1. You are the nurse reviewing the medical record of a client who experienced a vaginal
birth 2 hours ago. The nurse should identify which of the following findings places the
client as a risk for postpartum depression?
- Precipitous birth **
2. You are caring for a client who is experiencing shaking and chills during the immediate
postpartum period. What action would you do?
- Give the patient a warmed blanket
3. You are reinforcing discharging teaching with a client who is 2 days postpartum. Which
of the following statements should the nurse include in the teaching?
- Wash hands before feeding
- Wash hands before and after bathroom
4. You’re collecting data from a client who is 3 days postpartum and she is breastfeeding
her fundus is 3 finger breadths below the umbilicus and her lochia rubra is moderate and
her breast feels hard. What are some of the actions of the nurse?
- Express the milk from the breast
5. You are reinforcing discharge teaching with a client who is 2 days postpartum and has a
history of postpartum depression. What can the nurse suggest to the patient to help
alleviate her depression?
- Instruct the mother to get an adequate amount of sleep
6. You are preparing to administer methylergonovine IM for a client who had a vaginal
delivery earlier that day. The nurse should explain to the client that this medication will
help with what?
- Postpartum hemorrhage
7. You are caring for a client who is postpartum who saturates a perineal pad in 10 mins.
What actions should the nurse take?
- Massage the client’s fundus
8. You are caring for a client who is postpartum and is breastfeeding her infant. What are
the signs and symptoms of mastitis?
- Pain and redness in one breast
9. You are reinforcing discharge teaching with a client who is 3 days following a c-section.
Which of the following client statements indicates an understanding? (select all that
apply)
- Avoid sexual activity (or use condom)
- Contact physician if the discharge from incision site
- The patient should not experience unrelieved pain in the abdomen
10. You are reinforcing teaching about comfort measures for breast engorgement with a
client who is postpartum and is bottle feeding her newborn. What statement would the
client state that indicates her knowledge about getting milk production?
- Stimulate the nipple (squeeze softly)
11. You are caring for a client who is requesting to go to the bathroom immediately after
vaginal birth. Before you get up the patient, what is the first action of the nurse?
- Administer analgesics