RN Nursing School · Maternal-Newborn · 293 questions

Postpartum practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Postpartum, practise in the app.

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1A nurse is providing teaching to a postpartum client about lactation suppression. Which statement indicates understanding?Answer →
2A nurse is preparing educational material for new mothers on the role of infant suckling in lactation. Which statement is most accurate to include?Answer →
3The nurse is discussing involution with a postpartum client. Which statement best indicates that the client understands the effect of breastfeeding on the resumption of a menstrual cycle?Answer →
4A postpartum patient who delivered vaginally 8 hours ago reports worsening pain and pressure in the perineal area, describing severe discomfort in their 'bottom.' Vital signs are stable, and lochia is within expected limits. During assessment, the nurse observes a 7 cm × 5 cm tense, reddish-purple mass protruding from the right side of the vulva, with taut overlying tissue. Which complication should the nurse suspect?Answer →
5The nurse is caring for a primigravida client who delivered vaginally 48-hours ago. The client's laboratory results are: hemoglobin 12.5 g/dL (125 g/L), hematocrit 34% (0.34 volume fraction), hepatitis B surface antigen negative, rubella non-immune, group B Streptococcus positive. Which prescription should the nurse prepare to administer? Reference range: Hemoglobin [Pregnant female: greater than 11 g/dL (greater than 110 g/L)] Hematocrit [Pregnant female: greater than 33% (greater than 0.33 volume fraction)] Hepatitis B surface antigen (Negative) Rubella [Immune] Group B Streptococcus [Negative]Answer →
6While caring for a client with postpartum hemorrhage, which of the following findings indicates clinical deterioration and requires immediate priority intervention?Answer →
7A nurse notes that a postpartum client has a firm fundus at the midline with continuous bright red bleeding. What is the most likely cause?Answer →
8A nurse is teaching a client about formula feeding their newborn. Which of the following instructions should the nurse include?Answer →
9A nurse is caring for a client Who is I hr postpartum and has uterine atony. The client is exhibiting a large amount Of vaginal bleeding. Which Of the following actions should the nurse take?Answer →
10A nurse is evaluating the client following surgery. Which of the following findings indicate that the client is experiencing a potential complication of surgery that requires immediate follow-up? Click to highlight the findings below.Answer →
11A nurse is planning discharge instructions for a client who is 3 days postpartum and is formula-feeding their newborn. Which of the following nonpharmacological interventions should the nurse recommend to the client for potential breast engorgement?Answer →
12The nurse is planning education for a client who desires to have an intrauterine device (IUD) inserted. Which information should the nurse plan to include? Select all that apply.Answer →
13To promote comfort for the episiotomy, what treatment is often used immediately following birth?Answer →
14The telephone triage nurse receives a call from a client who is 5 days postoperative total abdominal hysterectomy. The client states that her pain is not relieved with the prescribed medications and that she has noticed blood in her urine. The nurse instructs the client to report immediately to the emergency department. What should the nurse suspect as the surgical complication?Answer →
15A 16-year-old patient, G1 P1001, gave birth to a full-term infant 48 hours ago. The patient has an episiotomy. She is formula feeding her infant. Select all the correct information that should be included in the patient's discharge instructions.Answer →
16Order: Heparin 3500 units SQ daily. Available from pharmacy: Heparin 5000units/mL. How many mL will the nurse administer? (Round answer to the nearest tenth place)Answer →
17The nurse is assessing Mrs. Smith, who gave birth to her first child 5 days ago. What finding by the nurse would be expected?Answer →
18A patient who had after a vaginal birth reports pelvic pain and fatigue. The nurse notes foul smelling lochia and uterine tenderness on palpation. Which finding in the client's history most likely contributed to the development of endometritis?Answer →
19A client on postpartum day 3 has a temperature of 101.5°F (38.6°C), uterine tenderness, and foul-smelling lochia. What is the priority nursing intervention?Answer →
20A postpartum patient is 12 hours status post spinal anesthesia and reports a severe frontal headache that worsens when sitting upright and ambulating. The nurse suspects a post-dural puncture headache. What is the appropriate nursing action?Answer →
21A 42-year-old client who recently had a total hysterectomy tells the nurse, "I feel like I've lost a part of myself, and I don't know how to handle it." What is the best response by the nurse?Answer →
22A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb). Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?Answer →
23A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant. Which information should the nurse provide?Answer →
24A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?Answer →
25A client presents to the clinic with a sprained wrist and multiple bruises in various stages of healing. The client states, "I'm just really clumsy." Which question should the nurse ask to further assess for intimate partner violence?Answer →
26A postpartum nurse has received bedside report on four clients. Which client is at greatest risk for postpartum hemorrhage?Answer →
27A client who has just given birth to a healthy newborn required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client's pain from the procedure?Answer →
28A nurse is caring for a client who is experiencing profuse bleeding after delivery. What is the priority nursing intervention?Answer →
29A nurse is caring for a client who is 1 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min. Which of the following actions should the nurse take first?Answer →
30After teaching a group of nurses during an in-service program about risk factors associated with postpartum hemorrhage, the nurse determines that the teaching was successful when the group identifies which risk factors? Select all that apply.Answer →
31A nurse is preparing to transfer a client to her postpartum room by wheelchair after a vaginal birth with epidural anesthesia. Which safety measure is essential before transfer?Answer →
32A nurse is conducting a class for pregnant women who are in their third trimester. The nurse is reviewing information about the emotional changes that occur in the postpartum period, including postpartum blues and postpartum depression. After reviewing information about postpartum blues, the group demonstrates understanding when they make which statement about this condition?Answer →
33A nurse providing teaching to a client who is antepartum and choosing to breastfeed their newborn. Which of the following statements made by the client indicates understanding of the teaching?Answer →
34A new parent is talking with the nurse about feeding the newborn. The parent has chosen to use formula. The parent asks, "How can I make sure that my baby is getting what is needed?" Which response(s) by the nurse would be appropriate? Select all that applyAnswer →
35List in order the correct physiology of the lactation process.Answer →
36A nurse is caring for a client who is experiencing a postpartum hemorrhage. Which of the following actions should the nurse take?Answer →
37Which postpartum client is at greatest risk for thromboembolism?Answer →
38A nurse is caring for a client who is postpartum and has a perineal laceration. Which of the following findings places the client at risk for delayed wound healing?Answer →
39Which nursing intervention is beneficial to the postpartum patient with hemorrhoids?Answer →
40When discussing with a client the different forms of contraception, which would be considered a barrier method?Answer →
41A client is experiencing postpartum hemorrhage. The health care provider prescribes a one-time dose of carboprost 300 mcg IM STAT. The medication is supplied in a vial labeled 1 mg/10 mL. How many mL should the nurse administer? Round the answer to the nearest whole number.Answer →
42A postpartum client chooses to formula feed their newborn. What education should the nurse plan to provide the client?Answer →
43Discharge teaching for the well mother that has delivered vaginally includes which of the following? Select all that apply:Answer →
44A nurse is providing discharge teaching to a client who has von Willebrand disease. Which of the following instructions is the nurse's priority?Answer →
45A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?Answer →
46The nurse assesses a postpartum woman 10 hours after delivery. Vital signs are stable. Her uterine fundus is boggy and deviated to the right, 1 cm above the umbilicus. Please list in order of priority the nursing interventions:Answer →
47A nurse is observing a postpartum client interacting with her newborn and notes that the mother is engaging with the newborn in the en face position. Which behavior would the nurse be observing?Answer →
48A postpartum patient had a vaginal birth 4 hours ago. Prior to the birth, the patient had a normal hemoglobin level of 12.6 g/dL. Her postpartum hemoglobin level is 11.0 g/dL. The estimated blood loss during her delivery was 250 mL. Her blood pressure 15 minutes ago was 122/60, and pulse was 90. Prior to assisting the patient with ambulation to the bathroom, the nurse should:Answer →
49A nurse provided education to a breastfeeding client who is experiencing engorgement. Which client statement indicates further education is required?Answer →
50Which nursing intervention for a patient receiving methylergonovine maleate for postpartum hemorrhage is most essential?Answer →
51Which finding places a postpartum client at greatest risk for endometritis?Answer →
52A woman will be discharged 48 hours after a vaginal delivery. When planning discharge teaching, the nurse would include what information about lochia?Answer →
53Review the electronic health record. Which finding(s) require follow-up from the nurse? Select all that apply.Answer →
54A nurse is teaching a new mother about breastfeeding. The nurse determines that the teaching was successful when the woman identifies which hormone as responsible for milk let-down?Answer →
55A client is 1 hour postpartum after a vaginal birth. The nurse notes a boggy uterus above the umbilicus and heavy bright-red bleeding with clots. What is the nurse's priority action?Answer →
56A nurse is planning a class on postpartum depression for a group of clients who are pregnant. Which of the following risk factors should the nurse include?Answer →
57A nurse is assessing a client who is 1 hr postpartum. Which of the following findings should the nurse report to the provider?Answer →
58The nurse is educating a mother and her partner regarding paternal postnatal depression. Which information should be included in the teaching? (Select all that apply)Answer →
59The nurse is assessing a postpartum client who had a cesarean section 2 days ago. The client reports unilateral leg pain and swelling and is reluctant to get out of bed. Upon assessment, the nurse notes erythema and warmth over the left calf. What action should the nurse take first?Answer →
60A nurse is preparing to administer Procardia (nifedipine) to a patient after delivery. The prescribed dose is 20 mg every 8 hours, and the available medication is 10 mg tablets. Using the desired over have method, how many tablets should the nurse administer per dose?Answer →
61Complete the following sentences by using the list of options. The nurse should clarify the prescription for [blank1] because [blank2]Answer →
62A postpartum client has not voided within 8 hours after delivery despite adequate intake. The fundus is firm at the umbilicus, and lochia is minimal. What is the most appropriate nursing intervention?Answer →
63What are 3 concerns the nurse has with Missy during this visit?Answer →
64The client has a 4-week postpartum visit at the office. She is still experiencing a "yellowish-white vaginal discharge." What should the nurse include in the teaching to the client about this type of discharge?Answer →
65The nurse is assessing a postpartum client who is 48 hours post-cesarean delivery. The client suddenly reports sharp chest pain and feeling short of breath. Which additional assessment findings would indicate a pulmonary embolism (PE) and require immediate intervention?Answer →
66A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend which of the following strategies?Answer →
67The nurse is assisting a new mother to breastfeed her baby. The mother asks how she can know the baby is getting anything from her breasts. The nurse responds that which of the following is the best indicator that the newborn is getting breast milk?Answer →
68Which of the following is an abnormal finding in a Day 2 postpartum woman?Answer →
69A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?Answer →
70A nurse is developing a plan of care for a woman who is at risk for thromboembolism. Which measure would the nurse include as the most cost-effective method for prevention?Answer →
71A nurse is teaching a client how to use a diaphragm. Which of the following statements should the nurse include in the teaching?Answer →
72A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000-gram infant. Her fundus is deviated to the right and boggy, and her lochia is heavy. The patient's vital signs are as follows: BP 110/70, pulse 98, respirations 20, and temperature 98.0°F. After assisting the patient to void, which immediate action should the nurse take next?Answer →
73A client is experiencing postpartum hemorrhage, and the nurse begins to massage her fundus. Which action would be most appropriate for the nurse to do when massaging the woman's fundus?Answer →
74A 57-year-old client considering hormone replacement therapy (HRT) asks the nurse about potential risks. Which client factor would require further evaluation before prescribing estrogen therapy?Answer →
75A nurse is visiting a postpartum woman who gave birth to a healthy newborn 5 days ago. Which finding would the nurse expect?Answer →
76A client who delivered a baby 2 weeks ago asks the nurse about the use of the Today Sponge. Which information would the nurse tell the client about the Today Sponge?Answer →
77Which maternal statement requires immediate follow-up?Answer →
78A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client's risk for a postpartum hemorrhage?Answer →
79A breastfeeding primigravida woman reports sore nipples on the second day postpartum. Which action is best for the nurse to take?Answer →
80A new mother states her preference to formula feed her newborn. What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort?Answer →
81The nurse is caring for a client who delivered 1 hour ago. Which assessment finding requires immediate intervention?Answer →
82A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)Answer →
83A nurse is providing care to a postpartum client and their family. The nurse should recognize that religion may impact which of the following practices? (Select All that Apply.)Answer →
84A nurse is providing a client with discharge instructions about the effects of lactation on ovulation. The client plans to do combined feeding of formula and breastmilk. Which of the following statements indicates that the client understands the instructions?Answer →
85A first-time mother expresses frustration that her partner is hesitant to participate in newborn care, stating, "They don't know what to do and seem nervous about helping." What is the most appropriate nursing intervention to promote positive family dynamics?Answer →
86Review the electronic health record. Based on the client's condition, which 4 actions should the nurse implement first? Select four actions.Answer →
87A client was diagnosed with chronic pelvic pain (CPP). Which criteria needs to be present for the diagnosis of CPP?Answer →
88A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?Answer →
89A nurse is developing a program to help reduce the risk of late postpartum hemorrhage in clients in the labor and birth unit. Which measure would the nurse emphasize as part of this program?Answer →
90A patient asks the nurse for information about female sterilization with a tubal ligation. What should the nurse explain?Answer →
91The nurse provided a client education on postpartum depression. Which client statement indicates effective learning?Answer →
92A nurse is caring for a client who is 10 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?Answer →
93A male client being treated for erectile dysfunction is prescribed sildenafil (Viagra). Which drug should the nurse educate the client about its ability to cause an adverse reaction when taken with Viagra?Answer →
94Misoprostol (Cytotec) is ordered postpartum. Its primary purpose in this situation is to:Answer →
95A postpartum patient is unable to tolerate capsules and requests liquid oral pain medication. She is prescribed 1000 mg of acetaminophen every 8 hours. The medication sent from the pharmacy contains 500 mg/10 mL. How much acetaminophen, in mL, will this patient have received in 24 hours? Record your answer as a whole number.Answer →
96Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?Answer →
97A 24-year-old patient is 2 weeks postpartum and presents to the emergency department with a temperature of 103.3°F (39.6°C) for the past 2 days. She reports pain in her left breast. Assessment reveals a localized, erythematous, wedge-shaped area that is tender and warm to the touch. The nurse suspects which condition, and which supportive teaching should the nurse reinforce?Answer →
98On postpartum day 10, a client reports a sudden return to bright-red bleeding with clots after activity. What is the best instruction?Answer →
99Which assessment should alert the nurse to withhold the scheduled dose of methylergonovine (Methergine) for a postpartum client and notify the health care provider?Answer →
100The client is at greatest risk for developing ______ evidenced by the client's ______.Answer →
101Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
102The nurse is providing discharge education to a postpartum client who had an episiotomy. Which information should the nurse include?Answer →
103A nurse is discharging a client who is postpartum, providing the client and their support system with education on vaccinations. Which of the following people has the highest priority to be vaccinated against tetanus-diphtheria-acellular pertussis at the time of discharge?Answer →
104A nurse is assisting with the planning of an in-service about identifying clients at risk for postpartum depression. Which of the following strategies should a nurse expect to be included in the teaching? (Select all that apply.)Answer →
105A new mother who is breastfeeding her newborn asks the nurse, "How will I know if my baby is drinking enough?" Which response by the nurse would be most appropriate?Answer →
106While caring for a client with postpartum hemorrhage, which of the following findings indicates clinical deterioration and requires immediate priority intervention?Answer →
107A young woman is newly married and is seeking advice on contraception. Her husband dislikes the feel of condoms. Also, she mentions that she typically experiences dysmenorrhea and has a history of PID. Which method should the nurse recommend?Answer →
108During a breastfeeding education session, the lactation nurse specialist reviews the hormones involved in lactation. Which statement accurately describes the role of hormones in breastfeeding?Answer →
109On postpartum day 2, a mother expresses eagerness to learn infant care and begins diapering her baby. This is characteristic of which phase?Answer →
110The nurse completes the assessment and reviews the findings. For each of the findings, click to indicate whether it is related to hypoglycemia or hyperglycemia. Each row must have only one response option selected.Answer →
111A postpartum client suddenly develops acute respiratory distress, hypotension, altered mental status, and bleeding from intravenous sites 15 minutes after a cesarean birth. Which nursing action is the priority at this time?Answer →
112A nurse is teaching a postpartum client who has a perineal laceration about prescribed stool softeners. Which of these instructions should the nurse include?Answer →
113Which provider's order should be questioned when caring for a client with a midline episiotomy with a third-degree laceration?Answer →
114A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication?Answer →
115A nurse is caring for a client who is 6 hr. postpartum. The client is Rh-negative and her newborn is Rh-positive. The client asks why a blood sample to perform the Kielhauer Betke test was ordered by the provider. Which of the following is an appropriate response by the nurse?Answer →
116A nurse is assessing a client who is 1 hr postpartum, the client received magnesium sulfate for severe pre-eclampsia, also spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse?Answer →
117The nurse is educating a postpartum client about resuming physical activity after giving birth. Which statement should the nurse include in the teaching?Answer →
118A new mother is experiencing nipple discomfort while breastfeeding. What should be the nurse's first priority?Answer →
119After the placenta delivers, which nursing assessments are essential to confirm complete separation and minimize complications? (Select all that apply.)Answer →
120Upon examination, which of the following findings is most consistent with a malignant breast mass?Answer →
121The nurse is caring for a client who reports increased uterine cramping when breastfeeding. What is an appropriate nursing action?Answer →
122Why is early ambulation recommended for postpartum clients?Answer →
123A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three finger-breadths (cm) below the umbilicus, firm, lochia rubra is scantily, and the breasts are hard, painful, hyperemic, and warm to palpation. Fever is not present. Which of the following interpretations of these findings should the nurse make, and which intervention must take?Answer →
124Which of the following is an abnormal finding in a Day 2 postpartum woman?Answer →
125Review the electronic health record. For each finding, click to specify whether the interventions were effective or ineffective in treating the client's postpartum hemorrhage.Answer →
126A client is practicing using an incentive spirometer after surgery. The nurse has explained how to use the device and the rationale to help keep the alveoli expanded. When the client successfully demonstrates using the incentive spirometer, which learning domain is involved?Answer →
127A nurse is caring for a client who had a prostatectomy for prostate cancer. The nurse is reviewing the client's vital signs and intake and output as documented by a nursing assistant. Which documented finding requires immediate action?Answer →
128A 4-week postpartum patient with mastitis asks the nurse if she can continue to breastfeed her infant. After assessing her symptoms and understanding her concerns, what is the nurse's best evidence-based response?Answer →
129Which provider's order should be questioned when caring for a client with a midline episiotomy with a third-degree laceration?Answer →
130The nurse is performing the LATCH breastfeeding assessment tool for a postpartum client. What should the nurse assess for when using this tool?Answer →
131Which medication will the nurse contact the health care provider to obtain a prescription for when noting the postpartum patient has increased vaginal bleeding?Answer →
132A primigravida had a vaginal delivery of a 7-pound baby 3 hours ago. The nurse assesses her uterus as firm after 3 large clots are passed. There is a continuous flow of blood vaginally. On examination 15 min later, she continues to bleed continuously; her uterus is firm at U. The nurse should:Answer →
133When the nurse is assessing a postpartum client approximately 6 hours after birth, which finding would warrant further investigation?Answer →
134A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?Answer →
135A nurse is developing a teaching plan about sexuality and contraception for a postpartum woman who is breastfeeding. Which information would the nurse most likely include? Select all that apply.Answer →
136The nurse is developing a discharge teaching plan for a postpartum woman who has developed a postpartum infection. Which measures would the nurse most likely include in this teaching plan? Select all that apply.Answer →
137A nurse is reviewing the medical record of a client who gave birth 2 days ago and is reporting pain in the calf. Which of the following findings should the nurse identify as increasing the client's risk for a deep vein thrombosis (DVT)?Answer →
138A postpartum woman reports a sudden return to bright-red bleeding on day 12 after birth. The nurse's best response is:Answer →
139A nurse is assessing a client who had an emergency cesarean section three days ago. The client had no prenatal care. Which of the following findings should the nurse identify as a manifestation of infection?Answer →
140The provider orders warfarin 7.5 mg PO daily. The available tablets are 5 mg each. How many tablets should the nurse administer per dose?Answer →
141A nurse is making a home visit to a postpartum client. Which finding would lead the nurse to suspect that a woman is experiencing postpartum psychosis?Answer →
142Complete the following sentence by using the list of options. The client is at greatest risk for developing A evidenced by the client's BAnswer →
143A nurse is planning care for a client in the postpartum unit. Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?Answer →
144Which action will the nurse take when a health care provider prescribes Rho(D) immune globulin to a postpartum patient with AB-negative blood whose baby, born via cesarean section, has B-positive blood?Answer →
145A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that, OK?" Which action should the nurse implement?Answer →
146(RhD) immune globulin is prescribed for a client after delivery, and the nurse assists in providing information to the client about the purpose of the medication. The nurse determines that the client understands the purpose if the client states that it will protect the next baby from which condition?Answer →
147Which assessment finding would indicate the development of a pulmonary embolism (PE) in a postpartum client with DVT?Answer →
148A nurse is discharging a client who is postpartum, providing the client and their support system with education on vaccinations. Which of the following people has the highest priority to be vaccinated against tetanus-diphtheria-acellular pertussis at the time of discharge?Answer →
149A nurse is observing the interaction between a new father and his newborn. The nurse determines that engrossment has yet to occur based on which behavior?Answer →
150A nurse is performing perineal care on a postpartum patient. Which anatomical structure is located between the vaginal introitus and the anus?Answer →
151After teaching a postpartum woman about breastfeeding, the nurse determines that the teaching was successful when the woman makes which statement?Answer →
152Which postpartum assessment finding is a priority to prevent complications from therapy with intravenous methylergonovine after a vaginal delivery?Answer →
153During the fourth stage of labor, the nurse should: (Select all that apply.)Answer →
154To promote comfort for the episiotomy, what treatment is often used immediately following birth?Answer →
155The nurse is helping new parents understand the differences between postpartum mood swings and postpartum depression. Which signs and symptoms are associated with the hormonal swings during the postpartum period? Select all that apply.Answer →
156The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving or an indication that the client's condition is worsening.Answer →
157A nurse on a postpartum unit is admitting a client who has immune thrombocytopenic purpura (ITP). Which of the following medications is the priority?Answer →
158Which assessment should alert the nurse to withhold the scheduled dose of methylergonovine (Methergine) for a postpartum client and notify the health care provider?Answer →
159A nurse is planning care for a postpartum client who expresses a desire to follow the traditional beliefs regarding the balance of yin and yang for postpartum care. Which of the following actions should the nurse plan to take?Answer →
160A postpartum nurse is reviewing the lab results of a client who is Rh-negative and recently delivered an Rh-positive newborn. The Kleihauer-Betke test indicates fetal blood cells in the maternal circulation. Which action should the nurse prioritize?Answer →
161The nurse is providing education to a postpartum mother about normal physiological changes during the postpartum period. Which statement by the mother indicates a correct understanding of the expected changes?Answer →
162A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?Answer →
163A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?Answer →
164A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?Answer →
165A nurse is preparing to administer medications to a client who is 72 hr postpartum following a cesarean birth. Complete the following sentences by using the list of options. The nurse should clarify the prescription for [blank1] because [blank2].Answer →
166The nurse receives a call from a woman two weeks after a vaginal birth who reports that she is experiencing problems breastfeeding, her right breast is tender, and she thinks she has a fever. In addition to suggesting that the woman call her primary caregiver, the nurse should recommend:Answer →
167Which statement indicates a need for further teaching regarding benzocaine to treat perineal discomfort by the postpartum patient?Answer →
168A nurse is reviewing signs Of effective breastfeeding With a client Who is 5 days postpartum. Which Of the following information should the nurse include in the teaching?Answer →
169A nurse is caring for a client who is 6 hr. postpartum and finds the fundus slightly boggy, 3 cm above the umbilicus, and displaced to the right. Bleeding is not noted. Based on these findings, which of the following actions should the nurse take?Answer →
170A three-day postpartum client recently discharged from the hospital calls the postpartum "Help line" crying and tells the staff nurse, "I can't understand why I am crying this way. I am so happy about my baby." How should the nurse respond?Answer →
171The physician gives orders to infuse 1000 mL lactated Ringer's to infuse at 125mL/hr for a postoperative patient. Tubing drop factor is 10 gtt/mL. Calculate the flow rate in drops per minute. (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
172A nurse is caring for a postpartum client who was found nonimmune to rubella during pregnancy and received the MMR vaccine before discharge. Which nursing instruction is most critical to include in the discharge teaching to reduce the risk of fetal harm in a future pregnancy?Answer →
173A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?Answer →
174A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines that additional teaching is needed when the woman makes which statement?Answer →
175A nurse is teaching a postpartum client how to do muscle-clenching exercises for the perineum. The client asks the nurse, "Why do I need to do these exercises?" Which reason would the nurse most likely incorporate into the response?Answer →
176The nurse is preparing to administer 0.9% sodium chloride 500 mL IV to infuse over 3 hours. What rate should the nurse set the IV pump to infuse at? Round the answer to the nearest whole number.Answer →
177Which supplement is most important for a breastfeeding mother to support both maternal status and infant bone health?Answer →
178A client delivered a term infant 45 minutes ago without pain control. The client is alert, has to urinate, and reports feeling tired. How should the nurse respond?Answer →
179A new mother is beginning to experience nipple discomfort while breastfeeding. What would be the nurse's first priority in the plan of care?Answer →
180A nurse is teaching a client about the grieving process. Which of the following statements should the nurse include in the teaching?Answer →
181Review the electronic health record. Complete the sentence by using the drop-down lists. The nurse should plan for the healthcare provider to order interventions to address the client's [1] due to the client's risk for [2]Answer →
182Which postpartum woman is at highest risk for deep vein thrombosis (DVT)?Answer →
183Which rationale is correct regarding administration of Rho(D) immune globulin to the mother immediately after delivery after review of the blood test results of a postpartum patient and the neonate?Answer →
184A client is 12 hours postpartum after a vaginal birth. She reports feeling lightheaded when ambulating. Assessment reveals pulse 112 bpm, BP 88/54 mmHg, boggy uterus displaced to the right, and moderate lochia. What is the nurse's priority action?Answer →
185The nurse provided education to a client experiencing nipple soreness from breastfeeding. Which client statement(s) indicate an understanding of the education? Select all that apply.Answer →
186A postpartum client on day 2 reports cramping abdominal pain that becomes stronger during breastfeeding. Which nursing explanation is MOST appropriate?Answer →
187As part of an in-service program to a group of home health care nurses who care for postpartum women, a nurse is describing postpartum depression. The nurse determines that the teaching was successful when the group identifies that this condition becomes evident at which time after birth of the newborn?Answer →
188A nurse is caring for a client 2 hours after a vaginal delivery who reports perineal pain and swelling. Which nursing intervention is most appropriate to promote comfort and healing?Answer →
189A nurse is assisting in the care of a client who had a vaginal birth 2 hr ago. Which of the following actions should the nurse take? (Select all that apply.)Answer →
190A nurse is caring for a client who is 2 days postpartum. Which discharge education is appropriate to provide to the client?Answer →
191The nurse considers the client's initial presentation as well as the history and physical. Draw from Word Choices to complete the sentence(s). The nurse recognizes that the client findings of __________ and __________ need to be followed up.Answer →
192Which nursing interventions promote comfort and healing after perineal laceration? (Select all that apply.)Answer →
193A nurse is caring for a client who is 2 days postpartum. Complete the diagram by dragging the condition the client is most likely experiencing, 2 actions to take, and 2 parameters to monitor.Answer →
194A 40-year-old client is planning to undergo a vasectomy. Which information would the nurse impart to the client?Answer →
195A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)Answer →
196A woman gave birth to a healthy term neonate today at 1330. It is now 1430 and the nurse has completed the client's assessment. At which time would the nurse next assess the client?Answer →
197When assessing a woman who vaginally delivered a full-term infant two hours ago, the nurse notices a large amount of vaginal bleeding. Which action(s) should the nurse take immediately? Select all that apply.Answer →
198A postpartum client reports unilateral calf pain and swelling. The affected leg is warm and erythematous. What is the nurse's priority action?Answer →
199A nurse is caring for a client who gave birth 30 minutes ago. Despite a firm and contracted uterine fundus 2 cm below the umbilicus, the patient has frank vaginal bleeding. Which action should the nurse take first?Answer →
200A nurse is caring for a client who is 1 month postpartum following the birth of a healthy newborn. The client has a history of gestational diabetes, no other complications during pregnancy. The client states feeling down, sad, lack of energy, poor appetite, and wanting to cry at all. How does the nurse interpret these findings?Answer →
201A client delivered a healthy 8-pound 3-ounce infant one hour ago. Which assessment finding(s) should the nurse expect? Select all that apply.Answer →
202After teaching parents about their newborn, the nurse determines that the teaching was successful when they identify which concept as reflecting the enduring nature of their relationship, one that involves placing the infant at the center of their lives and finding their own way to assume the parental identity?Answer →
203An Rh-negative client who did not receive antenatal care gives birth to an Rh-positive newborn. When should the nurse administer the RhoGAM to the client?Answer →
204Which medication does the nurse discuss with the health care provider for prevention Of postpartum uterine hemorrhage in a patient who has just given birth?Answer →
205A nurse is providing a client with discharge instructions about the effects of lactation on ovulation. The client plans to do combined feeding of formula and breast milk. Which of the following statements indicates that the client understands the instructions?Answer →
206A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration. Which of the following interventions should the nurse include in the plan?Answer →
207A nurse is providing care to a postpartum woman. The nurse determines that the client is in the taking-in phase based on which finding?Answer →
208The nurse is providing preoperative teaching for a woman who is undergoing a tubal sterilization. Which teaching point accurately describes this procedure?Answer →
209A nurse on a postpartum unit is assessing Mrs. Smith, who gave birth to her first child 5 days ago. What finding by the nurse would be expected?Answer →
210A nurse is preparing to create a plan of care for a client who is postpartum and adheres to traditional cultural beliefs of balancing hot and cold. Which of the following interventions should the nurse plan to discuss with the client?Answer →
211A client delivered a 3.80 kg infant 1 hour ago and is experiencing a large amount of rubra lochia with clots. Which is the first action by the nurse?Answer →
212A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?Answer →
213A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority?Answer →
214A nurse observes a postpartum client with a large amount of lochia rubra and multiple clots on the perineal pad. The client reports feeling lightheaded and has a slightly elevated pulse rate. What is the nurse's priority action?Answer →
215A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth. Which of the following actions should the nurse take?Answer →
216The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.Answer →
217A nurse is caring for a client who is experiencing heavy lochia rubra following birth. The nurse calculates the shock index value to be 0.8. Which of the following types of shock should the nurse identify the client is experiencing?Answer →
218Which assessment finding is most specific to postpartum psychosis?Answer →
219A nurse is assessing a postpartum client. Which finding would cause the nurse the greatest concern?Answer →
220A nurse is assessing a postpartum client 4 days after delivery. Which finding is expected?Answer →
221A nurse is caring for a client who is postpartum following a vaginal birth. Which of the following analgesic medications should the nurse plan to administer and document in the client's medical record?Answer →
222While on the delivery table, a primipara tells the nurse that she wishes to breastfeed her infant. To assist the new mother with her goal, which intervention is best for the nurse to implement?Answer →
223A nurse is assessing a client who is postpartum and is experiencing hemorrhagic shock. Which of the following findings should the nurse expect?Answer →
224A primipara client gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpates the client's fundus. Which finding would the nurse identify as expected?Answer →
225Select the 3 findings that require immediate follow-up.Answer →
226A nurse is providing teaching to a client who is 2 hr postpartum about how to do perineal care for their episiotomy. Which of the following instructions should the nurse include?Answer →
227A postpartum client with continued bleeding becomes restless and anxious. Her pulse is 128 bpm, BP 82/48 mmHg, and skin is cool and clammy. What is the priority nursing action?Answer →
228A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?Answer →
229A postpartum woman is prescribed oxytocin to stimulate the uterus to contract. Which action would be most important for the nurse to do?Answer →
230After a precipitous delivery, a nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. The nurse would do which of the following to help the woman process what has happened?Answer →
231A postpartum client is rubella nonimmune and breastfeeding. What is the appropriate nursing action?Answer →
232A nurse is preparing to administer Rhogam 1500 units IM to an Rh-negative client following vaginal delivery. Available is Rhogam 3,000 units per 2.2 mL. How many mL should the nurse administer? (if needed, round the answer to the nearest tenth.)Answer →
233A nurse is discharging a client who is postpartum, providing the client and their support system with education on vaccinations. Which of the following instructions is the nurse's priority?Answer →
234A client 10 days postpartum reports heavy bleeding and passage of large clots. Which condition is most likely?Answer →
235Which contraceptive should the nurse identify as a mechanical barrier contraceptive?Answer →
236A nurse is caring for a client 12 hours postpartum who has a fundus that is 2 cm above the umbilicus, boggy, and deviated to the right. The client also reports difficulty voiding and a sensation of bladder fullness. After assisting the client to void, the fundus remains boggy and elevated. Which of the following nursing actions should the nurse take next?Answer →
237A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)Answer →
238A nurse receives a report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?Answer →
239If the nurse suspects a uterine infection in the postpartum patient, what should the nurse make a priority to assess?Answer →
240A nurse is caring for a woman immediately after delivery who sustained a third-degree perineal laceration. Which nursing intervention should be prioritized to promote healing and prevent complications?Answer →
241A nurse is caring for a group of clients who are considering different methods of contraception. Which of the following information is accurate when the diaphragm is combined with spermicide?Answer →
242A nurse is caring for a client who is 9 hours postpartum following a cesarean birth with a quantitative blood loss of 1200 mL. Which of the following findings indicates the client is experiencing a fluid volume deficit?Answer →
243A postpartum client says, "Sometimes I think my baby and family would be better off without me." What is the nurse's PRIORITYAnswer →
244A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses by the nurse is appropriate?Answer →
245On postpartum day 1, a client has a firm fundus deviated to the right and reports bladder fullness. Which is the best action?Answer →
246A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?Answer →
247A postpartum woman who is bottle-feeding her newborn asks the nurse, "About how much should my newborn drink at each feeding?" The nurse responds by saying that to feel satisfied, the newborn needs which amount at each feeding?Answer →
248A postpartum patient develops heavy vaginal bleeding shortly after delivery. On assessment, the fundus is soft and boggy. The nurse suspects uterine atony. Which patient history finding places the patient at greatest risk for uterine atony?Answer →
249A nurse is discussing postpartum hemorrhage with a newly licensed nurse. Which of the following should the nurse include as a risk factor for postpartum hemorrhage that can lead to shock?Answer →
250The nurse is providing education to postpartum clients about wound infections after cesarean section or perineal laceration repair. Which statements should the nurse include in the teaching? (Select all that apply)Answer →
251A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?Answer →
252The nurse receives a call from a woman two weeks after a vaginal birth who reports that she is experiencing problems breastfeeding, her right breast is tender, and she thinks she has a fever. In addition to suggesting that the woman call her primary caregiver, the nurse should recommend:Answer →
253A new mother avoids holding her newborn and states, "I'm afraid I'll do something wrong." What is the nurse's best initial intervention?Answer →
254A nurse is massaging a postpartum client's fundus and places the nondominant hand on the area above the symphysis pubis based on the understanding that this action:Answer →
255A postpartum patient is being closely monitored for possible hemorrhage. The nurse continues to assess vital signs for early indications of hypovolemic shock. In addition to changes in pulse and blood pressure, which assessment finding would most strongly suggest the development of hypovolemic shock?Answer →
256The nurse receives handoff report on four postpartum clients. Which client should the nurse assess first?Answer →
257A mother delivered 12 hours ago. She is passing large clots, and her bleeding has increased. She has a history of hypertension, asthma, and depression. Which medication is contraindicated?Answer →
258Normal findings in the initial postpartum period include which of the following (select all that apply):Answer →
259A nurse is assessing a client Who IS 1 hr postpartum. Which Of the following findings should the report to the provider?Answer →
260A postpartum client suddenly develops shortness of breath, chest pain, and tachycardia. What is the nurse's priority action?Answer →
261Which instruction should the nurse provide to the client?Answer →
262The nurse is conducting a class for postpartum women about mood disorders. The nurse describes a transient, self-limiting mood disorder that affects mothers after birth. The nurse determines that the women understood the description when they identify the condition as postpartum.Answer →
263Which postpartum client is appropriate for an CNA assignment?Answer →
264A nurse on a postpartum unit is admitting a client who has immune thrombocytopenic purpura (ITP). Which of the following medications is the priority?Answer →
265A nursing student is teaching a postpartum patient who gave birth 24 hours ago ways to prevent engorgement. The patient has chosen to exclusively formula feed her baby. Select all the correct statements to include in the instructions.Answer →
266A nurse is assessing a client who is requesting a combined oral contraceptive (COC). Which of the following findings should indicate to the nurse that the client has a contraindication to COC use?Answer →
267Discharge teaching for the well mother that has delivered vaginally includes which of the following? Select all that apply:Answer →
268The health care provider prescribes hydroxyzine pamoate 60 mg PO four times per day. The pharmacy provides hydroxyzine pamoate 25 mg/5 ml. How many mLs should the nurse administer to the client per dose? Record the answer as a whole number.Answer →
269A client scheduled for a hysterectomy says to the nurse, "I know I'll never be able to have children again, and that makes me feel like I'm losing part of who I am." Which nursing response is most appropriate?Answer →
270A nurse is preparing to teach a client about sitz baths. Which Of the following information should the nurse plan to include?Answer →
271Complete the following sentences by using the list of options. The nurse should clarify the prescription for [blank1] because [blank2].Answer →
272A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min. Which of the following actions should the nurse take first?Answer →
273Review the electronic health record. Complete the diagram by selecting from the choices below to specify what condition the client is likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
274Most common cause of preventable maternal death.Answer →
275A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period. Which of the following actions should the nurse take?Answer →
276The nurse is providing education to a group of postpartum clients. Which statement regarding postpartum blues should the nurse include when educating these clients?Answer →
277A nurse is preparing to administer Carboprost (Hemabate) to a client who experienced a vaginal delivery 2 hours ago. The nurse should explain to the client that the purpose of this medication is to prevent any of the following conditions?Answer →
278A nurse is assessing a client who received methylergonovine to treat uterine atony in the fourth stage of labor. Which of the following findings should the nurse identify as an adverse effect of the medication?Answer →
279A nurse is assessing a client 1 hour after a vaginal birth. The client's fundus feels soft and boggy. The nurse's priority action should beAnswer →
280A postpartum client comes to the clinic for her routine 6-week visit. The nurse assesses the client and suspects that she is experiencing subinvolution based on which finding?Answer →
281Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and a localized bluish bulging area just under the skin at the perineum. The woman also reports significant pelvic pain and is experiencing problems with voiding. The nurse suspects which condition?Answer →
282A nurse is caring for a client who had a vaginal birth 4 hr ago and had a 3rd-degree perineal laceration with repair. The client has been unable to void since giving birth. Which of the following findings indicates the need for straight catheterization?Answer →
283A nurse is caring for a client who is experiencing heavy lochia rubra following birth. The nurse calculates the shock index value to be 0.8. Which of the following types of shock should the nurse identify the client is experiencing?Answer →
284A nurse is preparing to administer methylergonovine IM to a client who had a vaginal delivery earlier that day. Which statement by the nurse best explains the purpose of this medication to the client?Answer →
285When discussing with a client the different forms of contraception, which would be considered a barrier method?Answer →
286Immediately after delivery, the health care provider prescribes oxytocin 25 units IV to be infused over 45 minutes. The available concentration is oxytocin 50 units in 500 ml D5W. What rate should the nurse set the IV pump to infuse at? Round the answer to the nearest tenth.Answer →
287A nurse is informing a pregnant client about the contraceptives they can use in the postpartum period. Which statement describes the benefit of medroxyprogesterone acetate (Depo-Provera)?Answer →
288Which lochia characteristics indicate a potential complication? (Select all that apply.)Answer →
289A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?Answer →
290The nurse is instructing a client with dysmenorrhea on how to manage her symptoms. Which of the following should the nurse include in the teaching plan?Answer →
291On postpartum day 3, a client states, "I cry for no reason and feel overwhelmed, but I love my baby." What is the most appropriate nursing response?Answer →
292A client who is Rh-negative delivers an Rh-positive infant. Which nursing action is most important?Answer →
293A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 7 lb 6 oz. Rupture of membranes 40 hr before birth, with meconium stained. The nurse should recognize that this client is at risk for which of the following postpartum complications?Answer →