Postpartum Care NCLEX Questions

Postpartum Care NCLEX Questions Related

Review Postpartum Care NCLEX Questions related questions and content

The nurse is preparing a postpartum patient for discharge. Which patient teaching is most important for the nurse to provide?

  • A. The signs and symptoms of uterine infection
  • B. The signs and symptoms of secondary hemorrhage
  • C. The signs and symptoms of postpartum depression
  • D. The signs and symptoms of a boggy uterus
Correct Answer: B

Rationale: The correct answer is B: The signs and symptoms of secondary hemorrhage. This is the most important teaching for the nurse to provide because it is a potentially life-threatening complication that requires immediate medical attention. Secondary hemorrhage can occur after the initial postpartum period and can lead to severe bleeding. Understanding the signs and symptoms of secondary hemorrhage can help the patient seek prompt medical care if needed.

Choice A: The signs and symptoms of uterine infection are important to know, but they are usually treated with antibiotics and are not as immediately life-threatening as secondary hemorrhage.

Choice C: Postpartum depression is a serious concern but does not require immediate medical attention like secondary hemorrhage.

Choice D: A boggy uterus is a sign of uterine atony, which can lead to hemorrhage, but teaching about secondary hemorrhage takes precedence because it directly addresses a more severe form of bleeding that requires urgent intervention.

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The nurse is providing education to a postpartum woman about exercises to strengthen the pelvis musculature. Which instruction should be included?

  • A. "Ambulate three times a day."
  • B. "Perform Kegel exercises."
  • C. "Enroll in an aerobics class after discharge."
  • D. "Do passive range-of-motion exercises while lying in bed."
Correct Answer: B

Rationale: The correct answer is B: "Perform Kegel exercises." Kegel exercises specifically target the pelvic floor muscles, which can help strengthen the pelvis musculature postpartum. This is important for improving pelvic floor support and preventing issues like urinary incontinence. Ambulating (A) is good for overall mobility but does not specifically target the pelvic muscles. Enrolling in an aerobics class (C) may be beneficial for overall fitness but does not address pelvic floor strengthening. Passive range-of-motion exercises (D) focus on joint flexibility rather than pelvic muscle strength.

The nurse is performing a uterus assessment on a patient who is 20 hours postpartum. The nurse finds the fundus of the uterus to be soft and boggy. In addition, the uterus is displaced to the left and moderate bleeding is noted. If the uterus does respond to uterine massage, which actions does the nurse implement?

  • A. Assist the patient to the bathroom to void.
  • B. Reassess to determine response to treatment.
  • C. Administer oxytocin as prescribed.
  • D. Place an emergency call to the HCP.
Correct Answer: D

Rationale: The correct answer is D: Place an emergency call to the HCP. In this scenario, the patient is displaying signs of uterine atony, a condition where the uterus fails to contract properly postpartum, leading to excessive bleeding. The soft and boggy fundus, displacement to the left, and moderate bleeding indicate a serious issue that requires immediate medical attention. By calling the healthcare provider, the nurse can ensure timely intervention and treatment to address the uterine atony and prevent further complications. The other options are not appropriate at this time: A may worsen the situation by increasing bleeding, B delays necessary action, and C may be needed but not as the first priority in this critical situation.

Which nursing care goal is the highest priority for a woman who had a vaginal delivery 3 hours earlier?

  • A. The client will wear a well-supported bra.
  • B. The client will eat 100% of her meals.
  • C. The client will have a moderate lochia flow.
  • D. The client will ambulate to the bathroom.
Correct Answer: C

Rationale: The correct answer is C: The client will have a moderate lochia flow. This is the highest priority because excessive or scant lochia flow can indicate postpartum hemorrhage or retained placental fragments, which are serious postpartum complications. Ensuring a moderate lochia flow is essential for assessing the woman's postpartum recovery and preventing potential complications.

Choice A (The client will wear a well-supported bra) is not a priority in the immediate postpartum period and does not directly impact the woman's physical health.

Choice B (The client will eat 100% of her meals) is important for the woman's nutrition and recovery but is not as critical as monitoring the lochia flow to prevent complications like hemorrhage.

Choice D (The client will ambulate to the bathroom) is important for preventing complications like blood clots and promoting circulation, but monitoring the lochia flow takes precedence in the immediate postpartum period to assess for any signs of hemorrhage or infection.

Which nursing care goal is the highest priority for a woman who had a vaginal delivery 3 hours earlier?

  • A. The client will wear a well-supported bra.
  • B. The client will eat 100% of her meals.
  • C. The client will have a moderate lochia flow.
  • D. The client will ambulate to the bathroom.
Correct Answer: C

Rationale: The correct answer is C because monitoring lochia flow is crucial post-vaginal delivery to assess for excessive bleeding, which could indicate postpartum hemorrhage. This goal takes precedence over other options as it pertains to the client's immediate health and well-being. A: Wearing a bra does not address any urgent postpartum concerns. B: Eating meals is important but does not take priority over assessing for hemorrhage. D: Ambulation is beneficial but not as critical as monitoring lochia flow for potential complications.

A postpartum patient comes to the clinic for her 6-week postpartum checkup. When assessing the patient's cervix, how should the nurse expect the cervix to appear?

  • A. Noticeable small lacerations
  • B. Approximately 3 cm dilated
  • C. Symmetrically round external os
  • D. Firm and thick
Correct Answer: C

Rationale: The correct answer is C: Symmetrically round external os. At 6 weeks postpartum, the cervix should have healed, and the external os should appear symmetrically round. This indicates proper healing and restoration of the cervix to its pre-pregnancy state. Small lacerations (choice A) would not be expected at this point as healing should have occurred. A dilation of 3 cm (choice B) is not appropriate as the cervix should be closed postpartum. A firm and thick cervix (choice D) would not be expected as the cervix should have softened and returned to its normal consistency by this time.

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