Postpartum NCLEX Exam 2 COMPLETE
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Postpartum NCLEX Exam 1
QUESTION: A nurse is monitoring the vital signs of a client 24 hours after childbirth. She notes
that the client's blood pressure is 100/60 mm Hg. Which of the following postpartum
complications should the nurse most suspect in this client, based on this finding?
a) Postpartal gestational hypertension
b) Bleeding
c) Diabetes
d) Infection - ANSWER-Bleeding
Correct
Explanation:
Blood pressure should also be monitored carefully during the postpartal period, because a
decrease in this can also indicate bleeding. In contrast, an elevation above 140 mm Hg systolic
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or 90 mm Hg diastolic may indicate the development of postpartal gestational hypertension, an
unusual but serious complication of the puerperium. An infection would best be indicated by an
elevated oral temperature. Diabetes would be indicated by an elevated blood glucose level.
QUESTION: Bonding between a mother and her infant can be defined how?
a) An ongoing process in the year after delivery
b) The skin to skin contact that occurs in the delivery room
c) A process of developing an attachment and becoming acquainted with each other
d) Family growing closer together after the birth of a new baby - ANSWER-A process of
developing an attachment and becoming acquainted with each other
Correct
Explanation:
Bonding in the maternal-newborn world is the attachment process that occurs between a
mother and her newborn infant. This is how the mother and infant become engaged with each
other and is the foundation for the relationship. Because bonding is a process and not a single
event, option B is incorrect. The process of bonding is not a year-long process, so option C is
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incorrect. The family growing closer together after the birth of a new baby is not bonding, so
option D is incorrect.
QUESTION: The process by which the reproductive organs return to the nonpregnant size and
function is termed what?
a) Evolution
b) Involution
c) Decrement
d) Progression - ANSWER-Involution
Correct
Explanation:
Involution is the term used to describe the process of the return to nonpregnancy size and
function of reproductive organs. Evolution is change in the genetic material of a population of
organisms from one generation to the next. Decrement is the act or process of decreasing .
Progression is defined as movement through stages such as the progression of labor. Options A,
C, and D are distracters for this question.
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QUESTION: The nurse is caring for a client in the postpartum period. The client has difficulty in
voiding and is catheterized. The nurse then would monitor the client for which of the following?
a) Loss of pelvic muscle tone
b) Stress incontinence
c) Urinary tract infection
d) Increased urine output - ANSWER-Urinary tract infection
Correct
Explanation:
The nurse would need to monitor the client for signs and symptoms of a urinary tract infection,
a risk associated with catheterization. Stress incontinence is caused due to loss of pelvic muscle
tone after birth. Increased urinary output is observed in diuresis. Catheterization does not
cause loss of pelvic muscle tone, increased urine output, or stress incontinence.
Q; Rubin identified a series of changes that a new mother makes during the postpartum period.
The correct sequence of these changes is
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