Postpartum and Care of the
Newborn NCLEX Complete
Verified Questions Provided with
A+ Graded Rationales Latest
Updated 2026
A nurse is assessing a postpartum client who gave birth vaginally 6 hours ago. The nurse notes
the client's temperature is 99.8°F (37.7°C). Which interpretation best describes this finding?
This is a normal finding related to the exertion of birth and dehydration.
The nurse is caring for a postpartum client who delivered vaginally. The client reports feeling a
sudden "gush" of discharge when she stands up to go to the bathroom. The nurse assesses the
uterus and finds it to be firm, midline, and at the level of the umbilicus. The lochia is dark red
with small clots. Which interpretation is best?
This is a normal postural discharge of lochia
A postpartum client is experiencing excessive vaginal bleeding. The nurse assesses the client's
uterus and finds it to be boggy. Which action should the nurse take first?
Massage the fundus of the uterus
The nurse is providing care for a postpartum client who had an episiotomy. When teaching the
client about perineal care, which instruction is most important?
Change the perineal pad frequently, wiping from front to back.
A client who is 2 days postpartum had a vaginal delivery with a second-degree perineal
laceration. The nurse observes the perineal pad and notes a moderate amount of bright red
lochia rubra with small clots. The fundus is firm and at the level of the umbilicus. Which action
is most appropriate based on these findings?
Document the findings as normal for 2 days postpartum
A nurse is caring for a postpartum client who is breastfeeding. The client reports her breasts are
warm, hard, and painful. The nurse assesses the breasts and notes they are engorged. Which
intervention should the nurse recommend?
Ensure breasts are completely emptied at each feeding through nursing or pumping.
, A postpartum client who is not breastfeeding reports breast discomfort. Which intervention
should the nurse suggest?
Wear a sports bra or compression dressing
The nurse is caring for a postpartum client who is receiving intravenous Oxytocin (Pitocin). The
nurse understands this medication is primarily used in the postpartum period to:
Promote uterine contractions to prevent hemorrhage.
Which medication is administered to postpartum clients to prevent/treat hemorrhage and is
contraindicated in clients with hypertension?
Methylergonovine (Methergine)
A postpartum client received an injection of Rh D immune globulin (RhoGAM). The nurse
understands this medication was given because the mother's blood type is:
Rh- and the baby's blood type is Rh+
The nurse is teaching a postpartum client about preventing constipation. Which intervention
should the nurse include in the teaching plan?
Increase oral intake and ambulate early
A postpartum client has reported difficulty voiding since delivery. The nurse suspects a
distended bladder. Which finding would support this suspicion?
The uterine fundus is above the umbilicus or displaced to one side.
The nurse is reinforcing teaching for a postpartum client about using a peri-bottle after voiding.
Which instruction should the nurse include?
Use the entire bottle of warm water for gentle cleansing
A postpartum client expresses concern about her abdominal muscles separating (diastasis recti).
The nurse should inform the client that:
While it can improve, muscle tone usually never completely returns to normal
A postpartum client is reporting pain from hemorrhoids. Which non-pharmacological
intervention can the nurse suggest for relief?
Using witch hazel pads (Tucks)
The nurse is assessing a postpartum client's emotional status. The client is focused on her
physical comfort and repeatedly talks about her birth experience. The nurse identifies this
behavior as characteristic of which maternal postpartum adjustment phase?
Newborn NCLEX Complete
Verified Questions Provided with
A+ Graded Rationales Latest
Updated 2026
A nurse is assessing a postpartum client who gave birth vaginally 6 hours ago. The nurse notes
the client's temperature is 99.8°F (37.7°C). Which interpretation best describes this finding?
This is a normal finding related to the exertion of birth and dehydration.
The nurse is caring for a postpartum client who delivered vaginally. The client reports feeling a
sudden "gush" of discharge when she stands up to go to the bathroom. The nurse assesses the
uterus and finds it to be firm, midline, and at the level of the umbilicus. The lochia is dark red
with small clots. Which interpretation is best?
This is a normal postural discharge of lochia
A postpartum client is experiencing excessive vaginal bleeding. The nurse assesses the client's
uterus and finds it to be boggy. Which action should the nurse take first?
Massage the fundus of the uterus
The nurse is providing care for a postpartum client who had an episiotomy. When teaching the
client about perineal care, which instruction is most important?
Change the perineal pad frequently, wiping from front to back.
A client who is 2 days postpartum had a vaginal delivery with a second-degree perineal
laceration. The nurse observes the perineal pad and notes a moderate amount of bright red
lochia rubra with small clots. The fundus is firm and at the level of the umbilicus. Which action
is most appropriate based on these findings?
Document the findings as normal for 2 days postpartum
A nurse is caring for a postpartum client who is breastfeeding. The client reports her breasts are
warm, hard, and painful. The nurse assesses the breasts and notes they are engorged. Which
intervention should the nurse recommend?
Ensure breasts are completely emptied at each feeding through nursing or pumping.
, A postpartum client who is not breastfeeding reports breast discomfort. Which intervention
should the nurse suggest?
Wear a sports bra or compression dressing
The nurse is caring for a postpartum client who is receiving intravenous Oxytocin (Pitocin). The
nurse understands this medication is primarily used in the postpartum period to:
Promote uterine contractions to prevent hemorrhage.
Which medication is administered to postpartum clients to prevent/treat hemorrhage and is
contraindicated in clients with hypertension?
Methylergonovine (Methergine)
A postpartum client received an injection of Rh D immune globulin (RhoGAM). The nurse
understands this medication was given because the mother's blood type is:
Rh- and the baby's blood type is Rh+
The nurse is teaching a postpartum client about preventing constipation. Which intervention
should the nurse include in the teaching plan?
Increase oral intake and ambulate early
A postpartum client has reported difficulty voiding since delivery. The nurse suspects a
distended bladder. Which finding would support this suspicion?
The uterine fundus is above the umbilicus or displaced to one side.
The nurse is reinforcing teaching for a postpartum client about using a peri-bottle after voiding.
Which instruction should the nurse include?
Use the entire bottle of warm water for gentle cleansing
A postpartum client expresses concern about her abdominal muscles separating (diastasis recti).
The nurse should inform the client that:
While it can improve, muscle tone usually never completely returns to normal
A postpartum client is reporting pain from hemorrhoids. Which non-pharmacological
intervention can the nurse suggest for relief?
Using witch hazel pads (Tucks)
The nurse is assessing a postpartum client's emotional status. The client is focused on her
physical comfort and repeatedly talks about her birth experience. The nurse identifies this
behavior as characteristic of which maternal postpartum adjustment phase?
