N1022 Postpartum Exam Questions And Accurate Answers
Which client care assignment is the most appropriate assignment for a newly graduated
licensed practical nurse (LPN)? 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? Answer Hypertension and tachycardia
Which physiologic response should the nurse expect during the early postpartum
period? Answr diuresis
(SELECT ALL THAT APPLY) The nurse is teaching the client about breast-feeding. Which
instructions should she give to help the mother prevent mastitis? - Answer (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 for the discharge of a 24-year-old gravida 1, para 1,
non-English-speaking Hispanic client. The client's English-speaking cousin has been
used as a translator for the nurse and the client. Which nursing action takes priority?
Ordering home care to have a nurse visit the client in her home environment
The nurse cares for a newly delivered client and monitors the client for the complication
of urinary retention with overflow. Which of the following descriptions is consistent with
which scenario: retention with overflow? ANSWER A dribbling urge to void with an
average voiding of 100 ml
A postpartum client who has delivered vaginally complains of discomfort in the perineal
area when attempting to sit. Which instruction would be most helpful for comfort?
Answer "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 also identifies that the
mother is rubella-immune and with Rh-positive blood. Which client outcome takes
priority for this client? - Answer The client will verbalize the importance of reporting
changes in lochia flow.
(SELECT ALL THAT APPLY) The nurse observes numerous interactions between a
mother and her new son. The nurse would identify which of the following behaviors by
this mother as evidence of mother-neonate attachment? - Answer (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. The use of progestin
can increase the client's risk of: - Answer tubal or ectopic pregnancy.
Which of the following is the correct definition of puerperium? - Answer The 6 weeks
postbirth
The nurse evaluates a client who gave birth 24 hours ago. Which of the following
findings suggests the client needs further evaluation? - Answer Scant lochia rubra
The physician orders phytonadione (AquaMEPHYTON), 0.5 mg I.M., for a neonate who
was born 30 minutes ago. The nurse has a solution labeled 2 mg/ml. How many ml of
solution will the nurse administer to deliver this dose? - Answer 0.25
Lochia normally progresses in which of the following patterns? - Answer 1. Rubra first
3-4 days, small to moderate amount, contains mostly blood, fleshy odor, 2. Serosa, days
4-10, decreases to a small amount, brownish or pinkish in color, 3. Alba, after day 10,
becomes white or pale yellow, bleeding has stopped and discharge is composed of
mostly WBCs.
One day post cesarean section, a client describes incisional pain and rates it at a 3 on a
1-to-10 scale with 10 being the most painful. The physician orders ibuprofen (Motrin),
400 mg PO every 4 to 6 hours as needed. What is the appropriate nursing action when
administering this medication? Answer Administer the medication with meals or milk.
, Three hours postdelivery, the client is experiencing weakness and dizziness as she
attempts to get out of bed for the first time. The client's hemoglobin was 10.4 g/dl at the
close of her pregnancy. Two hours later, she asks to be able to void. Which nursing
action is the first priority? - Answer Calling for a second nurse to assist before
attempting to ambulate the client
As part of the postpartum follow-up, the nurse calls a new mother at home several days
after discharge. The client answers the telephone, becomes tearful, and tells the nurse
that she feels inadequate and is not managing the new role of mothering. Based on this
information, which of the following assessments would the nurse make? - Answer This is
normal behavior for a client 3 to 7 days postprुधpacking.
A client is at the end of her 1st postpartum day. While assessing her uterus, the nurse
expects to find the top of the fundus at the midline and at which position? - Answer One
fingerbreadth below the umbilicus
A client who delivered 24 hours ago has ongoing urine retention despite multiple
catheterizations. The doctor orders bethanechol (Urecholine), 10 mg po tid. The client
asks, "How does bethanechol act on the bladder?" How should the nurse respond? -
Answer "It stimulates the smooth muscle of the bladder."
A client is breast-feeding her baby and develops pain, redness, and swelling of her left
breast on the 9th postpartum day. The client is diagnosed with mastitis. The nurse who
is teaching the client about care of the infected breast should include what information?
- Answer Use a warm, moist compress over the painful area.
The nurse educates a client about oral contraceptive therapy. If a client misses three or
more consecutive pills, the nurse would teach her to: - Answer discontinue the present
pack, initiate an alternative form of contraception until menses occurs, and resume a
new pack on the same schedule.
A clinical pathway is guiding care for a postpartum client who had an uncomplicated
vaginal delivery of an 8-lb, 2-oz (3,686-g) baby 24 hours ago. The client has no
episiotomy and is bottle-feeding her baby. Which outcome should be achieved within the
next 8 hours? Answer Client will demonstrate ability to bottle-feed the neonate.
Which client care assignment is the most appropriate assignment for a newly graduated
licensed practical nurse (LPN)? 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? Answer Hypertension and tachycardia
Which physiologic response should the nurse expect during the early postpartum
period? Answr diuresis
(SELECT ALL THAT APPLY) The nurse is teaching the client about breast-feeding. Which
instructions should she give to help the mother prevent mastitis? - Answer (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 for the discharge of a 24-year-old gravida 1, para 1,
non-English-speaking Hispanic client. The client's English-speaking cousin has been
used as a translator for the nurse and the client. Which nursing action takes priority?
Ordering home care to have a nurse visit the client in her home environment
The nurse cares for a newly delivered client and monitors the client for the complication
of urinary retention with overflow. Which of the following descriptions is consistent with
which scenario: retention with overflow? ANSWER A dribbling urge to void with an
average voiding of 100 ml
A postpartum client who has delivered vaginally complains of discomfort in the perineal
area when attempting to sit. Which instruction would be most helpful for comfort?
Answer "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 also identifies that the
mother is rubella-immune and with Rh-positive blood. Which client outcome takes
priority for this client? - Answer The client will verbalize the importance of reporting
changes in lochia flow.
(SELECT ALL THAT APPLY) The nurse observes numerous interactions between a
mother and her new son. The nurse would identify which of the following behaviors by
this mother as evidence of mother-neonate attachment? - Answer (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. The use of progestin
can increase the client's risk of: - Answer tubal or ectopic pregnancy.
Which of the following is the correct definition of puerperium? - Answer The 6 weeks
postbirth
The nurse evaluates a client who gave birth 24 hours ago. Which of the following
findings suggests the client needs further evaluation? - Answer Scant lochia rubra
The physician orders phytonadione (AquaMEPHYTON), 0.5 mg I.M., for a neonate who
was born 30 minutes ago. The nurse has a solution labeled 2 mg/ml. How many ml of
solution will the nurse administer to deliver this dose? - Answer 0.25
Lochia normally progresses in which of the following patterns? - Answer 1. Rubra first
3-4 days, small to moderate amount, contains mostly blood, fleshy odor, 2. Serosa, days
4-10, decreases to a small amount, brownish or pinkish in color, 3. Alba, after day 10,
becomes white or pale yellow, bleeding has stopped and discharge is composed of
mostly WBCs.
One day post cesarean section, a client describes incisional pain and rates it at a 3 on a
1-to-10 scale with 10 being the most painful. The physician orders ibuprofen (Motrin),
400 mg PO every 4 to 6 hours as needed. What is the appropriate nursing action when
administering this medication? Answer Administer the medication with meals or milk.
, Three hours postdelivery, the client is experiencing weakness and dizziness as she
attempts to get out of bed for the first time. The client's hemoglobin was 10.4 g/dl at the
close of her pregnancy. Two hours later, she asks to be able to void. Which nursing
action is the first priority? - Answer Calling for a second nurse to assist before
attempting to ambulate the client
As part of the postpartum follow-up, the nurse calls a new mother at home several days
after discharge. The client answers the telephone, becomes tearful, and tells the nurse
that she feels inadequate and is not managing the new role of mothering. Based on this
information, which of the following assessments would the nurse make? - Answer This is
normal behavior for a client 3 to 7 days postprुधpacking.
A client is at the end of her 1st postpartum day. While assessing her uterus, the nurse
expects to find the top of the fundus at the midline and at which position? - Answer One
fingerbreadth below the umbilicus
A client who delivered 24 hours ago has ongoing urine retention despite multiple
catheterizations. The doctor orders bethanechol (Urecholine), 10 mg po tid. The client
asks, "How does bethanechol act on the bladder?" How should the nurse respond? -
Answer "It stimulates the smooth muscle of the bladder."
A client is breast-feeding her baby and develops pain, redness, and swelling of her left
breast on the 9th postpartum day. The client is diagnosed with mastitis. The nurse who
is teaching the client about care of the infected breast should include what information?
- Answer Use a warm, moist compress over the painful area.
The nurse educates a client about oral contraceptive therapy. If a client misses three or
more consecutive pills, the nurse would teach her to: - Answer discontinue the present
pack, initiate an alternative form of contraception until menses occurs, and resume a
new pack on the same schedule.
A clinical pathway is guiding care for a postpartum client who had an uncomplicated
vaginal delivery of an 8-lb, 2-oz (3,686-g) baby 24 hours ago. The client has no
episiotomy and is bottle-feeding her baby. Which outcome should be achieved within the
next 8 hours? Answer Client will demonstrate ability to bottle-feed the neonate.
