Postpartum Care Nursing Practice Questions

Postpartum Care Nursing Practice Questions Related

Review Postpartum Care Nursing Practice Questions related questions and content

The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?

  • A. The woman applied her peri-pad from back to front.
  • B. The woman performed peri-care three times a day.
  • C. The woman washed her hands before and after performing peri-care.
  • D. The woman mixed tap water and hydrogen peroxide in her peri-bottle.
Correct Answer: C

Rationale: The correct answer is C because washing hands before and after performing peri-care is essential to prevent the spread of infections. Before touching the perineal area, proper hand hygiene reduces the risk of introducing harmful bacteria. After caring for the perineum, washing hands again prevents transferring any bacteria to other parts of the body. This demonstrates understanding of infection prevention.

Choice A is incorrect because applying the peri-pad from back to front can introduce bacteria from the rectal area to the vaginal area, increasing the risk of infection.

Choice B is incorrect because the frequency of performing peri-care depends on individual needs and hygiene practices, so stating a fixed number of times is not indicative of understanding.

Choice D is incorrect because mixing tap water and hydrogen peroxide in the peri-bottle is not a recommended practice for peri-care and may cause irritation or disrupt the natural balance of the vaginal flora.

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The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system?

  • A. Patient reporting of being cold related to blood loss
  • B. WBC laboratory level of 30,000/mm a few hours after delivery
  • C. Risk for hemorrhage due to decrease in circulating clotting factors
  • D. A normal postpartum hemoglobin laboratory value of less than 11 g/dL
Correct Answer: B

Rationale: Step 1: Postpartum patients may have an increased WBC count due to the stress of delivery.
Step 2: A WBC level of 30,000/mm postpartum indicates a normal physiological response.
Step 3: This increase helps the body fight potential infections post-delivery.
Step 4: Therefore, choice B is correct as it aligns with normal postpartum physiology.
Summary: Choices A, C, and D are incorrect as they do not directly relate to postpartum physiology. A is more related to thermoregulation, C is about clotting factors, and D is about hemoglobin levels which may vary postpartum.

A postpartum patient states, " am really in pain."For which sources of pain will the nurse not assess the patient?

  • A. Uterine contractions
  • B. Perineal trauma
  • C. Breast engorgement
  • D. General soreness
Correct Answer: D

Rationale: The correct answer is D: General soreness. Postpartum pain assessment typically focuses on specific sources such as uterine contractions, perineal trauma, and breast engorgement. General soreness is too vague and does not provide specific information for targeted intervention. By ruling out general soreness, the nurse can prioritize assessment and management of more specific sources of pain to provide appropriate care for the postpartum patient.

The nurse is palpating a patient's uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?

  • A. To prevent uterine prolapse.
  • B. To prevent uterine movement
  • C. To prevent uterine hemorrhage
  • D. To prevent uterine inversion
Correct Answer: D

Rationale: The correct answer is D: To prevent uterine inversion. Placing a hand just above the symphysis pubis helps support the uterus and prevent it from turning inside out. This is crucial postpartum to avoid complications such as hemorrhage and shock. Choices A, B, and C are incorrect as palpating the uterus in this manner is specifically aimed at preventing uterine inversion, not prolapse, movement, or hemorrhage.

The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding/attachment. Which situations does the nurse NOT recognize as a cause for bonding/attachment problems?

  • A. The mother experienced eclampsia in the third trimester of pregnancy.
  • B. The neonate is being treated for meconium aspiration syndrome.
  • C. The mother experienced dystocia in the second phase of labor.
  • D. The father of the neonate is in the military and not yet home on leave.
Correct Answer: D

Rationale: The correct answer is D because the father being in the military and not yet home on leave does not directly impact bonding/attachment between the parents and the neonate. Bonding issues are typically related to factors such as maternal health conditions (choice A), neonatal health complications (choice B), or labor complications experienced by the mother (choice C). In contrast, the father's absence due to military service, while potentially challenging emotionally, does not inherently cause bonding/attachment problems as the mother and baby can still form a strong attachment bond. Choices A, B, and C are incorrect as they can directly affect the bonding/attachment process due to physical health issues of the mother and baby during pregnancy and labor.

The nurse is assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?

  • A. They are normal.
  • B. They indicate the presence of infection.
  • C. The physician should be notified of the abnormal findings.
  • D. The patient should be instructed to increase her fluid intake.
Correct Answer: A

Rationale: Rationale:
A: These assessment findings are normal for a patient 1 day postpartum. A firm, midline fundus indicates proper uterine involution. Moderate lochia is expected at this stage, and small clots are common.
B: There are no signs of infection present in the scenario, such as foul odor or abnormal color of lochia.
C: The findings are within the expected range for a patient 1 day postpartum, so there is no need to notify the physician.
D: Increasing fluid intake is always important postpartum, but it is not specifically indicated based on the assessment findings provided.

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