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Obstetric Nursing: Postpartum Exam Questions with 100% Correct Answers.
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Obstetric Nursing: Postpartum Exam Questions with 100% Correct Answers. A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital signs: Every 30 minutes during the first ...

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  • August 6, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
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  • obstetric nursing postpartum exam questions with

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Obstetric Nursing: Postpartum Exam
Questions with 100% Correct Answers.

A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant.
In the immediate postpartum period the nurse plans to take the woman's vital signs:



Every 30 minutes during the first hour and then every hour for the next two hours.

Every 15 minutes during the first hour and then every 30 minutes for the next two hours.

Every hour for the first 2 hours and then every 4 hours

Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours. - CORRECT ANSWER 2



A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours
ago. The nurse notes that the mother's temperature is 100.2*F. Which of the following actions would be
most appropriate?



Retake the temperature in 15 minutes

Notify the physician

Document the findings

Increase hydration by encouraging oral fluids - CORRECT ANSWER 4. The mother's temperature may be
taken every 4 hours while she is awake. Temperatures up to 100.4 (38 C) in the first 24 hours after birth
are often related to the dehydrating effects of labor. The most appropriate action is to increase
hydration by encouraging oral fluids, which should bring the temperature to a normal reading. Although
the nurse would document the findings, the most appropriate action would be to increase the
hydration.



The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. The client
complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions
would be most appropriate?



Obtain hemoglobin and hematocrit levels

Instruct the mother to request help when getting out of bed

,Elevate the mother's legs

Inform the nursery room nurse to avoid bringing the newborn infant to the mother until the feelings of
light-headedness and dizziness have subsided. - CORRECT ANSWER 2. Orthostatic hypotension may be
evident during the first 8 hours after birth. Feelings of faintness or dizziness are signs that should caution
the nurse to be aware of the client's safety. The nurse should advise the mother to get help the first few
times the mother gets out of bed. Obtaining an H/H requires a physicians order.



A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in
performing this assessment is which of the following?



Ask the client to turn on her side

Ask the client to lie flat on her back with the knees and legs flat and straight.

Ask the mother to urinate and empty her bladder

Massage the fundus gently before determining the level of the fundus. - CORRECT ANSWER 3. Before
starting the fundal assessment, the nurse should ask the mother to empty her bladder so that an
accurate assessment can be done. When the nurse is performing fundal assessment, the nurse asks the
woman to lie flat on her back with the knees flexed. Massaging the fundus is not appropriate unless the
fundus is boggy and soft, and then it should be massaged gently until firm.



The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the lochia is red and has a
foul-smelling odor. The nurse determines that this assessment finding is:



Normal

Indicates the presence of infection

Indicates the need for increasing oral fluids

Indicates the need for increasing ambulation - CORRECT ANSWER 2. Lochia, the discharge present after
birth, is red for the first 1 to 3 days and gradually decreases in amount. Normal lochia has a fleshy odor.
Foul smelling or purulent lochia usually indicates infection, and these findings are not normal.
Encouraging the woman to drink fluids or increase ambulation is not an accurate nursing intervention.



When performing a PP assessment on a client, the nurse notes the presence of clots in the lochia. The
nurse examines the clots and notes that they are larger than 1 cm. Which of the following nursing
actions is most appropriate?

, Document the findings

Notify the physician

Reassess the client in 2 hours

Encourage increased intake of fluids. - CORRECT ANSWER 2. Normally, one may find a few small clots in
the first 1 to 2 days after birth from pooling of blood in the vajayjay. Clots larger than 1 cm are
considered abnormal. The cause of these clots, such as uterine atony or retained placental fragments,
needs to be determined and treated to prevent further blood loss. Although the findings would be
documented, the most appropriate action is to notify the physician.



A nurse in a PP unit is instructing a mother regarding lochia and the amount of expected lochia drainage.
The nurse instructs the mother that the normal amount of lochia may vary but should never exceed the
need for:



One peripad per day

Two peripads per day

Three peripads per day

Eight peripads per day - CORRECT ANSWER 4. The normal amount of lochia may vary with the individual
but should never exceed 4 to 8 peripads per day. The average number of peripads is 6 per day.



A PP nurse is providing instructions to a woman after delivery of a healthy newborn infant. The nurse
instructs the mother that she should expect normal bowel elimination to return:



One the day of the delivery

3 days PP

7 days PP

within 2 weeks PP - CORRECT ANSWER 2. After birth, the nurse should auscultate the woman's abdomen
in all four quadrants to determine the return of bowel sounds. Normal bowel elimination usually returns
2 to 3 days PP. Surgery, anesthesia, and the use of narcotics and pain control agents also contribute to
the longer period of altered bowel function.



Select all of the physiological maternal changes that occur during the PP period.



Cervical involution ceases immediately

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