PN NCLEX Postpartum Exam
Questions and Answers
a client is admitted to the labor and delivery Suite with an intrauterine fetal demise. The
nurse determines that the discussion with the parents was effective in preparing them
for the delivery when the parents make which response - Answer-request to hold the
infant following delivery
the goal for the postpartum client with deep thrombophlebitis is to prevent the
complication of pulmonary embolism. And planning care to assist in meeting this goal
the nurse should perform which action - Answer-administer anticoagulants as
prescribed
the nurse is checking lochia discharge on a clot in the immediate postpartum. And notes
that the lochia is bright red and contain some small clots. Which interpretation should
the nurse make about this finding - Answer-is normal
the nurse is reinforcing instructions to a mother who is bottle feeding a baby who is
complaining of breast engorgement. Which statement by the client indicates a need for
further teaching - Answer-I should avoid wearing a bra at this time
the nurse palpates the furnace and checks the character of the lochia of a postpartum
client who is in the fourth stage of Labor. Which lochia characteristic should the nurse
expect to note - Answer-red
the new breastfeeding mother has been seen in the clinic for the treatment of mastitis.
Which comment by the mother would indicate a need for further teaching - Answer-my
left breast is sore, so I will offer only my right breast frequently for breastfeeding
the nurse is about to reinforce discharge instructions to a postpartum client who
delivered a healthy newborn infant. The occurrence of which event should be reported
to the healthcare provider - Answer-pain, redness, or swelling in the breast
the nurse is preparing a list of self care instructions for a postpartum client who has
been diagnosed with mastitis. Which instruction should be included on the list - Answer-
rest during the acute phase
wear a supportive non underwire bra
maintain a fluid intake of at least 3000 ml
continue to breastfeed if the breast are not too sore
, the nurse provides instructions to a breastfeeding mother who is experiencing breast
engorgement about measures that will provide Comfort. Which statement by the mother
indicates an understanding of these measures - Answer-I will massage the breast
before feeding to stimulate let down
the nurse provides explanation to a client prescribed methylergonovine maleate in the
imminent postpartum period. which statement made by the client demonstrates
understanding of the rationale for administration - Answer-it will help prevent and control
bleeding if it occurs
the nurse is reviewing the procedure of vitamin K injection in a newborn. Which
information is included in the procedure - Answer-inject into skin that has been cleansed
and allowed to have alcohol dry on the puncture site for 1 minute
which nursing action would decrease the discomfort of an episiotomy - Answer-
performing sitz bath
applying ice packs to the perineum for the first 12 to 24 hours
a postpartum client is getting ready for discharge. The nurse suspects that the client
needs further teaching related to breastfeeding when she makes which statement -
Answer-I don't need birth control because I will be breastfeeding
a client had a cesarean delivery with a low transverse uterine incision. Which is the
benefit of this type of incision - Answer-it allows a vaginal birth after cesarean to be
possible in a subsequent pregnancy
the nurse is providing nutritional counseling to a new mother who is breastfeeding her
newborn. The nurse instructs the mother to increase her daily caloric intake by which
amount - Answer-500 calories per day
the nurse is collecting data on a client who is 6 hours postpartum following delivery of a
full-term healthy newborn. The client tells the nurse that she feels faint and dizzy. Which
nursing action is appropriate - Answer-instructing mother to request help in getting out
of bed
which safety measure that should be implemented when working in the newborn
Nursery - Answer-adhere to standard precautions
the parent should be instructed to not release their infant to anyone wearing improper
identification
the mother should be fingerprinted and the infant should be foot printed on the
identification card before removing the infant from the delivery room
Questions and Answers
a client is admitted to the labor and delivery Suite with an intrauterine fetal demise. The
nurse determines that the discussion with the parents was effective in preparing them
for the delivery when the parents make which response - Answer-request to hold the
infant following delivery
the goal for the postpartum client with deep thrombophlebitis is to prevent the
complication of pulmonary embolism. And planning care to assist in meeting this goal
the nurse should perform which action - Answer-administer anticoagulants as
prescribed
the nurse is checking lochia discharge on a clot in the immediate postpartum. And notes
that the lochia is bright red and contain some small clots. Which interpretation should
the nurse make about this finding - Answer-is normal
the nurse is reinforcing instructions to a mother who is bottle feeding a baby who is
complaining of breast engorgement. Which statement by the client indicates a need for
further teaching - Answer-I should avoid wearing a bra at this time
the nurse palpates the furnace and checks the character of the lochia of a postpartum
client who is in the fourth stage of Labor. Which lochia characteristic should the nurse
expect to note - Answer-red
the new breastfeeding mother has been seen in the clinic for the treatment of mastitis.
Which comment by the mother would indicate a need for further teaching - Answer-my
left breast is sore, so I will offer only my right breast frequently for breastfeeding
the nurse is about to reinforce discharge instructions to a postpartum client who
delivered a healthy newborn infant. The occurrence of which event should be reported
to the healthcare provider - Answer-pain, redness, or swelling in the breast
the nurse is preparing a list of self care instructions for a postpartum client who has
been diagnosed with mastitis. Which instruction should be included on the list - Answer-
rest during the acute phase
wear a supportive non underwire bra
maintain a fluid intake of at least 3000 ml
continue to breastfeed if the breast are not too sore
, the nurse provides instructions to a breastfeeding mother who is experiencing breast
engorgement about measures that will provide Comfort. Which statement by the mother
indicates an understanding of these measures - Answer-I will massage the breast
before feeding to stimulate let down
the nurse provides explanation to a client prescribed methylergonovine maleate in the
imminent postpartum period. which statement made by the client demonstrates
understanding of the rationale for administration - Answer-it will help prevent and control
bleeding if it occurs
the nurse is reviewing the procedure of vitamin K injection in a newborn. Which
information is included in the procedure - Answer-inject into skin that has been cleansed
and allowed to have alcohol dry on the puncture site for 1 minute
which nursing action would decrease the discomfort of an episiotomy - Answer-
performing sitz bath
applying ice packs to the perineum for the first 12 to 24 hours
a postpartum client is getting ready for discharge. The nurse suspects that the client
needs further teaching related to breastfeeding when she makes which statement -
Answer-I don't need birth control because I will be breastfeeding
a client had a cesarean delivery with a low transverse uterine incision. Which is the
benefit of this type of incision - Answer-it allows a vaginal birth after cesarean to be
possible in a subsequent pregnancy
the nurse is providing nutritional counseling to a new mother who is breastfeeding her
newborn. The nurse instructs the mother to increase her daily caloric intake by which
amount - Answer-500 calories per day
the nurse is collecting data on a client who is 6 hours postpartum following delivery of a
full-term healthy newborn. The client tells the nurse that she feels faint and dizzy. Which
nursing action is appropriate - Answer-instructing mother to request help in getting out
of bed
which safety measure that should be implemented when working in the newborn
Nursery - Answer-adhere to standard precautions
the parent should be instructed to not release their infant to anyone wearing improper
identification
the mother should be fingerprinted and the infant should be foot printed on the
identification card before removing the infant from the delivery room
