POSTPARTUM NCLEX 2026
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE \EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
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
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.
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?
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."
C.
The mother should NOT discontinue breast-feeding
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
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.
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.
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.
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."
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 physician. Options
B, C, and D are appropriate instructions for the client after a cesarean delivery.
A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes
that the client has saturated a perineal pad in 1 hour. The nurse reports the amount of lochial flow as:
A. Scant
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE \EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
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
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.
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?
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."
C.
The mother should NOT discontinue breast-feeding
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
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.
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.
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.
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."
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 physician. Options
B, C, and D are appropriate instructions for the client after a cesarean delivery.
A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes
that the client has saturated a perineal pad in 1 hour. The nurse reports the amount of lochial flow as:
A. Scant
