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POSTPARTUM NCLEX EXAM QUESTION BANK WITH
500 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES LATEST UPDATE JUST RELEASED THIS
YEAR
Question: A nurse is monitoring a client in the immediate postpartum period for signs of
hemorrhage. Which of the following signs, if noted, would be an early sign of excessive blood
loss?
A. A temperature of 100.4 F
B. A blood pressure change from 130/88 to 124/80mmHg
C. An increase in the pulse rate from 88 to 102
D. An increase in the RR from 18 to 22 breaths/min - CORRECT ANSWER✔✔C.
During the fourth stage of labor vitals should be checked every 15 min during the first hour. An
increasing in pulse is an early sign of excessive blood loss because the heart pumps faster to
compensate for reduced blood volume. The blood pressure decreases as the blood volume
diminishes but a decreased blood pressure would not be the earliest sign of hemorrhage. A
slight increase in temperature is normal immediately postpartum. The RR is slightly increased
from normal but not significant in this case.
Question: A discharge nurse is discussing mastitis with a postpartum client. Which of the
following statements by the client would indicate a need for further instruction?
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A. "If I develop a hot, reddened, triangle-shaped area on my breast, I should contact my
healthcare provider."
B. " I may develop mastitis if I wear underwire bras, experience excessive fatigue, or suddenly
decrease the number of feedings."
C."If I develop a fever, chills, or body aches at any time after discharge I should stop breast
feeding immediately."
D. "Antibiotics, rest, warm compresses, and adequate fluid intake are all important for the
treatment of mastitis." - CORRECT ANSWER✔✔C.
The mother should NOT discontinue breast-feeding
Question: Methylergonovine (Methergine) is prescribed for a woman who has just delivered a
healthy newborn infant. The priority assessment before administering the medication is to
check the clients:
A. Lochia
B. Uterine tone
C. Blood pressure
D. Deep tendon reflexes - CORRECT ANSWER✔✔C.
A priority assessment before the administration of Methergine is blood pressure. Methergine is
contraindicated in hypertension and must be administered cautiously in the presence of
elevated blood pressure. The physician should be notified if hypertension is present. Options A
and B are general components of postpartum assessment and nonspecific to the prescribed
medication in this case. Option D is related to the administration of magnesium sulfate.
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Question: A nurse obtains the vital signs on a mother who delivered a healthy newborn infant 2
hours ago and notes that the mother's temperature is 102 F. The appropriate nursing action
would be to:
A. Notify the physician
B. Remove the blanket from the client's bed
C. Document the finding and recheck the temperature in 4 hours.
D. Administer Acetaminophen (Tylenol) and recheck the temperature in 4 hours. - CORRECT
ANSWER✔✔A.
Vital signs are to return to normal within the first hour postpartum if no complication arise. If
the temperature is greater than 2F above normal this may indicate infection, and the physician
should be notified. Options B, C, and D are inaccurate nursing interventions for the client's
temperature of 102F 2 hours following delivery.
Question: A nurse has provided discharge instructions to a client who delivered a healthy infant
by cesarean delivery. Which statement made by the client indicates a need for further
instructions?
A. "I will begin abdominal exercises immediately."
B. " I will notify the physician if I develop a fever."
C. "I will turn on my side and push up with my arms to get out of bed."
D. " I will lift nothing heavier than the newborn infant for at least 2 weeks." - CORRECT
ANSWER✔✔A.
Abdominal exercises should not start immediately after abdominal surgery; the client should
wait at least 3-4 weeks postoperatively to allow for healing of the incision and approval from
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physician. Options B, C, and D are appropriate instructions for the client after a cesarean
delivery.
Q;A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed
with mastitis. Which of the following instructions would be included on the list?
A. Wear a supportive bra
B. Rest during the acute phase
C. Maintain a fluid intake of at least 3000 ml
D Continue to breast-feed if the breasts are not too sore.
E. Take the prescribed antibiotics until the soreness subsides.
F. Avoid decompression of the breasts by breast-feeding or breast pump. - CORRECT
ANSWER✔✔A, B, C, D
Client instructions include resting during the acute phase, maintaining a fluid intake of at least
3000ml/day (if not contraindicated), taking analgesics to relieve discomfort. Antibiotics may be
prescribed and are taken UNTIL THE COMPLETE PRESCRIBED COURSE IS FINISHED. Additional
supportive measures include the use of moist heat or ice packs and wearing a supportive bra.
CONTINUED DECOMPRESSION of the breast by breast-feeding or breast pump is important to
empty the breast and prevent the formation of an abscess.
Question: A nurse is teaching a postpartum client about breast-feeding. Which of the following
instructions should the nurse include?
4
SUCCESS!
POSTPARTUM NCLEX EXAM QUESTION BANK WITH
500 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES LATEST UPDATE JUST RELEASED THIS
YEAR
Question: A nurse is monitoring a client in the immediate postpartum period for signs of
hemorrhage. Which of the following signs, if noted, would be an early sign of excessive blood
loss?
A. A temperature of 100.4 F
B. A blood pressure change from 130/88 to 124/80mmHg
C. An increase in the pulse rate from 88 to 102
D. An increase in the RR from 18 to 22 breaths/min - CORRECT ANSWER✔✔C.
During the fourth stage of labor vitals should be checked every 15 min during the first hour. An
increasing in pulse is an early sign of excessive blood loss because the heart pumps faster to
compensate for reduced blood volume. The blood pressure decreases as the blood volume
diminishes but a decreased blood pressure would not be the earliest sign of hemorrhage. A
slight increase in temperature is normal immediately postpartum. The RR is slightly increased
from normal but not significant in this case.
Question: A discharge nurse is discussing mastitis with a postpartum client. Which of the
following statements by the client would indicate a need for further instruction?
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,Page 2 of 215
A. "If I develop a hot, reddened, triangle-shaped area on my breast, I should contact my
healthcare provider."
B. " I may develop mastitis if I wear underwire bras, experience excessive fatigue, or suddenly
decrease the number of feedings."
C."If I develop a fever, chills, or body aches at any time after discharge I should stop breast
feeding immediately."
D. "Antibiotics, rest, warm compresses, and adequate fluid intake are all important for the
treatment of mastitis." - CORRECT ANSWER✔✔C.
The mother should NOT discontinue breast-feeding
Question: Methylergonovine (Methergine) is prescribed for a woman who has just delivered a
healthy newborn infant. The priority assessment before administering the medication is to
check the clients:
A. Lochia
B. Uterine tone
C. Blood pressure
D. Deep tendon reflexes - CORRECT ANSWER✔✔C.
A priority assessment before the administration of Methergine is blood pressure. Methergine is
contraindicated in hypertension and must be administered cautiously in the presence of
elevated blood pressure. The physician should be notified if hypertension is present. Options A
and B are general components of postpartum assessment and nonspecific to the prescribed
medication in this case. Option D is related to the administration of magnesium sulfate.
2
SUCCESS!
,Page 3 of 215
Question: A nurse obtains the vital signs on a mother who delivered a healthy newborn infant 2
hours ago and notes that the mother's temperature is 102 F. The appropriate nursing action
would be to:
A. Notify the physician
B. Remove the blanket from the client's bed
C. Document the finding and recheck the temperature in 4 hours.
D. Administer Acetaminophen (Tylenol) and recheck the temperature in 4 hours. - CORRECT
ANSWER✔✔A.
Vital signs are to return to normal within the first hour postpartum if no complication arise. If
the temperature is greater than 2F above normal this may indicate infection, and the physician
should be notified. Options B, C, and D are inaccurate nursing interventions for the client's
temperature of 102F 2 hours following delivery.
Question: A nurse has provided discharge instructions to a client who delivered a healthy infant
by cesarean delivery. Which statement made by the client indicates a need for further
instructions?
A. "I will begin abdominal exercises immediately."
B. " I will notify the physician if I develop a fever."
C. "I will turn on my side and push up with my arms to get out of bed."
D. " I will lift nothing heavier than the newborn infant for at least 2 weeks." - CORRECT
ANSWER✔✔A.
Abdominal exercises should not start immediately after abdominal surgery; the client should
wait at least 3-4 weeks postoperatively to allow for healing of the incision and approval from
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physician. Options B, C, and D are appropriate instructions for the client after a cesarean
delivery.
Q;A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed
with mastitis. Which of the following instructions would be included on the list?
A. Wear a supportive bra
B. Rest during the acute phase
C. Maintain a fluid intake of at least 3000 ml
D Continue to breast-feed if the breasts are not too sore.
E. Take the prescribed antibiotics until the soreness subsides.
F. Avoid decompression of the breasts by breast-feeding or breast pump. - CORRECT
ANSWER✔✔A, B, C, D
Client instructions include resting during the acute phase, maintaining a fluid intake of at least
3000ml/day (if not contraindicated), taking analgesics to relieve discomfort. Antibiotics may be
prescribed and are taken UNTIL THE COMPLETE PRESCRIBED COURSE IS FINISHED. Additional
supportive measures include the use of moist heat or ice packs and wearing a supportive bra.
CONTINUED DECOMPRESSION of the breast by breast-feeding or breast pump is important to
empty the breast and prevent the formation of an abscess.
Question: A nurse is teaching a postpartum client about breast-feeding. Which of the following
instructions should the nurse include?
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