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NCLEX-RN Exam (Postpartum, Newborn) 2026/2027
Actual Complete Real Verified Exam Questions and
Correct Answers | Verified Answers / Already Graded
A+ | Newest Exam!!!
When performing a PP assessment on a client, the nurse
notes the presence of clots in the lochia. The nurse
examines the clots and notes that they are larger than 1
cm. Which of the following nursing actions is most
appropriate?
A) Document the findings
B) Notify the physician
C) Reassess the client in 2 hours
D) Encourage increased intake of fluids - Answer-B) Notify
the physician
Rationale: Normally, one may find a few small clots in the
first 1 to 2 days after birth from pooling of blood in the
vagina. Clots larger than 1 cm are considered abnormal.
The cause of these clots, such as uterine atony or retained
placental fragments, needs to be determined and treated
to prevent further blood loss. Although the findings would
be documented, the most appropriate action is to notify
the physician.
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A nurse in a PP unit is instructing a mother regarding
lochia and the amount of expected lochia drainage. The
nurse instructs the mother that the normal amount of
lochia may vary but should never exceed the need for:
A) One peripad per day
B) Two peripads per day
C) Three peripads per day
D) Eight peripads per day - Answer-D) Eight peripads per
day
Rationale: The normal amount of lochia may vary with the
individual but should never exceed 4 to 8 peripads per
day. The average number of peripads is 6 per day.
A PP nurse is providing instructions to a woman after
delivery of a healthy newborn infant. The nurse instructs
the mother that she should expect normal bowel
elimination to return:
A) One the day of the delivery
B) 3 days PP
C) 7 days PP
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D) within 2 weeks PP - Answer-B) 3 days PP
Rationale: After birth, the nurse should auscultate the
woman's abdomen in all four quadrants to determine the
return of bowel sounds. Normal bowel elimination usually
returns 2 to 3 days PP. Surgery, anesthesia, and the use
of narcotics and pain control agents also contribute to the
longer period of altered bowel function
Select all of the physiological maternal changes that occur
during the PP period. (Select all that apply)
A) Cervical involution occurs
B) Vaginal distention decreases slowly
C) Fundus begins to descend into the pelvis after 24 hours
D) Cardiac output decreases with resultant tachycardia in
the first 24 hours
E) Digestive processes slow immediately - Answer-A)
Cervical involution occurs
C) Fundus begins to descend into the pelvis after 24 hours
Rationale: After 1 week the muscle begins to regenerate
and the cervix feels firm and the external os is the width of
a pencil. Although the vaginal mucosa heals and vaginal
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distention decreases, it takes the entire PP period for
complete involution to occur and muscle tone is never
restored to the pregravid state. The fundus begins to
descent into the pelvic cavity after 24 hours, a process
known as involution. Despite blood loss that occurs during
delivery of the baby, a transient increase in cardiac output
occurs. The increase in cardiac output, which persists
about 48 hours after childbirth, is probably caused by an
increase in stroke volume because Bradycardia is often
noted during the PP period. Soon after childbirth, digestion
begins to begin to be active and the new mother is usually
hungry because of the energy expended during labor.
A postpartum nurse is preparing to care for a woman who
has just delivered a healthy newborn infant. In the
immediate postpartum period the nurse plans to take the
woman's vital signs:
A) Every 30 minutes during the first hour and then every
hour for the next two hours.
B) Every 15 minutes during the first hour and then every
30 minutes for the next two hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every
hour for the next 4 hours. - Answer-B) Every 15 minutes
during the first hour and then every 30 minutes for the next
two hours.
NCLEX-RN Exam (Postpartum, Newborn) 2026/2027
Actual Complete Real Verified Exam Questions and
Correct Answers | Verified Answers / Already Graded
A+ | Newest Exam!!!
When performing a PP assessment on a client, the nurse
notes the presence of clots in the lochia. The nurse
examines the clots and notes that they are larger than 1
cm. Which of the following nursing actions is most
appropriate?
A) Document the findings
B) Notify the physician
C) Reassess the client in 2 hours
D) Encourage increased intake of fluids - Answer-B) Notify
the physician
Rationale: Normally, one may find a few small clots in the
first 1 to 2 days after birth from pooling of blood in the
vagina. Clots larger than 1 cm are considered abnormal.
The cause of these clots, such as uterine atony or retained
placental fragments, needs to be determined and treated
to prevent further blood loss. Although the findings would
be documented, the most appropriate action is to notify
the physician.
,2|Page
A nurse in a PP unit is instructing a mother regarding
lochia and the amount of expected lochia drainage. The
nurse instructs the mother that the normal amount of
lochia may vary but should never exceed the need for:
A) One peripad per day
B) Two peripads per day
C) Three peripads per day
D) Eight peripads per day - Answer-D) Eight peripads per
day
Rationale: The normal amount of lochia may vary with the
individual but should never exceed 4 to 8 peripads per
day. The average number of peripads is 6 per day.
A PP nurse is providing instructions to a woman after
delivery of a healthy newborn infant. The nurse instructs
the mother that she should expect normal bowel
elimination to return:
A) One the day of the delivery
B) 3 days PP
C) 7 days PP
,3|Page
D) within 2 weeks PP - Answer-B) 3 days PP
Rationale: After birth, the nurse should auscultate the
woman's abdomen in all four quadrants to determine the
return of bowel sounds. Normal bowel elimination usually
returns 2 to 3 days PP. Surgery, anesthesia, and the use
of narcotics and pain control agents also contribute to the
longer period of altered bowel function
Select all of the physiological maternal changes that occur
during the PP period. (Select all that apply)
A) Cervical involution occurs
B) Vaginal distention decreases slowly
C) Fundus begins to descend into the pelvis after 24 hours
D) Cardiac output decreases with resultant tachycardia in
the first 24 hours
E) Digestive processes slow immediately - Answer-A)
Cervical involution occurs
C) Fundus begins to descend into the pelvis after 24 hours
Rationale: After 1 week the muscle begins to regenerate
and the cervix feels firm and the external os is the width of
a pencil. Although the vaginal mucosa heals and vaginal
, 4|Page
distention decreases, it takes the entire PP period for
complete involution to occur and muscle tone is never
restored to the pregravid state. The fundus begins to
descent into the pelvic cavity after 24 hours, a process
known as involution. Despite blood loss that occurs during
delivery of the baby, a transient increase in cardiac output
occurs. The increase in cardiac output, which persists
about 48 hours after childbirth, is probably caused by an
increase in stroke volume because Bradycardia is often
noted during the PP period. Soon after childbirth, digestion
begins to begin to be active and the new mother is usually
hungry because of the energy expended during labor.
A postpartum nurse is preparing to care for a woman who
has just delivered a healthy newborn infant. In the
immediate postpartum period the nurse plans to take the
woman's vital signs:
A) Every 30 minutes during the first hour and then every
hour for the next two hours.
B) Every 15 minutes during the first hour and then every
30 minutes for the next two hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every
hour for the next 4 hours. - Answer-B) Every 15 minutes
during the first hour and then every 30 minutes for the next
two hours.
