NUR 4455 Care of Families- Childbearing Nursing Exam 2 Fall 2025 at Florida International University
Access The Exact Questions for NUR 4455 Care of Families- Childbearing Nursing Exam 2 Fall 2025 at Florida International University
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for NUR 4455 Care of Families- Childbearing Nursing Exam 2 Fall 2025 at Florida International University on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free NUR 4455 Care of Families- Childbearing Nursing Exam 2 Fall 2025 at Florida International University Questions
A nurse is caring for a client who is 1 hour postpartum and observes minimal lochia rubra with a dime-sized clot on the sanitary pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
-
Document the findings and continue to monitor
-
Notify the provider
-
Increase the frequency of fundal massage
-
Encourage the client to empty her bladder
Explanation
At 1 hour postpartum, it is normal to find a firm, midline fundus at the level of the umbilicus with small to moderate lochia rubra (dark red discharge) and occasional small clots (less than the size of a plum). These findings indicate a well-contracted uterus and normal postpartum recovery. Since there are no signs of hemorrhage or deviation, the nurse should document these normal findings and continue routine monitoring every 15–30 minutes during the immediate postpartum period.
The nurse is reviewing bottle-feeding techniques with a new mom. Which statement by the mom indicates additional teaching is needed?
-
"I will keep the nipple filled with formula."
-
"The baby needs to be upright while bottle feeding."
-
"I will use a pillow to hold the bottle upright in the baby's mouth."
-
"I will do skin-to-skin while feeding my baby."
Explanation
Using a pillow or prop to hold a bottle is unsafe and indicates a need for further teaching. This practice can cause aspiration, choking, ear infections, and tooth decay, and it prevents bonding between parent and baby. The baby should always be held during feeding, with the bottle manually supported to control the flow of milk and allow for eye contact and interaction.
When assessing a multiparous woman who has just given birth to an 8-pound boy 15 minutes ago, the nurse notes that the woman's fundus has become globular in shape and a gush of dark red blood comes from her vagina. What is the nurse's interpretation of these findings?
-
A cervical tear occurred during the birth
-
The placenta has separated
-
Clots have formed in the upper uterine segment
-
The woman is beginning to hemorrhage
Explanation
A globular-shaped uterus, lengthening of the umbilical cord, and a gush of dark red blood are classic signs that the placenta has separated from the uterine wall—a normal and expected event in the third stage of labor. The dark color of the blood indicates it is from placental separation, not active bleeding. The nurse should assist with controlled cord traction as prescribed and monitor for complete placental delivery and firm uterine contraction afterward.
A nurse is caring for a laboring client whose membranes ruptured spontaneously. Immediately afterward, the fetal heart rate drops to 70 bpm and does not recover after repositioning to her left side. The nurse notes variable decelerations on the fetal monitor. What is the nurse's immediate next step?
-
Perform a sterile vaginal examination
-
Administer Magnesium Sulfate IV
-
Check the maternal vital signs
-
Increase the oxytocin infusion rate
Explanation
A sudden drop in fetal heart rate to 70 bpm after spontaneous rupture of membranes (SROM), with variable decelerations, strongly suggests a prolapsed umbilical cord. The immediate nursing action is to perform a sterile vaginal examination to check for the presence of the cord in the vagina or around the presenting part. If a prolapsed cord is found, the nurse should apply pressure to lift the fetal head off the cord and call for emergency assistance while maintaining that position until delivery by cesarean section.
A 39-week gravida 2 client arrives at the birthing unit stating, "I've been contracting every 5 minutes for the past hour, and they're getting stronger." She says walking made the contractions feel even more intense. Cervical exam: 3 cm dilated, 80% effaced. Which interpretation by the nurse is correct?
-
The client is experiencing Braxton Hicks contractions.
-
The client is in true labor.
-
The client is in the latent phase of false labor.
-
The client is experiencing false labor.
Explanation
True labor is characterized by regular contractions that increase in frequency, duration, and intensity, and cause progressive cervical change (dilation and effacement). The client’s contractions occur every 5 minutes, have grown stronger, and intensified with walking—classic signs of true labor. The cervical exam showing 3 cm dilation and 80% effacement confirms that the cervix is changing, indicating the onset of the latent phase of true labor.
A laboring woman experienced SROM (spontaneous rupture of membranes) 18 hours ago. Her temperature is now 100.8°F (38.2°C), and the amniotic fluid has a foul odor. What complication should the nurse suspect?
-
Uterine atony
-
Placental abruption
-
Fetal acidosis
-
Chorioamnionitis
Explanation
Chorioamnionitis is an infection of the amniotic fluid, membranes, placenta, or decidua that typically develops after prolonged rupture of membranes (PROM or SROM >18 hours). Bacteria ascend from the vagina into the uterine cavity, leading to infection. Common signs include maternal fever (≥100.4°F or 38°C), uterine tenderness, maternal or fetal tachycardia, and foul-smelling amniotic fluid. This is a serious condition requiring broad-spectrum IV antibiotics and close monitoring of both mother and fetus.
A 40-week gestation client delivered a baby girl 20 minutes ago. The nurse observes a gush of blood from the vagina and lengthening of the umbilical cord. The nurse prepares Pitocin IV to be administered after delivery of the placenta with the understanding that Pitocin is given:
-
To promote progressive cervical change
-
To relieve pain
-
To facilitate rest and relaxation of the uterus
-
To stimulate uterine contractions and prevent hemorrhage
Explanation
Pitocin (oxytocin) is administered after placental delivery to stimulate uterine contractions and promote uterine firmness. This helps compress blood vessels at the placental site, preventing postpartum hemorrhage, the leading cause of maternal morbidity after birth. It is a routine medication used in the third stage of labor to ensure the uterus remains firm and to minimize excessive bleeding.
A first-time mother reports concerns about her milk supply. The nurse explains that prolactin secretion is best stimulated by:
-
Avoiding breastfeeding at night
-
Frequent nursing and skin-to-skin contact
-
Taking hormone supplements
-
Formula supplementation when away from the newborn
Explanation
Prolactin, the hormone responsible for milk production, is released from the anterior pituitary gland in response to frequent nipple stimulation and infant suckling. The more often the baby nurses—especially during nighttime feedings when prolactin levels peak—the greater the stimulation for milk production. Skin-to-skin contact also enhances oxytocin release, promoting both emotional bonding and the let-down reflex, which helps maintain milk supply.
The mother who is bottle-feeding should be taught to expect which changes to the condition of the breasts?
-
Engorgement lasts for 12 hours
-
In nonlactating mothers, colostrum is present for the first few days after childbirth
-
Lactogenesis 2 is the first stage to prepare for milk production
-
Little change occurs to the breasts in 72 hours
Explanation
Even in nonlactating (bottle-feeding) mothers, the breasts naturally produce colostrum for the first few days after birth due to hormonal changes following delivery. Around day 3 postpartum, the breasts may become engorged—firm, swollen, and tender—as milk production briefly begins. This discomfort typically resolves within 24–48 hours if stimulation is avoided. The nurse should advise the mother to wear a supportive bra, avoid nipple stimulation, apply cold compresses, and not express milk, as this will suppress lactation and relieve symptoms faster.
Ten minutes after placental delivery, the nurse notes a soft, boggy uterus and a steady trickle of bright red blood. What is the nurse’s first action?
-
Notify the provider immediately
-
Begin fundal massage
-
Prepare the client for surgery
-
Administer IV Pitocin
Explanation
A soft, boggy uterus after placental delivery indicates uterine atony, the leading cause of postpartum hemorrhage. The first nursing action is to massage the fundus firmly until it becomes firm and contracted. This stimulates uterine contraction, compresses open blood vessels at the placental site, and helps control bleeding. After massaging, the nurse reassesses uterine tone and amount of bleeding before proceeding with additional interventions.
How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .