NSG 4525 Postpartum Exam Questions With
Correct Answers
A nurse is providing discharge teaching to a client who is 3 days postoperative
| | | | | | | | | | | | | |
following a cesarean birth. Which of the following client statement should
| | | | | | | | | | |
indicate to the nurse the teaching is effective? SATA
| | | | | | | |
-"I am likely to have a fever during the first week I am home."
| | | | | | | | | | | | |
-"I will resume taking my prenatal vitamins."
| | | | | |
-"I will call my provider if I have discharge from my incision."
| | | | | | | | | | |
-"I should not have unrelieved pain in my abdomen."
| | | | | | | |
-"I will rest in a recliner until my incision is healed." - CORRECT ANSWER✔✔--"I
| | | | | | | | | | | | | |
will resume taking my prenatal vitamins."
| | | | |
-"I will call my provider if I have discharge from my incision."
| | | | | | | | | | |
-"I should not have unrelieved pain in my abdomen."
| | | | | | | |
A nurse is performing a physical examination of a client who is 1 day postpartum.
| | | | | | | | | | | | | | |
Which of the following findings requires immediate interventions?
| | | | | | |
-Decreased urge to void | | |
-Increased urine output | |
-Displaced fundus from the midline | | | |
-Fundal height below the umbilicus - CORRECT ANSWER✔✔--Displaced fundus
| | | | | | | | |
from the midline
| |
A distended bladder can cause uterine atony and lateral displacement of the
| | | | | | | | | | | |
fundus from the midline of the lower abdomen, usually to the right. This requires
| | | | | | | | | | | | | |
, immediate intervention because the distended bladder pushes the uterus up and
| | | | | | | | | | |
to the side, which prevents it from contracting firmly. Uterine atony results from
| | | | | | | | | | | | |
the inability of the uterine muscle to contract adequately after birth. This can
| | | | | | | | | | | | |
lead to postpartum hemorrhage.
| | |
A nurse is caring for a client who is 1 hr postpartum and observes a large amount
| | | | | | | | | | | | | | | | |
of lochia rubra and several small clots on the client's perineal 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 the client.
| | | | | | | |
-Notify the client's provider.
| | |
-Increase the frequency of fundal massage.
| | | | |
-Encourage the client to empty her bladder. - CORRECT ANSWER✔✔--Document
| | | | | | | | | |
the findings and continue to monitor the client.
| | | | | | |
These are expected findings. At 1 hr postpartum, lochia rubra should be
| | | | | | | | | | | |
intermittent and associated with uterine contractions. The volume of lochia
| | | | | | | | | |
resembles that of a heavy menstrual period. Small clots are common. The nurse
| | | | | | | | | | | | |
should document the findings and continue to monitor the client.
| | | | | | | | |
A nurse is caring for a postpartum client who tells the nurse that she does not
| | | | | | | | | | | | | | | |
want any more children. The client asks which birth control method the nurse
| | | | | | | | | | | | |
would recommend. Which of the following responses should the nurse make?
| | | | | | | | | |
-"It's your choice, of course, but birth control pills are the most reliable."
| | | | | | | | | | | |
-"Your provider usually recommends a diaphragm and spermicidal cream."
| | | | | | | |
-"I'd consider an intrauterine device. You won't have to worry about pregnancy."
| | | | | | | | | | |
-"Let's talk about the available options and go from there." - CORRECT
| | | | | | | | | | | |
ANSWER✔✔--"Let's talk about the available options and go from there." | | | | | | | | |
Correct Answers
A nurse is providing discharge teaching to a client who is 3 days postoperative
| | | | | | | | | | | | | |
following a cesarean birth. Which of the following client statement should
| | | | | | | | | | |
indicate to the nurse the teaching is effective? SATA
| | | | | | | |
-"I am likely to have a fever during the first week I am home."
| | | | | | | | | | | | |
-"I will resume taking my prenatal vitamins."
| | | | | |
-"I will call my provider if I have discharge from my incision."
| | | | | | | | | | |
-"I should not have unrelieved pain in my abdomen."
| | | | | | | |
-"I will rest in a recliner until my incision is healed." - CORRECT ANSWER✔✔--"I
| | | | | | | | | | | | | |
will resume taking my prenatal vitamins."
| | | | |
-"I will call my provider if I have discharge from my incision."
| | | | | | | | | | |
-"I should not have unrelieved pain in my abdomen."
| | | | | | | |
A nurse is performing a physical examination of a client who is 1 day postpartum.
| | | | | | | | | | | | | | |
Which of the following findings requires immediate interventions?
| | | | | | |
-Decreased urge to void | | |
-Increased urine output | |
-Displaced fundus from the midline | | | |
-Fundal height below the umbilicus - CORRECT ANSWER✔✔--Displaced fundus
| | | | | | | | |
from the midline
| |
A distended bladder can cause uterine atony and lateral displacement of the
| | | | | | | | | | | |
fundus from the midline of the lower abdomen, usually to the right. This requires
| | | | | | | | | | | | | |
, immediate intervention because the distended bladder pushes the uterus up and
| | | | | | | | | | |
to the side, which prevents it from contracting firmly. Uterine atony results from
| | | | | | | | | | | | |
the inability of the uterine muscle to contract adequately after birth. This can
| | | | | | | | | | | | |
lead to postpartum hemorrhage.
| | |
A nurse is caring for a client who is 1 hr postpartum and observes a large amount
| | | | | | | | | | | | | | | | |
of lochia rubra and several small clots on the client's perineal 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 the client.
| | | | | | | |
-Notify the client's provider.
| | |
-Increase the frequency of fundal massage.
| | | | |
-Encourage the client to empty her bladder. - CORRECT ANSWER✔✔--Document
| | | | | | | | | |
the findings and continue to monitor the client.
| | | | | | |
These are expected findings. At 1 hr postpartum, lochia rubra should be
| | | | | | | | | | | |
intermittent and associated with uterine contractions. The volume of lochia
| | | | | | | | | |
resembles that of a heavy menstrual period. Small clots are common. The nurse
| | | | | | | | | | | | |
should document the findings and continue to monitor the client.
| | | | | | | | |
A nurse is caring for a postpartum client who tells the nurse that she does not
| | | | | | | | | | | | | | | |
want any more children. The client asks which birth control method the nurse
| | | | | | | | | | | | |
would recommend. Which of the following responses should the nurse make?
| | | | | | | | | |
-"It's your choice, of course, but birth control pills are the most reliable."
| | | | | | | | | | | |
-"Your provider usually recommends a diaphragm and spermicidal cream."
| | | | | | | |
-"I'd consider an intrauterine device. You won't have to worry about pregnancy."
| | | | | | | | | | |
-"Let's talk about the available options and go from there." - CORRECT
| | | | | | | | | | | |
ANSWER✔✔--"Let's talk about the available options and go from there." | | | | | | | | |
