N1022 POSTPARTUM EXAM COMPLETE
QUESTIONS WITH VERIFIED ANSWERS
\.Which client care assignment is the most appropriate assignment for a newly
graduated licensed practical nurse (LPN)? - ANSWERS-A 24-year-old primigravida
who delivered a 6-lb, 4-oz (2,835-g) baby vaginally 4 hours ago and is unable to
void
\.A client is receiving oxytocin (Pitocin) to treat postpartum hemorrhage. When
planning the client's care, the nurse anticipates monitoring for which common
adverse reactions? - ANSWERS-Hypertension and tachycardia
\.Which physiologic response should the nurse expect during the early
postpartum period? - ANSWERS-diuresis
\.(SELECT ALL THAT APPLY) The nurse is instructing the client on breast-feeding.
Which instructions should she include to help the mother prevent mastitis? -
ANSWERS-(2) Change the breast pads frequently., (3) Expose your nipples to air
part of each day., (4) Wash your hands before handling your breast and breast-
feeding., (6) Release the baby's grasp on the nipple before removing him from the
breast.
\.The nurse is planning to discharge a 24-year-old gravida 1, para 1, non-English-
speaking Hispanic client. The client's English-speaking cousin is acting as a
translator for the nurse and client. Which nursing intervention takes priority? -
,ANSWERS-Arranging for a home care nurse to assess the client in her home
environment
\.When caring for a client who has recently delivered, the nurse assesses the client
for urinary retention with overflow. Which of the following descriptions provides
an accurate picture of retention with overflow? - ANSWERS-A varying urge to
urinate with an average output of 100 ml
\.After a vaginal delivery, a postpartum client complains of perineal discomfort
when sitting. To promote comfort, the nurse should provide which instruction? -
ANSWERS-"Contract your buttocks before sitting or rising."
\.The nurse is discharging a 34-year-old multipara client who, after 16 hours of
labor, delivered an 8-lb, 14-oz (4,032-g) baby vaginally. The nurse notes that the
mother is rubella-immune with Rh-positive blood. Which client outcome takes
priority for this client? - ANSWERS-The client will verbalize the importance of
reporting changes in lochia flow.
\.(SELECT ALL THAT APPLY) The nurse observes several interactions between a
mother and her new son. Which of the following behaviors by the mother would
the nurse identify as evidence of mother-neonate attachment? - ANSWERS-(1)
Talks and coos to her son, (2) Cuddles her son close to her
\.A client is taking a progestin-only oral contraceptive, or minipill. Progestin use
may increase the client's risk of: - ANSWERS-tubal or ectopic pregnancy.
\.Which of the following correctly defines puerperium? - ANSWERS-The 6 weeks
following birth
,\.The nurse assesses a client who gave birth 24 hours earlier. Which of the
following findings reveals the need for further evaluation? - ANSWERS-Scant
lochia rubra
\.The physician prescribes phytonadione (AquaMEPHYTON), 0.5 mg I.M., for a
neonate born 30 minutes ago. The nurse has a solution containing 2 mg/ml. How
many milliliters of solution should the nurse administer to achieve this dose? -
ANSWERS-0.25
\.Lochia normally progresses in which of the following patterns? - ANSWERS-
1.Rubra (first 3-4 days small to moderate amount contains mostly blood fleshy
odor), 2. Serosa (occurs days 4-10 decreases to small amount brownish or pinkish
in color) 3.Alba (occurs after day 10 becomes white or pale yellow, bleeding has
stopped and discharge is composed of mostly WBCs
\.One day after having a cesarean birth, a client complains of incisional pain that
she rates as a 3 on a 1-to-10 scale, with 10 representing the most severe pain. The
physician prescribed ibuprofen (Motrin), 400 mg by mouth every 4 to 6 hours, as
needed. Which intervention should the nurse take when administering this drug? -
ANSWERS-Administer the drug with meals or milk.
\.Three hours after birth, a client becomes weak and dizzy as she attempts to
ambulate for the first time. The client's hemoglobin level at the end of pregnancy
was 10.4 g/dl. Two hours later she asks to use the bathroom. Which nursing
intervention is the top priority? - ANSWERS-Obtaining the assistance of a second
nurse before attempting to assist the client with ambulation
, \.As part of the postpartum follow-up, the nurse calls a new mother at home a
few days after discharge. The client answers the telephone, begins to cry, and tells
the nurse that she has feelings of inadequacy and isn't coping with the demands
of motherhood. Based on this information, which of the following assessments
would the nurse make? - ANSWERS-This is expected behavior for a client 3 to 7
days postpartum.
\.A client is at the end of her 1st postpartum day. When assessing her uterus, the
nurse expects to find the top of the fundus at the midline and at which position? -
ANSWERS-One fingerbreadth below the umbilicus
\.A client who gave birth 24 hours ago continues to experience urine retention
after several catheterizations. The physician prescribes bethanechol (Urecholine),
10 mg by mouth three times per day. The client asks, "How does bethanechol act
on the bladder?" How should the nurse respond? - ANSWERS-"It stimulates the
smooth muscle of the bladder."
\.A client who is breast-feeding her baby experiences pain, redness, and swelling
of her left breast 9 days postpartum. She is diagnosed with mastitis. The nurse
teaching the client how to care for her infected breast should include which
information? - ANSWERS-Use a warm, moist compress over the painful area.
\.The nurse is teaching a client about oral contraceptive therapy. If a client misses
three or more pills in a row, the nurse should instruct her to: - ANSWERS-discard
the pack, use an alternative contraceptive method until her menses begins, and
start a new pack on the regular schedule.
QUESTIONS WITH VERIFIED ANSWERS
\.Which client care assignment is the most appropriate assignment for a newly
graduated licensed practical nurse (LPN)? - ANSWERS-A 24-year-old primigravida
who delivered a 6-lb, 4-oz (2,835-g) baby vaginally 4 hours ago and is unable to
void
\.A client is receiving oxytocin (Pitocin) to treat postpartum hemorrhage. When
planning the client's care, the nurse anticipates monitoring for which common
adverse reactions? - ANSWERS-Hypertension and tachycardia
\.Which physiologic response should the nurse expect during the early
postpartum period? - ANSWERS-diuresis
\.(SELECT ALL THAT APPLY) The nurse is instructing the client on breast-feeding.
Which instructions should she include to help the mother prevent mastitis? -
ANSWERS-(2) Change the breast pads frequently., (3) Expose your nipples to air
part of each day., (4) Wash your hands before handling your breast and breast-
feeding., (6) Release the baby's grasp on the nipple before removing him from the
breast.
\.The nurse is planning to discharge a 24-year-old gravida 1, para 1, non-English-
speaking Hispanic client. The client's English-speaking cousin is acting as a
translator for the nurse and client. Which nursing intervention takes priority? -
,ANSWERS-Arranging for a home care nurse to assess the client in her home
environment
\.When caring for a client who has recently delivered, the nurse assesses the client
for urinary retention with overflow. Which of the following descriptions provides
an accurate picture of retention with overflow? - ANSWERS-A varying urge to
urinate with an average output of 100 ml
\.After a vaginal delivery, a postpartum client complains of perineal discomfort
when sitting. To promote comfort, the nurse should provide which instruction? -
ANSWERS-"Contract your buttocks before sitting or rising."
\.The nurse is discharging a 34-year-old multipara client who, after 16 hours of
labor, delivered an 8-lb, 14-oz (4,032-g) baby vaginally. The nurse notes that the
mother is rubella-immune with Rh-positive blood. Which client outcome takes
priority for this client? - ANSWERS-The client will verbalize the importance of
reporting changes in lochia flow.
\.(SELECT ALL THAT APPLY) The nurse observes several interactions between a
mother and her new son. Which of the following behaviors by the mother would
the nurse identify as evidence of mother-neonate attachment? - ANSWERS-(1)
Talks and coos to her son, (2) Cuddles her son close to her
\.A client is taking a progestin-only oral contraceptive, or minipill. Progestin use
may increase the client's risk of: - ANSWERS-tubal or ectopic pregnancy.
\.Which of the following correctly defines puerperium? - ANSWERS-The 6 weeks
following birth
,\.The nurse assesses a client who gave birth 24 hours earlier. Which of the
following findings reveals the need for further evaluation? - ANSWERS-Scant
lochia rubra
\.The physician prescribes phytonadione (AquaMEPHYTON), 0.5 mg I.M., for a
neonate born 30 minutes ago. The nurse has a solution containing 2 mg/ml. How
many milliliters of solution should the nurse administer to achieve this dose? -
ANSWERS-0.25
\.Lochia normally progresses in which of the following patterns? - ANSWERS-
1.Rubra (first 3-4 days small to moderate amount contains mostly blood fleshy
odor), 2. Serosa (occurs days 4-10 decreases to small amount brownish or pinkish
in color) 3.Alba (occurs after day 10 becomes white or pale yellow, bleeding has
stopped and discharge is composed of mostly WBCs
\.One day after having a cesarean birth, a client complains of incisional pain that
she rates as a 3 on a 1-to-10 scale, with 10 representing the most severe pain. The
physician prescribed ibuprofen (Motrin), 400 mg by mouth every 4 to 6 hours, as
needed. Which intervention should the nurse take when administering this drug? -
ANSWERS-Administer the drug with meals or milk.
\.Three hours after birth, a client becomes weak and dizzy as she attempts to
ambulate for the first time. The client's hemoglobin level at the end of pregnancy
was 10.4 g/dl. Two hours later she asks to use the bathroom. Which nursing
intervention is the top priority? - ANSWERS-Obtaining the assistance of a second
nurse before attempting to assist the client with ambulation
, \.As part of the postpartum follow-up, the nurse calls a new mother at home a
few days after discharge. The client answers the telephone, begins to cry, and tells
the nurse that she has feelings of inadequacy and isn't coping with the demands
of motherhood. Based on this information, which of the following assessments
would the nurse make? - ANSWERS-This is expected behavior for a client 3 to 7
days postpartum.
\.A client is at the end of her 1st postpartum day. When assessing her uterus, the
nurse expects to find the top of the fundus at the midline and at which position? -
ANSWERS-One fingerbreadth below the umbilicus
\.A client who gave birth 24 hours ago continues to experience urine retention
after several catheterizations. The physician prescribes bethanechol (Urecholine),
10 mg by mouth three times per day. The client asks, "How does bethanechol act
on the bladder?" How should the nurse respond? - ANSWERS-"It stimulates the
smooth muscle of the bladder."
\.A client who is breast-feeding her baby experiences pain, redness, and swelling
of her left breast 9 days postpartum. She is diagnosed with mastitis. The nurse
teaching the client how to care for her infected breast should include which
information? - ANSWERS-Use a warm, moist compress over the painful area.
\.The nurse is teaching a client about oral contraceptive therapy. If a client misses
three or more pills in a row, the nurse should instruct her to: - ANSWERS-discard
the pack, use an alternative contraceptive method until her menses begins, and
start a new pack on the regular schedule.
