Page 1 of 196
Postpartum NCLEX Exam ACTUAL EXAM ALL 300
QUESTIONS and CORRECT ANSWERS LATEST
UPDATE THIS YEAR
QUESTION: A client has had a midline episiotomy. In relation to clients with other types of
episiotomies, the nurse anticipates that the client will generally experience which findings?
Select all that apply. - ANSWER-Less pain
Less blood loss
More likely to extend with birth of LGA infant
QUESTION: The nurse is caring for a client who is being treated with antibiotics for mastitis. To
reinforce instructions, what does the nurse tell the client? - ANSWER-To complete the entire
antibiotic regimen
QUESTION: A new mother is seen in a health care clinic 2 weeks after giving birth to a healthy
newborn infant. The mother is complaining that she feels as though she has the flu and
complains of fatigue and aching muscles. On further assessment, the nurse notes a localized
area of redness on the left breast, and the mother is diagnosed with mastitis. The mother asks
1
, Page 2 of 196
the nurse about the condition. The nurse should make which response? - ANSWER-"Mastitis
can occur at any time during breast-feeding."
Mastitis is an infection of the lactating breasts and occurs most often during the second and
third weeks after birth, although it may develop at any time during breast-feeding. Mastitis is
more common in mothers who are nursing for the first time and usually affects 1 breast only. A
supportive bra will not cause mastitis; however, constriction of the breasts from a bra that is
too tight may interfere with the emptying of all ducts and may lead to infection.
QUESTION: A 45-year-old woman delivered her first baby by cesarean section 5 days ago. The
postpartum recovery has been complicated by thrombophlebitis in her left leg. She cries
frequently and requests to have her newborn infant stay in the nursery. The nurse recognizes
that the mother may have intensified "postpartum blues" because of which situation? -
ANSWER-The client is required to stay on bed rest.
QUESTION: The nurse is caring for a client with placenta previa who is at high risk for infection
and hemorrhage. The nurse plans care based on which information related to the condition? -
ANSWER-Fewer muscle fibers in the lower segment of the uterus will result in poor
contractions.
2
, Page 3 of 196
QUESTION: The nurse who is caring for a postpartum mother being tested for endometritis
notes that the client has little interest in caring for her infant. Which intervention should best
facilitate the client's participation in infant care? - ANSWER-Encouraging the client to take pain
medication as prescribed
QUESTION: Oxytocin is administered to a client following the delivery of the placenta. The nurse
assisting in caring for the client monitors for which effectiveresponse from the medication? -
ANSWER-Uterine contractions
QUESTION: The nurse is monitoring a client at risk for postpartum endometritis. Which
observation noted during the first 24 hours after delivery supports this diagnosis? - ANSWER-
Abdominal tenderness and chills
QUESTION: The nurse has a prescription to give a dose of Rho(D) immune globulin to a client
who has delivered an infant. Which criteria need to be met in order to administer this
medication? Select all that apply. - ANSWER-Rh negative mother
Negative Coombs' test
3
, Page 4 of 196
QUESTION: The nurse is checking the lochia discharge on a 1-day postpartum woman. The
nurse notes that the lochia is red and has a foul odor. The nurse determines that this finding
indicates which? - ANSWER-The presence of infection
Q; The nurse is caring for a client during the immediate recovery phase or fourth stage of labor.
Which action is most important for the nurse to take at this time? - ANSWER-Check the uterine
fundus and lochia.
QUESTION: The postpartum nurse is caring for a mother following delivery of a newborn infant.
The nurse performs a perineal assessment on the mother and notes a trickle of bright red blood
coming from the perineum. The nurse checks the mother's fundus and notes that it is firm. On
review of the mother's record, the nurse also notes that an episiotomy was performed. Which
determination should the nurse make based on this information? - ANSWER-The bright red
bleeding is abnormal and should be reported.
QUESTION: 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 breasts before
feeding to stimulate let-down."
4
Postpartum NCLEX Exam ACTUAL EXAM ALL 300
QUESTIONS and CORRECT ANSWERS LATEST
UPDATE THIS YEAR
QUESTION: A client has had a midline episiotomy. In relation to clients with other types of
episiotomies, the nurse anticipates that the client will generally experience which findings?
Select all that apply. - ANSWER-Less pain
Less blood loss
More likely to extend with birth of LGA infant
QUESTION: The nurse is caring for a client who is being treated with antibiotics for mastitis. To
reinforce instructions, what does the nurse tell the client? - ANSWER-To complete the entire
antibiotic regimen
QUESTION: A new mother is seen in a health care clinic 2 weeks after giving birth to a healthy
newborn infant. The mother is complaining that she feels as though she has the flu and
complains of fatigue and aching muscles. On further assessment, the nurse notes a localized
area of redness on the left breast, and the mother is diagnosed with mastitis. The mother asks
1
, Page 2 of 196
the nurse about the condition. The nurse should make which response? - ANSWER-"Mastitis
can occur at any time during breast-feeding."
Mastitis is an infection of the lactating breasts and occurs most often during the second and
third weeks after birth, although it may develop at any time during breast-feeding. Mastitis is
more common in mothers who are nursing for the first time and usually affects 1 breast only. A
supportive bra will not cause mastitis; however, constriction of the breasts from a bra that is
too tight may interfere with the emptying of all ducts and may lead to infection.
QUESTION: A 45-year-old woman delivered her first baby by cesarean section 5 days ago. The
postpartum recovery has been complicated by thrombophlebitis in her left leg. She cries
frequently and requests to have her newborn infant stay in the nursery. The nurse recognizes
that the mother may have intensified "postpartum blues" because of which situation? -
ANSWER-The client is required to stay on bed rest.
QUESTION: The nurse is caring for a client with placenta previa who is at high risk for infection
and hemorrhage. The nurse plans care based on which information related to the condition? -
ANSWER-Fewer muscle fibers in the lower segment of the uterus will result in poor
contractions.
2
, Page 3 of 196
QUESTION: The nurse who is caring for a postpartum mother being tested for endometritis
notes that the client has little interest in caring for her infant. Which intervention should best
facilitate the client's participation in infant care? - ANSWER-Encouraging the client to take pain
medication as prescribed
QUESTION: Oxytocin is administered to a client following the delivery of the placenta. The nurse
assisting in caring for the client monitors for which effectiveresponse from the medication? -
ANSWER-Uterine contractions
QUESTION: The nurse is monitoring a client at risk for postpartum endometritis. Which
observation noted during the first 24 hours after delivery supports this diagnosis? - ANSWER-
Abdominal tenderness and chills
QUESTION: The nurse has a prescription to give a dose of Rho(D) immune globulin to a client
who has delivered an infant. Which criteria need to be met in order to administer this
medication? Select all that apply. - ANSWER-Rh negative mother
Negative Coombs' test
3
, Page 4 of 196
QUESTION: The nurse is checking the lochia discharge on a 1-day postpartum woman. The
nurse notes that the lochia is red and has a foul odor. The nurse determines that this finding
indicates which? - ANSWER-The presence of infection
Q; The nurse is caring for a client during the immediate recovery phase or fourth stage of labor.
Which action is most important for the nurse to take at this time? - ANSWER-Check the uterine
fundus and lochia.
QUESTION: The postpartum nurse is caring for a mother following delivery of a newborn infant.
The nurse performs a perineal assessment on the mother and notes a trickle of bright red blood
coming from the perineum. The nurse checks the mother's fundus and notes that it is firm. On
review of the mother's record, the nurse also notes that an episiotomy was performed. Which
determination should the nurse make based on this information? - ANSWER-The bright red
bleeding is abnormal and should be reported.
QUESTION: 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 breasts before
feeding to stimulate let-down."
4
