Postpartum Period Nclex RN Practice Questions AND Answer

 Maternal-Neonatal Nursing, Postpartum Period NCLEX RN  Practice Questions
01. A nurse is caring for a postpartum client suspected of developing postpartum psychosis. Which of the following statements accurately characterize this disorder?Select all that apply.
a. Symptoms start 2 days after delivery.
b. The disorder is common in postpartum women.
c. Symptoms include delusions and hallucinations.
d. Suicide and infanticide are uncommon in this disorder.
e. The disorder rarely occurs without a psychiatric history

02. A nurse is caring for a client in the fourth stage of labor. Based on the nurse’s note below, which postpartum complication has the client developed?
a. Postpartum hemorrhage
b. Puerperal infection
c. Deep vein thrombosis
d. Mastitis

03. On examining a client who gave birth 3 hours ago, a nurse finds that the client has completely saturated a perineal pad within 15 minutes. Which actions should the nurse take? Select all that apply.
a. Begin an I.V. infusion of lactated Ringer’s solution.
b. Assess the client’s vital signs.
c. Palpate the client’s fundus.
d. Place the client in high Fowler’s position.
e. Administer a pain medication.

04. The nurse is assessing a client who is 4 hours postpartum. Based on the findings documented by the nurse below, which action is most appropriate at this time?
a. Ask the client to empty her bladder.
b. Straight-catheterize the client immediately.
c. Call the client’s primary health care provider for direction.
d. Straight-catheterize the client for half of her urine volume.

05.The nurse is caring for several mother-baby couplets. In planning the care for each of the couplets, which mother would the nurse expect to have the most severe afterbirth pains?
a.G 4, P 1 client who is breastfeeding her infant.
b.G 3, P 3 client who is breastfeeding her infant.
c.G 2, P 2 cesarean client who is bottle-feeding her infant.
d.G 3, P 3 client who is bottle-feeding her infant.

06.While assessing the fundus of a multiparous client on the first postpartum day, the nurse performs handwashing and dons clean gloves. Which of the following should the nurse do next?
a)Place the nondominant hand above the symphysis pubis and the dominant hand at the umbilicus.
b)Ask the client to assume a side-lying position with the knees flexed.
c)Perform massage vigorously at the level of the umbilicus if the fundus feels boggy.
d)Place the client on a bedpan in case the uterine palpation stimulates the client to void.

07.A client is experiencing an early postpartum hemorrhage. Which item in the client's care plan requires revision?
a.Inserting an indwelling urinary catheter
b.Fundal massage
c.Administration of oxytocics
d.Pad count

08.The nurse is assessing a client at her postpartum checkup 6 weeks after a vaginal
delivery.The mother is bottle feeding her baby. Which client finding indicates
a problem at this time?
a.Firm fundus at the symphysis.
b.White, thick vaginal discharge.
c.Striae that are silver in color.
d.Soft breasts without milk.

09.After being treated with heparin therapy for thrombophlebitis, a multiparous client who delivered 4 days ago is to be discharged on oral warfarin (Coumadin). After teaching the client about the medication and possible effects, which of the following client statements indicates successful teaching?
a."I can take two aspirin if I get uterine cramps."
b."Protamine sulfate should be available if I need it."
c."I should use a soft toothbrush to brush my teeth."
d."I can drink an occasional glass of wine if I desire."

10.A nurse is preparing to perform a postpartum assessment on a client who gave birth 5 hours ago. Which precaution should the nurse plan to take for this procedure?
a.Washing the hands
b.Washing the hands and wearing latex gloves
c.Washing the hands and wearing latex gloves and a barrier gown
d.Washing the hands and wearing latex gloves, a barrier gown, and protective eyewear.

Answers & Rational