Page 1 of 235
Postpartum NCLEX OB Exam ACTUAL EXAM ALL
400 QUESTIONS and CORRECT ANSWERS LATEST
UPDATE THIS YEAR
OB Postpartum NCLEX
QUESTION: 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 - ANSWER-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
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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.
QUESTION: 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. - ANSWER-C) Ask the
mother to urinate and empty her bladder
Rationale: Before starting the fundal assessment, the nurse should ask the mother to empty her
bladder so that an accurate assessment can be done. When the nurse is performing fundal
assessment, the nurse asks the woman to lie flat on her back with the knees flexed. Massaging
the fundus is not appropriate unless the fundus is boggy and soft, and then it should be
massaged gently until firm.
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QUESTION: The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the
lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:
A) Normal
B) Indicates the presence of infection
C) Indicates the need for increasing oral fluids
D) Indicates the need for increasing ambulation - ANSWER-B) Indicates the presence of
infection
Rationale: Lochia, the discharge present after birth, is red for the first 1 to 3 days and gradually
decreases in amount. Normal lochia has a fleshy odor. Foul smelling or purulent lochia usually
indicates infection, and these findings are not normal. Encouraging the woman to drink fluids or
increase ambulation is not an accurate nursing intervention
Q; 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.
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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. - ANSWER-
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.
QUESTION: 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?
A) Retake the temperature in 15 minutes
B) Notify the physician
C) Document the findings
D) Increase hydration by encouraging oral fluids - ANSWER-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
4
Postpartum NCLEX OB Exam ACTUAL EXAM ALL
400 QUESTIONS and CORRECT ANSWERS LATEST
UPDATE THIS YEAR
OB Postpartum NCLEX
QUESTION: 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 - ANSWER-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
1
, Page 2 of 235
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.
QUESTION: 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. - ANSWER-C) Ask the
mother to urinate and empty her bladder
Rationale: Before starting the fundal assessment, the nurse should ask the mother to empty her
bladder so that an accurate assessment can be done. When the nurse is performing fundal
assessment, the nurse asks the woman to lie flat on her back with the knees flexed. Massaging
the fundus is not appropriate unless the fundus is boggy and soft, and then it should be
massaged gently until firm.
2
, Page 3 of 235
QUESTION: The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the
lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:
A) Normal
B) Indicates the presence of infection
C) Indicates the need for increasing oral fluids
D) Indicates the need for increasing ambulation - ANSWER-B) Indicates the presence of
infection
Rationale: Lochia, the discharge present after birth, is red for the first 1 to 3 days and gradually
decreases in amount. Normal lochia has a fleshy odor. Foul smelling or purulent lochia usually
indicates infection, and these findings are not normal. Encouraging the woman to drink fluids or
increase ambulation is not an accurate nursing intervention
Q; 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.
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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. - ANSWER-
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.
QUESTION: 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?
A) Retake the temperature in 15 minutes
B) Notify the physician
C) Document the findings
D) Increase hydration by encouraging oral fluids - ANSWER-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
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