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OB Postpartum NCLEX Questions Exam 2025-2026 Review GRADED A+ QUESTIONS
WIT H CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
Which of the following complications is most likely responsible for a delayed
postpartum hemorrhage?
A) Cervical laceration
B) Clotting deficiency
C) Perineal laceration
D) Uterine subinvolution
D) Uterine subinvolution
Rationale: Late postpartum bleeding is often the result of subinvolution of the uterus.
Retained products of conception or infection often cause subinvolution. Cervical or
perineal lacerations can cause an immediate postpartum hemorrhage. A client with a
clotting deficiency may also have an immediate PP hemorrhage if the deficiency isn't
corrected at the time of delivery.
Before giving a PP client the rubella vaccine, which of the following facts
should the nurse include in client teaching?
A) The vaccine is safe in clients with egg allergies
B) Breast-feeding isn't compatible with the vaccine
C) Transient arthralgia and rash are common adverse effects
D) The client should avoid getting pregnant for 3 months after the vaccine
because the vaccine has teratogenic effects
D) The client should avoid getting pregnant for 3 months after the vaccine because
the vaccine has teratogenic effects
Rationale: The client must understand that she must not become pregnant for 3
months after the vaccination because of its potential teratogenic effects. The rubella
vaccine is made from duck eggs so an allergic reaction may occur in clients with egg
allergies. The virus is not transmitted into the breast milk, so clients may continue to
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breastfeed after the vaccination. Transient arthralgia and rash are common adverse
effects of the vaccine.
Which of the following changes best described the insulin needs of a client
with type 1 diabetes who has just delivered an infant vaginally without
complications?
A) Increase
B) Decrease
C) Remain the same as before pregnancy
D) Remain the same as during pregnancy
B) Decrease
Rationale: The placenta produces the hormone human placental lactogen, an insulin
antagonist. After birth, the placenta, the major source of insulin resistance, is gone.
Insulin needs decrease and women with type 1 diabetes may only need one-half to
two-thirds of the prenatal insulin during the first few PP days.
A postpartum nurse is preparing to care for a woman who has just delivered a
healthy newborn infant. In the immediate postpartum period the nurse plans to
take the woman's vital signs:
A) Every 30 minutes during the first hour and then every hour for the next two
hours.
B) Every 15 minutes during the first hour and then every 30 minutes for the
next two hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every hour for the next 4
hours.
B) Every 15 minutes during the first hour and then every 30 minutes for the next two
hours.
Rationale: Every 15 minutes during the first hour and then every 30 minutes for the
next two hours.
A postpartum nurse is taking the vital signs of a woman who delivered a
healthy newborn infant 4 hours ago. The nurse notes that the mother's
temperature is 100.2*F. Which of the following actions would be most
appropriate?
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A) Retake the temperature in 15 minutes
B) Notify the physician
C) Document the findings
D) Increase hydration by encouraging oral fluids
D) Increase hydration by encouraging oral fluids
Rationale: The mother's temperature may be taken every 4 hours while she is
awake. Temperatures up to 100.4 (38 C) in the first 24 hours after birth are often
related to the dehydrating effects of labor. The most appropriate action is to increase
hydration by encouraging oral fluids, which should bring the temperature to a normal
reading. Although the nurse would document the findings, the most appropriate
action would be to increase the hydration.
The nurse is assessing a client who is 6 hours PP after delivering a full-term
healthy infant. The client complains to the nurse of feelings of faintness and
dizziness. Which of the following nursing actions would be most appropriate?
A) Obtain hemoglobin and hematocrit levels
B) Instruct the mother to request help when getting out of bed
C) Elevate the mother's legs
D) Inform the nursery room nurse to avoid bringing the newborn infant to the
mother until the feelings of lightheadedness and dizziness have subsided
B) Instruct the mother to request help when getting out of bed
Rationale: Orthostatic hypotension may be evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that should caution the nurse to be
aware of the client's safety. The nurse should advise the mother to get help the first
few times the mother gets out of bed. Obtaining an H/H requires a physicians order.
A nurse is preparing to perform a fundal assessment on a postpartum client.
The initial nursing action in performing this assessment is which of the
following?
A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the knees and legs flat and straight
C) Ask the mother to urinate and empty her bladder
D) Massage the fundus gently before determining the level of the fundus.
OB Postpartum NCLEX Questions Exam 2025-2026 Review GRADED A+ QUESTIONS
WIT H CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
Which of the following complications is most likely responsible for a delayed
postpartum hemorrhage?
A) Cervical laceration
B) Clotting deficiency
C) Perineal laceration
D) Uterine subinvolution
D) Uterine subinvolution
Rationale: Late postpartum bleeding is often the result of subinvolution of the uterus.
Retained products of conception or infection often cause subinvolution. Cervical or
perineal lacerations can cause an immediate postpartum hemorrhage. A client with a
clotting deficiency may also have an immediate PP hemorrhage if the deficiency isn't
corrected at the time of delivery.
Before giving a PP client the rubella vaccine, which of the following facts
should the nurse include in client teaching?
A) The vaccine is safe in clients with egg allergies
B) Breast-feeding isn't compatible with the vaccine
C) Transient arthralgia and rash are common adverse effects
D) The client should avoid getting pregnant for 3 months after the vaccine
because the vaccine has teratogenic effects
D) The client should avoid getting pregnant for 3 months after the vaccine because
the vaccine has teratogenic effects
Rationale: The client must understand that she must not become pregnant for 3
months after the vaccination because of its potential teratogenic effects. The rubella
vaccine is made from duck eggs so an allergic reaction may occur in clients with egg
allergies. The virus is not transmitted into the breast milk, so clients may continue to
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breastfeed after the vaccination. Transient arthralgia and rash are common adverse
effects of the vaccine.
Which of the following changes best described the insulin needs of a client
with type 1 diabetes who has just delivered an infant vaginally without
complications?
A) Increase
B) Decrease
C) Remain the same as before pregnancy
D) Remain the same as during pregnancy
B) Decrease
Rationale: The placenta produces the hormone human placental lactogen, an insulin
antagonist. After birth, the placenta, the major source of insulin resistance, is gone.
Insulin needs decrease and women with type 1 diabetes may only need one-half to
two-thirds of the prenatal insulin during the first few PP days.
A postpartum nurse is preparing to care for a woman who has just delivered a
healthy newborn infant. In the immediate postpartum period the nurse plans to
take the woman's vital signs:
A) Every 30 minutes during the first hour and then every hour for the next two
hours.
B) Every 15 minutes during the first hour and then every 30 minutes for the
next two hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every hour for the next 4
hours.
B) Every 15 minutes during the first hour and then every 30 minutes for the next two
hours.
Rationale: Every 15 minutes during the first hour and then every 30 minutes for the
next two hours.
A postpartum nurse is taking the vital signs of a woman who delivered a
healthy newborn infant 4 hours ago. The nurse notes that the mother's
temperature is 100.2*F. Which of the following actions would be most
appropriate?
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A) Retake the temperature in 15 minutes
B) Notify the physician
C) Document the findings
D) Increase hydration by encouraging oral fluids
D) Increase hydration by encouraging oral fluids
Rationale: The mother's temperature may be taken every 4 hours while she is
awake. Temperatures up to 100.4 (38 C) in the first 24 hours after birth are often
related to the dehydrating effects of labor. The most appropriate action is to increase
hydration by encouraging oral fluids, which should bring the temperature to a normal
reading. Although the nurse would document the findings, the most appropriate
action would be to increase the hydration.
The nurse is assessing a client who is 6 hours PP after delivering a full-term
healthy infant. The client complains to the nurse of feelings of faintness and
dizziness. Which of the following nursing actions would be most appropriate?
A) Obtain hemoglobin and hematocrit levels
B) Instruct the mother to request help when getting out of bed
C) Elevate the mother's legs
D) Inform the nursery room nurse to avoid bringing the newborn infant to the
mother until the feelings of lightheadedness and dizziness have subsided
B) Instruct the mother to request help when getting out of bed
Rationale: Orthostatic hypotension may be evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that should caution the nurse to be
aware of the client's safety. The nurse should advise the mother to get help the first
few times the mother gets out of bed. Obtaining an H/H requires a physicians order.
A nurse is preparing to perform a fundal assessment on a postpartum client.
The initial nursing action in performing this assessment is which of the
following?
A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the knees and legs flat and straight
C) Ask the mother to urinate and empty her bladder
D) Massage the fundus gently before determining the level of the fundus.
