N1022 Postpartum Q&A
Which client care assignment is the most appropriate assignment for a newly graduated
licensed practical nurse (LPN)? - (correct answer)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?
- (correct answer)Hypertension and tachycardia
Which physiologic response should the nurse expect during the early postpartum
period? - (correct answer)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? - (correct
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 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? - (correct
answer)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? - (correct answer)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? - (correct
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 notes that the mother is
rubella-immune with Rh-positive blood. Which client outcome takes priority for this
client? - (correct answer)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? - (correct 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. Progestin use may
increase the client's risk of: - (correct answer)tubal or ectopic pregnancy.
Which of the following correctly defines puerperium? - (correct answer)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? - (correct answer)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? - (correct answer)0.25
Lochia normally progresses in which of the following patterns? - (correct
answer)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? -
(correct answer)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? - (correct answer)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? -
(correct answer)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? - (correct
answer)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? - (correct answer)"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? - (correct
answer)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: - (correct answer)discard the
pack, use an alternative contraceptive method until her menses begins, and start a new
pack on the regular schedule.
Which client care assignment is the most appropriate assignment for a newly graduated
licensed practical nurse (LPN)? - (correct answer)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?
- (correct answer)Hypertension and tachycardia
Which physiologic response should the nurse expect during the early postpartum
period? - (correct answer)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? - (correct
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 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? - (correct
answer)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? - (correct answer)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? - (correct
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 notes that the mother is
rubella-immune with Rh-positive blood. Which client outcome takes priority for this
client? - (correct answer)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? - (correct 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. Progestin use may
increase the client's risk of: - (correct answer)tubal or ectopic pregnancy.
Which of the following correctly defines puerperium? - (correct answer)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? - (correct answer)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? - (correct answer)0.25
Lochia normally progresses in which of the following patterns? - (correct
answer)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? -
(correct answer)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? - (correct answer)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? -
(correct answer)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? - (correct
answer)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? - (correct answer)"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? - (correct
answer)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: - (correct answer)discard the
pack, use an alternative contraceptive method until her menses begins, and start a new
pack on the regular schedule.
