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Post Partum Nclex questions with complete solutions
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Post Partum Nclex questions with complete solutions
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Post Partum Nclex questions with complete solutionsA 45-year-old woman delivered her first baby by cesarean
section 5 days ago. The postpartum recovery has been
complicated by thrombophlebitis in her left leg. She cries
frequently and requests to have her newborn infant stay in the
nursery. The nurse recognizes that the mother may have
intensified "postpartum blues" because of which situation?
Correct Answer The client is required to stay on bed rest.
A client arrives to the postpartum unit following the delivery of
her newborn premature infant. On data collection, the nurse
notes that the client is shaking uncontrollably. Which nursing
action is appropriate? Correct Answer Covering her with a
warm blanket
A client experiences subinvolution during the puerperium. The
nurse recalls that which factors are the most common causes for
this occurrence? Correct Answer Retained placental fragments
and infections
A client had a cesarean delivery with a low transverse uterine
incision. Which is the benefit of this type of incision? Correct
Answer It allows a vaginal birth after cesarean (VBAC) to be
possible in a subsequent pregnancy.
A client has had a midline episiotomy. In relation to clients with
other types of episiotomies, the nurse anticipates that the client
will generally experience which? Correct Answer Less pain
,A client has just experienced a precipitate delivery. The nurse
observes that the mother is lying quietly in bed and touches the
infant only briefly and occasionally. How should the nurse be
most therapeutic in this situation? Correct Answer Provide
support to the mother.
A client in the postpartum unit complains of sudden, sharp chest
pain. The nurse notes that the client is tachycardic and the
respiratory rate is elevated. The nurse suspects a pulmonary
embolism. Which should be the initial nursing action? Correct
Answer Prepare to administer oxygen at 8 to 10 L by tight face
mask.
A client is admitted to the labor and delivery suite with an
intrauterine fetal demise. The nurse determines that the
discussion with the parents was effective in preparing them for
the delivery when the parents make which response? Correct
Answer Request to hold the infant following delivery
A client who is breast-feeding her newborn infant is
experiencing nipple soreness. To relieve the soreness, which
action should the nurse suggest to the client? Correct Answer
Begin feeding on the less sore nipple.
A delivery room nurse collects data on a mother who just
delivered a healthy newborn infant. The nurse checks the uterine
fundus, expecting to note which uterine fundus position?
Correct Answer At the level of the umbilicus
A mother is breastfeeding her newborn baby and experiences
breast engorgement. The nurse should encourage the mother to
, do which to provide relief of the engorgement? Correct Answer
Massage the breasts before feeding to stimulate let-down.
A mother is breastfeeding her newborn. The mother complains
to the nurse that she is experiencing severe nipple soreness. The
nurse should provide which suggestion to the client? Correct
Answer Position the newborn infant with the ear, shoulder, and
hip in straight alignment and with the baby's stomach against the
mother's.
A new mother attempting breast-feeding for the first time has
developed mastitis. She states, "My breasts look terrible and I
think that I will stop breast-feeding." The nurse plans care
knowing that the client is concerned about which problem?
Correct Answer Body image
A new mother is attempting to breast-feed for the first time. The
nurse notices that the client has inverted nipples. What nursing
action can the nurse take to assist the client in breast-feeding the
newborn? Correct Answer Provide breast shells and assist the
mother with using a breast pump before each feeding to make
the nipples easier for the newborn to grasp.
A new mother is seen in the health care clinic 2 weeks after the
birth of a healthy newborn. The mother says that she feels as
though she has the flu and complains of fatigue and aching
muscles. On further data collection the nurse notes a localized
area of redness on the left breast, and the mother is diagnosed
with mastitis. The mother asks the nurse how the condition
occurs. Which nursing response is appropriate? Correct Answer
"The infection can occur at any time during breast-feeding."
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