Postpartum NCLEX Style Questions with Verified Answers Graded A+
A nurse is preparing a list of self-care instructions for A, B, C, D
a postpartum client who was diagnosed with mastitis.
Which of the following instructions would be included on Client instructions include resting during the acute phase,
the list? maintaining a fluid intake of at least 3000ml/day (if not
A. Wear a supportive bra contraindicated), taking analgesics to relieve discomfort.
B. Rest during the acute phase Antibiotics may be prescribed and are taken UNTIL THE
C. Maintain a fluid intake of at least 3000 ml COMPLETE PRESCRIBED COURSE IS FINISHED. Additional
D Continue to breast-feed if the breasts are not too sore. supportive measures include the use of moist heat or ice
E. Take the prescribed antibiotics until the soreness sub- packs and wearing a supportive bra. CONTINUED DECOM-
sides. PRESSION of the breast by breast-feeding or breast pump
F. Avoid decompression of the breasts by breast-feeding is important to empty the breast and prevent the formation
or breast pump. of an abscess.
A.
A nurse is teaching a postpartum client about breast-feed-
ing. Which of the following instructions should the nurse
A diet for a breast-feeding patient should include addi-
include?
tional fluids. Prenatal vitamins should be taken as pre-
A. The diet should include additional fluids
scribed and soap should not be used on the breast be-
B. Prenatal vitamins should be discontinued
cause it removes natural oils which increases the chance
C. Soap should be used to cleanse the breasts.
of cracked nipples. Breast-feeding is not a sole method
D. Birth control measures are unnecessary while
of contraception, so birth control measures should be
breast-feeding.
resumed.
A postpartum client is diagnosed with cystitis .The nurse
B.
plans for which priority nursing intervention in the care of
the client?
Cystitis is an infection of the bladder. The client should
A. Providing Sitz baths
consume 3000ml/day if not contraindicated. Sitz baths
B. Encouraging fluid intake
and ice would be appropriate interventions for perineal
C. Placing ice on the perineum
discomfort. H&H would be monitored with hemorrhage.
D. Monitoring hemoglobin and hematocrit levels.
After a precipitous delivery, a nurse notes that the new
mother is passive and only touches her newborn infant
briefly with her fingertips. The nurse should do which
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, Postpartum NCLEX Style Questions with Verified Answers Graded A+
of the following to help the woman process what has
B.
happened?
Precipitous labor is labor that lasts less than 3 hours.
A. Encourage the mother to breast-feed soon after birth.
Women who have experienced precipitous labor often
B. Support the mother in her reaction to the newborn
describe the feelings of disbelief that their labor pro-
infant.
gressed so rapidly. To assist the client to process what has
C. Tell the mother that it is important to hold the newborn
happened the best option is to support the client in her
infant.
reaction to the newborn infant. Options A, C, and D do not
D. Document a complete account of the mother's reaction
acknowledge the client's feelings.
on the birth record.
A client who is breast-feeding her newborn infant is ex-
D.
periencing nipple soreness. To relieve the soreness, the
The nurse would suggest the mother position the infant in
nurse suggests that the client:
this manner. Rotating breast-feeding positions; breaking
A. Avoid rotating breast-feeding positions.
suction with the little finger; nursing frequently; begin
B. Stop nursing until the nipples heal
feeding on the less sore nipple; not allowing the newborn
C. Substitute a bottle-feeding until the nipples heal.
to chew on the nipple or to sleep holding the nipple in the
D. Position the infant with the ear, shoulder, and hip in
mouth and applying tea bags soaked in warm water to the
straight alignment with the infant's stomach against the
nipple are also measures to alleviate nipple soreness.
mother.
On assessment of a client who is 30 minutes into the
fourth stage of labor, the nurse finds the client's perineal
C.
pad saturated with blood and blood soaked into the bed
The most frequent cause of excessive bleeding or hemor-
linen under the client's buttocks. The nurse's initial action
rhage after childbirth is uterine atony. A major intervention
is which of the following.
to restore adequate tone is stimulation of the uterine
A. Call the physician
muscle via gently massaging the uterine fundus. Options
B. Assess the client's vital signs
A, B and D may be necessary eventually but are not initial
C. Gently massage the uterine fundus
actions. The initial action is to alleviate the problem.
D. Administer a 300ml bolus of a 20 units/L Oxy-
tocin(Pitocin) solution
A second-day postpartum client with diabetes mellitus has A.
scant lochia with a foul odor and a temperature of 101.6 Culture and sensitivity results should be obtained before
degrees F. The physician suspects infection and writes any antibiotic therapy is begun to avoid masking the mi-
2/7
A nurse is preparing a list of self-care instructions for A, B, C, D
a postpartum client who was diagnosed with mastitis.
Which of the following instructions would be included on Client instructions include resting during the acute phase,
the list? maintaining a fluid intake of at least 3000ml/day (if not
A. Wear a supportive bra contraindicated), taking analgesics to relieve discomfort.
B. Rest during the acute phase Antibiotics may be prescribed and are taken UNTIL THE
C. Maintain a fluid intake of at least 3000 ml COMPLETE PRESCRIBED COURSE IS FINISHED. Additional
D Continue to breast-feed if the breasts are not too sore. supportive measures include the use of moist heat or ice
E. Take the prescribed antibiotics until the soreness sub- packs and wearing a supportive bra. CONTINUED DECOM-
sides. PRESSION of the breast by breast-feeding or breast pump
F. Avoid decompression of the breasts by breast-feeding is important to empty the breast and prevent the formation
or breast pump. of an abscess.
A.
A nurse is teaching a postpartum client about breast-feed-
ing. Which of the following instructions should the nurse
A diet for a breast-feeding patient should include addi-
include?
tional fluids. Prenatal vitamins should be taken as pre-
A. The diet should include additional fluids
scribed and soap should not be used on the breast be-
B. Prenatal vitamins should be discontinued
cause it removes natural oils which increases the chance
C. Soap should be used to cleanse the breasts.
of cracked nipples. Breast-feeding is not a sole method
D. Birth control measures are unnecessary while
of contraception, so birth control measures should be
breast-feeding.
resumed.
A postpartum client is diagnosed with cystitis .The nurse
B.
plans for which priority nursing intervention in the care of
the client?
Cystitis is an infection of the bladder. The client should
A. Providing Sitz baths
consume 3000ml/day if not contraindicated. Sitz baths
B. Encouraging fluid intake
and ice would be appropriate interventions for perineal
C. Placing ice on the perineum
discomfort. H&H would be monitored with hemorrhage.
D. Monitoring hemoglobin and hematocrit levels.
After a precipitous delivery, a nurse notes that the new
mother is passive and only touches her newborn infant
briefly with her fingertips. The nurse should do which
1/7
, Postpartum NCLEX Style Questions with Verified Answers Graded A+
of the following to help the woman process what has
B.
happened?
Precipitous labor is labor that lasts less than 3 hours.
A. Encourage the mother to breast-feed soon after birth.
Women who have experienced precipitous labor often
B. Support the mother in her reaction to the newborn
describe the feelings of disbelief that their labor pro-
infant.
gressed so rapidly. To assist the client to process what has
C. Tell the mother that it is important to hold the newborn
happened the best option is to support the client in her
infant.
reaction to the newborn infant. Options A, C, and D do not
D. Document a complete account of the mother's reaction
acknowledge the client's feelings.
on the birth record.
A client who is breast-feeding her newborn infant is ex-
D.
periencing nipple soreness. To relieve the soreness, the
The nurse would suggest the mother position the infant in
nurse suggests that the client:
this manner. Rotating breast-feeding positions; breaking
A. Avoid rotating breast-feeding positions.
suction with the little finger; nursing frequently; begin
B. Stop nursing until the nipples heal
feeding on the less sore nipple; not allowing the newborn
C. Substitute a bottle-feeding until the nipples heal.
to chew on the nipple or to sleep holding the nipple in the
D. Position the infant with the ear, shoulder, and hip in
mouth and applying tea bags soaked in warm water to the
straight alignment with the infant's stomach against the
nipple are also measures to alleviate nipple soreness.
mother.
On assessment of a client who is 30 minutes into the
fourth stage of labor, the nurse finds the client's perineal
C.
pad saturated with blood and blood soaked into the bed
The most frequent cause of excessive bleeding or hemor-
linen under the client's buttocks. The nurse's initial action
rhage after childbirth is uterine atony. A major intervention
is which of the following.
to restore adequate tone is stimulation of the uterine
A. Call the physician
muscle via gently massaging the uterine fundus. Options
B. Assess the client's vital signs
A, B and D may be necessary eventually but are not initial
C. Gently massage the uterine fundus
actions. The initial action is to alleviate the problem.
D. Administer a 300ml bolus of a 20 units/L Oxy-
tocin(Pitocin) solution
A second-day postpartum client with diabetes mellitus has A.
scant lochia with a foul odor and a temperature of 101.6 Culture and sensitivity results should be obtained before
degrees F. The physician suspects infection and writes any antibiotic therapy is begun to avoid masking the mi-
2/7
