lower quadrant.
The signs of an ectopic pregnancy are vague until the fallopian tube ruptures. The
client will complain of sudden, stabbing pain in the lower quadrant that radiates down
the leg or up into the chest. Painless vaginal bleeding is a sign of placenta previa,
abdominal cramping is a sign of labor, and throbbing pain in the upper quadrant is not
associated with ectopic pregnancy.
☑️
What color is lochia serosa? How long does lochia serosa last?
CORRECT ANSWER: Lochia serosa is pinkish-brown in color and lasts for 3 to 10
days.
☑️
What is subinvolution and what is its cause?
CORRECT ANSWER:
Subinvolution is the failure of the uterus to return to its pre-pregnant state.
Causes include:
● Infection
● Retained placental fragments
● Overstretched uterus due to multigravidity
If the uterus is palpable above the umbilicus and deviated to the right, what
☑️
should the nurse instruct the woman to do?
CORRECT ANSWER: The nurse should instruct the woman to empty her bladder.
, ☑️
Postpartum depression occurs within how many weeks of childbirth?
CORRECT ANSWER: Postpartum depression occurs within 4 weeks after
childbirth.
Select all of the physiological maternal changes that occur during the postpartum
period.
1. Cervical involution ceases immediately
2. Vaginal distention decreases slowly
3. Fundus begins to descend into the pelvis after 24 hours
4. Cardiac output decreases with resultant tachycardia in the first 24 hours
☑️
5. Digestive processes slow immediately
CORRECT ANSWER: 1 and 3.
During the postpartum period, cervical healing occurs rapidly and cervical
involution resumes. After one week, the cervix begins to regenerate, feeling firm,
with the external os about the width of a pencil. Vaginal mucosa healing and
reduction of vaginal distention occur slowly throughout the postpartum period, but
muscle tone never fully returns to the pre-pregnant state.
The fundus begins to descend into the pelvic cavity after 24 hours, a process
known as involution. Despite blood loss during delivery, cardiac output transiently
increases for about 48 hours postpartum, often resulting in bradycardia, not
tachycardia. Digestion becomes active soon after childbirth, and most mothers
feel hungry due to the energy expended during labor.
The nurse is assessing the lochia on a 1-day postpartum patient. The nurse notes
that the lochia is red and has a foul-smelling odor. The nurse determines that this
assessment finding is:
1. Normal
2. Indicates the presence of infection
3. Indicates the need for increasing oral fluids
☑️
4. Indicates the need for increasing ambulation
CORRECT ANSWER: 2. Indicates the presence of infection.
Lochia, the discharge present after birth, is red for the first 1 to 3 days and
QUESTIONS AND ANSWERS, A+ GUARANTEE SUCCESS
A postpartum nurse is taking the vital signs of a woman who delivered a healthy
newborn infant 4 hours ago. The nurse notes that the mother’s temperature is
100.2°F. Which of the following actions would be most appropriate?
1. Retake the temperature in 15 minutes
2. Notify the physician
3. Document the findings
☑️
4. Increase hydration by encouraging oral fluids
CORRECT ANSWER: 4. Increase hydration by encouraging oral fluids.
The most appropriate action is to increase hydration by encouraging oral fluids,
which should bring the temperature to a normal reading. Although the nurse
would document the findings, the most appropriate action would be to increase
hydration. The mother’s temperature may be taken every 4 hours while she is
awake. Temperatures up to 100.4°F (38°C) in the first 24 hours after birth are
often related to the dehydrating effects of labor.
The nurse is assessing a client who is 6 hours postpartum after delivering a
full-term healthy infant. The client complains to the nurse of feelings of faintness
and dizziness. Which of the following nursing actions would be most
appropriate?
1. Obtain hemoglobin and hematocrit levels
2. Instruct the mother to request help when getting out of bed
3. Elevate the mother’s legs
4. Inform the nursery nurse to avoid bringing the newborn infant to the mother until
☑️
the feelings of light-headedness and dizziness have subsided
CORRECT ANSWER: 2. Instruct the mother to request help when getting
out of bed.
Orthostatic hypotension may be evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that should caution the nurse to be
aware of the client’s safety. The nurse should advise the mother to get help the
, first few times she gets out of bed. Obtaining hemoglobin and hematocrit requires
a physician’s order.
☑️
5. What does BUBBLE-HE stand for?
CORRECT ANSWER:
B – Breasts (soft, filling, engorged)
U – Uterus (firm, boggy, midline, or deviated)
B – Bladder (empty or full)
B – Bowel (bowel movements or constipated)
L – Lochia (rubra, serosa, alba)
E – Episiotomy/lacerations (intact or infected)
H – Homans sign (+ or -)
E – Emotions (talkative or withdrawn)
☑️
What is uterine involution?
CORRECT ANSWER: Uterine involution is the return of the uterus to its
pre-pregnant state.
☑️
Where is the uterus (fundus) immediately after birth?
CORRECT ANSWER: The uterus (fundus) is midline immediately after birth.
☑️ CORRECT ANSWER: The fundus descends 1 or 2 fingerbreadths per day.
How many fingerbreadths does the fundus descend per day?
A postpartum nurse is preparing to care for a woman who has just delivered a
healthy newborn infant. In the immediate postpartum period the nurse plans to
take the woman's vital signs:
1. Every 30 minutes during the first hour and then every hour for the next two hours.
2. Every 15 minutes during the first hour and then every 30 minutes for the next
two hours.
3. Every hour for the first 2 hours and then every 4 hours
4. Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours.
2. Every 15 minutes during the first hour and then every 30 minutes for the next two
☑️
hours. -
CORRECT ANSWER 2. Every 15 minutes during the first hour and then every
30 minutes for the next two hours."
"A nurse is preparing to perform a fundal assessment on a postpartum client. The initial
nursing action in performing this assessment is which of the following?
1. Ask the client to turn on her side
2. Ask the client to lie flat on her back with the knees and legs flat and straight.
3. Ask the mother to urinate and empty her bladder
,☑️
4. Massage the fundus gently before determining the level of the fundus. -
CORRECT ANSWER 3. Before starting the fundal assessment, the nurse should ask
the mother to empty her bladder so that an accurate assessment can be done. When
the nurse is performing fundal assessment, the nurse asks the woman to lie flat on her
back with the knees flexed. Massaging the fundus is not appropriate unless the fundus
is boggy and soft, and then it should be massaged gently until firm."
The doctor suspects that the client has an ectopic pregnancy. Which symptom is
consistent with a diagnosis of ectopic pregnancy?
a. Painless vaginal bleeding
b. Abdominal cramping
c. Throbbing pain in the upper quadrant
☑️
d. Sudden, stabbing pain in the lower quadrant
CORRECT ANSWER: d. Sudden, stabbing pain in the lower quadrant.
The signs of an ectopic pregnancy are vague until the fallopian tube ruptures. The
client will complain of sudden, stabbing pain in the lower quadrant that radiates down
the leg or up into the chest. Painless vaginal bleeding is a sign of placenta previa,
abdominal cramping is a sign of labor, and throbbing pain in the upper quadrant is not
associated with ectopic pregnancy.
☑️
What color is lochia serosa? How long does lochia serosa last?
CORRECT ANSWER: Lochia serosa is pinkish-brown in color and lasts for 3 to 10
days.
☑️
What is subinvolution and what is its cause?
CORRECT ANSWER:
Subinvolution is the failure of the uterus to return to its pre-pregnant state.
Causes include:
● Infection
● Retained placental fragments
● Overstretched uterus due to multigravidity
If the uterus is palpable above the umbilicus and deviated to the right, what
☑️
should the nurse instruct the woman to do?
CORRECT ANSWER: The nurse should instruct the woman to empty her bladder.
, ☑️
Postpartum depression occurs within how many weeks of childbirth?
CORRECT ANSWER: Postpartum depression occurs within 4 weeks after
childbirth.
Select all of the physiological maternal changes that occur during the postpartum
period.
1. Cervical involution ceases immediately
2. Vaginal distention decreases slowly
3. Fundus begins to descend into the pelvis after 24 hours
4. Cardiac output decreases with resultant tachycardia in the first 24 hours
☑️
5. Digestive processes slow immediately
CORRECT ANSWER: 1 and 3.
During the postpartum period, cervical healing occurs rapidly and cervical
involution resumes. After one week, the cervix begins to regenerate, feeling firm,
with the external os about the width of a pencil. Vaginal mucosa healing and
reduction of vaginal distention occur slowly throughout the postpartum period, but
muscle tone never fully returns to the pre-pregnant state.
The fundus begins to descend into the pelvic cavity after 24 hours, a process
known as involution. Despite blood loss during delivery, cardiac output transiently
increases for about 48 hours postpartum, often resulting in bradycardia, not
tachycardia. Digestion becomes active soon after childbirth, and most mothers
feel hungry due to the energy expended during labor.
The nurse is assessing the lochia on a 1-day postpartum patient. The nurse notes
that the lochia is red and has a foul-smelling odor. The nurse determines that this
assessment finding is:
1. Normal
2. Indicates the presence of infection
3. Indicates the need for increasing oral fluids
☑️
4. Indicates the need for increasing ambulation
CORRECT ANSWER: 2. Indicates the presence of infection.
Lochia, the discharge present after birth, is red for the first 1 to 3 days and
