Postpartum Adaptations And Nursing Care

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Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?

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Gravida 5, para 5

Primipara who delivered a 7-lb boy

Patient who is bottle feeding her first child

Patient who is breastfeeding her second child

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Question 2

Free

Multiple Choice

Which maternal event is abnormal in the early postpartal period?

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Diuresis and diaphoresis

Flatulence and constipation

Extreme hunger and thirst

Lochial color changes from rubra to alba

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Question 3

Free

Multiple Choice

Which fundal assessment finding at 12 hours after birth requires further assessment?

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The fundus is palpable at the level of the umbilicus.

The fundus is palpable two fingerbreadths above the umbilicus.

The fundus is palpable one fingerbreadth below the umbilicus.

The fundus is palpable two fingerbreadths below the umbilicus.

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Question 4

Free

Multiple Choice

If the patient's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day, which action should the nurse take?

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Document the finding.

Inform the health care provider.

Begin antibiotic therapy immediately.

Have the laboratory draw blood for reanalysis.

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Question 5

Free

Multiple Choice

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

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Fever and increased blood pressure

Postpartum hemorrhage and eclampsia

Urinary tract infection and uterine rupture

Postpartum hemorrhage and urinary tract infection

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Question 6

Multiple Choice

A postpartum patient asks, "Will these stretch marks ever go away?" Which is the nurse's best response?

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"No, never."

"Yes, eventually."

"They will fade to silvery lines but won't disappear completely."

"They will continue to fade and should be gone by your 6-week checkup."

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Question 7

Multiple Choice

A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will fade after birth due to

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increased estrogen.

increased progesterone.

decreased human placental lactogen.

decreased melanocyte-stimulating hormone.

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Question 8

Multiple Choice

Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?

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Distended bladder

Normal involution

Been lying on her right side too long

Stretched ligaments that are unable to support the uterus

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Question 9

Multiple Choice

Which situation would require the administration of Rho(D) immune globulin?

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Mother Rh-negative, baby Rh-positive

Mother Rh-negative, baby Rh-negative

Mother Rh-positive, baby Rh-positive

Mother Rh-positive, baby Rh-negative

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Question 10

Multiple Choice

If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?

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No specific instructions

Drinking plenty of fluids to prevent fever

Recommendation to stop breastfeeding for 24 hours after the injection

Explanation of the risks of becoming pregnant within 28 days following injection

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Question 11

Multiple Choice

Which measure is optimal in order to prevent abdominal distention following a cesarean birth?

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Rectal suppositories

Carbonated beverages

Early and frequent ambulation

Tightening and relaxing abdominal muscles

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Question 12

Multiple Choice

To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?

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Assess lochial flow rather than palpating the fundus.

Palpate forcefully through the abdominal dressing.

Place hands on both sides of the abdomen and press downward.

Gently palpate, applying the same technique used for vaginal deliveries.

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Question 13

Multiple Choice

The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount?

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Saturated peripad

10 to 15 cm (4- to 6-inch) stain on the peripad

2.5 to 10 cm (1- to 4-inch) stain on the peripad

Less than a 1-inch stain on the peripad

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Question 14

Multiple Choice

The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

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"I may not have a bowel movement until the 2nd postpartum day."

"If I breastfeed and supplement with formula, I won't need any birth control."

"I know my normal pattern of bowel elimination won't return until about 8 to 10 days."

"If I am not breastfeeding, I should use birth control when I resume sexual relations with my husband."

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Question 15

Multiple Choice

The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

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Pulse rate of 50

Temperature of 38°C (100.4°F)

Firm fundus, but excessive lochia

Lightheaded when moving from a lying to standing position

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Question 16

Multiple Choice

To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?

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Have the patient drink carbonated beverages to promote urinary excretion.

Tell the patient that because of postpartum diuresis there is less risk to develop dehydration.

Limit fluid intake to prevent polyuria.

Teach the patient to perform pelvic floor exercises to combat potential stress incontinence.

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Question 17

Multiple Choice

When assessing the A of the acronym REEDA, the nurse should evaluate the

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skin color.

degree of edema.

edges of the episiotomy.

episiotomy for discharge.

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Question 18

Multiple Choice

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

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Pain level 5 on scale of 0 to 10

Saturated pad over a 2-hour period

Urinary output of 500 mL in one voiding

Uterine fundus 2 cm above the umbilicus

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Question 19

Multiple Choice

The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority action related to this finding?

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Inform the health care provider.

Encourage the patient to urinate.

Massage the uterus to expel clots.

Document the finding in the patient's chart.

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Question 20

Multiple Choice

The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?

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Weigh the peripad.

Replace the peripad.

Contact the health care provider.

Document the finding in the patient's chart.

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