621 Exam Questions With Answers.
Based on the nurse's knowledge about the postpartum period and an increase in blood
coagulability during the first 48 hours, the nurse closely assesses the client for which
condition?
A) hyperglycemia
B) varicose veins
C) thromboembolism
D) calcium depletion - ANSWER- C
After a class for expectant parents on the various forms of birth control after the birth of
their infant, the nurse realizes more training is needed when a participant makes which
comment?
A) "I'm going to be breastfeeding occasionally, so we won't need to use any other birth
control for at least six months."
B) "We will be discussing birth control with our primary care provider to find the best
method for us."
C) "We're going to use a barrier for the first few months and then decide what we want
to do."
D) "I'm going back on the pill as soon as the doctor okays it." - ANSWER- A
A postpartum client reports urinary frequency and burning. What cause would the nurse
suspect?
A) uterine atony
B) urinary tract infection
C) subinvolution
D) stress incontinence - ANSWER- B
The nurse is concerned that the parents are having difficulties relating to their newborn.
In an effort to assist with and encourage attachment, which activity should the nurse
suggest?
A) promoting skin-to-skin contact on the chest
B) sleeping with the infant
C) keeping the baby in the same room at all times
D) playing a recording of their voices at all times - ANSWER- A
The nurse assesses a postpartum woman's perineum and notices that her lochial
discharge is moderate in amount and red. The nurse would record this as what type of
lochia?
, A) lochia rubra
B) lochia serosa
C) lochia normalia
D) lochia alba - ANSWER- A
A nurse is preparing a couple and their newborn for discharge. Which instructions would
be most appropriate for the nurse to include in discharge teaching?
A) introducing solid foods immediately to increase sleep cycle
B) demonstrating comfort measures to quiet a crying infant
C) encouraging daily outings to the shopping mall with the newborn
D) allowing the infant to cry for at least an hour before picking him or her up - ANSWER-
B
The nurse is assessing the breast of a woman who is 1 month postpartum. The woman
reports a painful area on one breast with a red area. The nurse notes a local area on
one breast to be red and warm to touch. What should the nurse consider as the
potential diagnosis?
A) breast yeast
B) mastitis
C) plugged milk duct
D) engorgement - ANSWER- B
A nurse is developing a program to help reduce the risk of late postpartum hemorrhage
in clients in the labor and birth unit. Which measure would the nurse emphasize as part
of this program?
A) administering broad-spectrum antibiotics
B) inspecting the placenta after delivery for intactness
C) manually removing the placenta at birth
D) applying pressure to the umbilical cord to remove the placenta - ANSWER- B
A client in her seventh week of the postpartum period is experiencing bouts of sadness
and insomnia. The nurse suspects that the client may have developed postpartum
depression. What signs or symptoms are indicative of postpartum depression? Select
all that apply.
A) inability to concentrate
B) loss of confidence
C) manifestations of mania
D) decreased interest in life
E) bizarre behavior - ANSWER- A B D
A fundal massage is sometimes performed on a postpartum woman. The nurse would
perform this procedure to address which condition?
Based on the nurse's knowledge about the postpartum period and an increase in blood
coagulability during the first 48 hours, the nurse closely assesses the client for which
condition?
A) hyperglycemia
B) varicose veins
C) thromboembolism
D) calcium depletion - ANSWER- C
After a class for expectant parents on the various forms of birth control after the birth of
their infant, the nurse realizes more training is needed when a participant makes which
comment?
A) "I'm going to be breastfeeding occasionally, so we won't need to use any other birth
control for at least six months."
B) "We will be discussing birth control with our primary care provider to find the best
method for us."
C) "We're going to use a barrier for the first few months and then decide what we want
to do."
D) "I'm going back on the pill as soon as the doctor okays it." - ANSWER- A
A postpartum client reports urinary frequency and burning. What cause would the nurse
suspect?
A) uterine atony
B) urinary tract infection
C) subinvolution
D) stress incontinence - ANSWER- B
The nurse is concerned that the parents are having difficulties relating to their newborn.
In an effort to assist with and encourage attachment, which activity should the nurse
suggest?
A) promoting skin-to-skin contact on the chest
B) sleeping with the infant
C) keeping the baby in the same room at all times
D) playing a recording of their voices at all times - ANSWER- A
The nurse assesses a postpartum woman's perineum and notices that her lochial
discharge is moderate in amount and red. The nurse would record this as what type of
lochia?
, A) lochia rubra
B) lochia serosa
C) lochia normalia
D) lochia alba - ANSWER- A
A nurse is preparing a couple and their newborn for discharge. Which instructions would
be most appropriate for the nurse to include in discharge teaching?
A) introducing solid foods immediately to increase sleep cycle
B) demonstrating comfort measures to quiet a crying infant
C) encouraging daily outings to the shopping mall with the newborn
D) allowing the infant to cry for at least an hour before picking him or her up - ANSWER-
B
The nurse is assessing the breast of a woman who is 1 month postpartum. The woman
reports a painful area on one breast with a red area. The nurse notes a local area on
one breast to be red and warm to touch. What should the nurse consider as the
potential diagnosis?
A) breast yeast
B) mastitis
C) plugged milk duct
D) engorgement - ANSWER- B
A nurse is developing a program to help reduce the risk of late postpartum hemorrhage
in clients in the labor and birth unit. Which measure would the nurse emphasize as part
of this program?
A) administering broad-spectrum antibiotics
B) inspecting the placenta after delivery for intactness
C) manually removing the placenta at birth
D) applying pressure to the umbilical cord to remove the placenta - ANSWER- B
A client in her seventh week of the postpartum period is experiencing bouts of sadness
and insomnia. The nurse suspects that the client may have developed postpartum
depression. What signs or symptoms are indicative of postpartum depression? Select
all that apply.
A) inability to concentrate
B) loss of confidence
C) manifestations of mania
D) decreased interest in life
E) bizarre behavior - ANSWER- A B D
A fundal massage is sometimes performed on a postpartum woman. The nurse would
perform this procedure to address which condition?
