Herzing university maternal newborn exam, NSG 223

Maternal newborn exam 2
1 . Which woman is most likely to experience strong afterpains?
a. A woman who experienced oligohydramnios
b. A woman who is a gravida 4, para 4-0-0-4
c. A woman who is bottle-feeding her infant
d. A woman whose infant weighed 5 pounds, 3 ounces
Ans B . A woman who is a gravida, para 4-0-0-4
2. What are the most common causes for subinvolution of the uterus?
Retained placental fragments and infection
Subinvolution is the failure of the uterus to return to a nonpregnant state. The most common causes of 
subinvolution are retained placental fragments and infection. Subinvolution may be caused by an 
infection and result in hemorrhage. Multiple gestations may cause uterine atony, resulting in postpartum
hemorrhaging. Uterine tetany and overproduction of oxytocin do not cause subinvolution.
3. A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal, and the 
estimated blood loss (EBL) was approximately 1500 mL. When assessing the woman's vital signs, the 
nurse would be concerned to see:
a. Temperature 37.9° C, heart rate 120, respirations 20, blood pressure (BP) 90/50.
b. Temperature 37.4° C, heart rate 88, respirations 36, BP 126/68.
c. Temperature 38° C, heart rate 80, respirations 16, BP 110/80.
d. Temperature 36.8° C, heart rate 60, respirations 18, BP 140/90.
Ans A
4, Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during 
the puerperium?
a. Varicosities of the legs
b. Carpal tunnel syndrome
c. Periodic numbness and tingling of the fingers
d. Headaches
Ans D
5. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the 
right of the umbilicus?