MATERNITY AND PEDIATRIC NURSING 4TH EDITION
CLINICAL PRACTICE PATIENT CARE EXAM REVIEW
2026/2027 || MULTIPLE QUESTIONS WITH 100% CORRECT
ANSWERS || EXPERT-VERIFIED & GRADED A+ ||
BLUEPRINT FOR GUARANTEED SUCCESS!!!
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago.
The nurse palpates the client's fundus, expecting it to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus - CORRECT ANSWER -C
During the first few days after birth, the uterus typically descends downward
from the level of the umbilicus at a rate of 1 cm (1 fingerbreadth) per day so
that by day 2, it is about 2 fingerbreadths below the umbilicus.
When caring for a mother who has had a cesarean birth, the nurse would expect
the client's lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - CORRECT ANSWER -C
Women who have had cesarean births tend to have less flow because the uterine
debris is removed manually along with delivery of the placenta.
The woman is describing afterpains, which are usually stronger during breast-
feeding because oxytocin released by the sucking reflex strengthens uterine
contractions. Afterpains are associated with uterine involution, but the woman's
description strongly correlates with the hormonal events of breast-feeding. All
women experience afterpains, but they are more acute in multiparous women
secondary to repeated stretching of the uterine muscles.
,The nurse interprets which of the following as evidence that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn - CORRECT ANSWER -A
During the taking-in phase, new mothers when interacting with their newborns
spend time claiming the newborn and touching him or her, commonly
identifying specific features in the newborn such as "he has my nose" or "his
fingers are long like his father's." Independence in self-care and interest in
caring for the newborn are typical of the taking-hold phase. Confidence in
caring for the newborn is demonstrated during the letting-go phase.
A postpartum client is experiencing subinvolution. When reviewing the
woman's labor and birth history, which of the following would the nurse
identify as being least significant to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
D) Pulse rate of 60 beats/minute - CORRECT ANSWER –A
A client who is breastfeeding her newborn tells the nurse, I notice that when I
feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I
having contractions now? Which response by the nurse would be most
appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
B) Let me check your vaginal discharge just to make sure everything is fine.
C) Your body is responding to the events of labor, just like after a tough
workout.
D) The baby's sucking releases a hormone that causes the uterus to contract -
CORRECT ANSWER -D
, Factors that inhibit involution include prolonged labor and difficult birth,
incomplete expulsion of amniotic membranes and placenta, uterine infection,
overdistention of uterine muscles (such as by multiple gestation, hydramnios, or
large singleton fetus), full bladder (which displaces the uterus and interferes
with contractions), anesthesia(which relaxes uterine muscles), and close
childbirth spacing. Factors that facilitate uterine involution include complete
expulsion of amniotic membranes and placenta at birth, complication-free labor
and birth process, breast-feeding, and early ambulation.
A woman who gave birth 24 hours ago tells the nurse, I've been urinating so
much over the past several hours. Which response by the nurse would be most
appropriate?
A) You must have an infection, so let me get a urine specimen.
B) Your body is undergoing many changes that cause your bladder to fill
quickly.
C) Your uterus is not contracting as quickly as it should.
D) The anesthesia that you received is wearing off and your bladder is working
again. - CORRECT ANSWER -B
Postpartum diuresis occurs as a result of several mechanisms: the large amounts
of IV fluids given during labor, a decreasing antidiuretic effect of oxytocin as its
level declines, the buildup and retention of extra fluids during pregnancy, and a
decreasing production of aldosterone—the hormone that decreases sodium
retention and increases urine production. All these factors contribute to rapid
filling of the bladder within 12 hours of birth. Diuresis begins within 12 hours
after childbirth and continues throughout the first week postpartum. Rapid
bladder filling, possible infection, or effects of anesthesia are not involved.
A group of students are reviewing the process of breast milk production. The
students demonstrate understanding when they identify which hormone as
responsible for milk let-down?
A) Prolactin
B) Estrogen
C) Progesterone
CLINICAL PRACTICE PATIENT CARE EXAM REVIEW
2026/2027 || MULTIPLE QUESTIONS WITH 100% CORRECT
ANSWERS || EXPERT-VERIFIED & GRADED A+ ||
BLUEPRINT FOR GUARANTEED SUCCESS!!!
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago.
The nurse palpates the client's fundus, expecting it to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus - CORRECT ANSWER -C
During the first few days after birth, the uterus typically descends downward
from the level of the umbilicus at a rate of 1 cm (1 fingerbreadth) per day so
that by day 2, it is about 2 fingerbreadths below the umbilicus.
When caring for a mother who has had a cesarean birth, the nurse would expect
the client's lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - CORRECT ANSWER -C
Women who have had cesarean births tend to have less flow because the uterine
debris is removed manually along with delivery of the placenta.
The woman is describing afterpains, which are usually stronger during breast-
feeding because oxytocin released by the sucking reflex strengthens uterine
contractions. Afterpains are associated with uterine involution, but the woman's
description strongly correlates with the hormonal events of breast-feeding. All
women experience afterpains, but they are more acute in multiparous women
secondary to repeated stretching of the uterine muscles.
,The nurse interprets which of the following as evidence that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn - CORRECT ANSWER -A
During the taking-in phase, new mothers when interacting with their newborns
spend time claiming the newborn and touching him or her, commonly
identifying specific features in the newborn such as "he has my nose" or "his
fingers are long like his father's." Independence in self-care and interest in
caring for the newborn are typical of the taking-hold phase. Confidence in
caring for the newborn is demonstrated during the letting-go phase.
A postpartum client is experiencing subinvolution. When reviewing the
woman's labor and birth history, which of the following would the nurse
identify as being least significant to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
D) Pulse rate of 60 beats/minute - CORRECT ANSWER –A
A client who is breastfeeding her newborn tells the nurse, I notice that when I
feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I
having contractions now? Which response by the nurse would be most
appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
B) Let me check your vaginal discharge just to make sure everything is fine.
C) Your body is responding to the events of labor, just like after a tough
workout.
D) The baby's sucking releases a hormone that causes the uterus to contract -
CORRECT ANSWER -D
, Factors that inhibit involution include prolonged labor and difficult birth,
incomplete expulsion of amniotic membranes and placenta, uterine infection,
overdistention of uterine muscles (such as by multiple gestation, hydramnios, or
large singleton fetus), full bladder (which displaces the uterus and interferes
with contractions), anesthesia(which relaxes uterine muscles), and close
childbirth spacing. Factors that facilitate uterine involution include complete
expulsion of amniotic membranes and placenta at birth, complication-free labor
and birth process, breast-feeding, and early ambulation.
A woman who gave birth 24 hours ago tells the nurse, I've been urinating so
much over the past several hours. Which response by the nurse would be most
appropriate?
A) You must have an infection, so let me get a urine specimen.
B) Your body is undergoing many changes that cause your bladder to fill
quickly.
C) Your uterus is not contracting as quickly as it should.
D) The anesthesia that you received is wearing off and your bladder is working
again. - CORRECT ANSWER -B
Postpartum diuresis occurs as a result of several mechanisms: the large amounts
of IV fluids given during labor, a decreasing antidiuretic effect of oxytocin as its
level declines, the buildup and retention of extra fluids during pregnancy, and a
decreasing production of aldosterone—the hormone that decreases sodium
retention and increases urine production. All these factors contribute to rapid
filling of the bladder within 12 hours of birth. Diuresis begins within 12 hours
after childbirth and continues throughout the first week postpartum. Rapid
bladder filling, possible infection, or effects of anesthesia are not involved.
A group of students are reviewing the process of breast milk production. The
students demonstrate understanding when they identify which hormone as
responsible for milk let-down?
A) Prolactin
B) Estrogen
C) Progesterone
