Study
Homework Help
Writing
Blog
Pricing
Medical, Pharmaceutical & Health SciencesbackNursingbackOtherbackMaternal Newborn and Womens Health NursingbackPractice Set 4back

Postpartum Physiologic Adaptations

This question bank verified by Studydeets

Questions Bank

All Questions
Filter by:
Question 1
Free
Multiple Choice

A postpartum client overhears the nurse tell the health care provider that she has a positive Homans sign and asks what it means. Which is the nurse's best response?

Choose correct answer/s
A

"You have pitting edema in your ankles."

B

"You have deep tendon reflexes rated 2+."

C

"You have calf pain when the nurse flexes your foot."

D

"You have a 'fleshy' odor to your vaginal drainage."

Check answer
Question 2
Free
Multiple Choice

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

Choose correct answer/s
A

Gravida 5, para 5

B

Primipara who delivered a 7-lb boy

C

Client who is bottle feeding her first child

D

Client who wishes to breastfeed as soon as her baby is out of the neonatal intensive care unit

Check answer
Question 3
Free
Multiple Choice

Which maternal event is abnormal in the early postpartal period?

Choose correct answer/s
A

Diuresis and diaphoresis

B

Flatulence and constipation

C

Extreme hunger and thirst

D

Lochial color changes from rubra to alba

Check answer
Question 4
Free
Multiple Choice

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

Choose correct answer/s
A

The fundus is palpable at the level of the umbilicus.

B

The fundus is palpable two fingerbreadths above the umbilicus.

C

The fundus is palpable one fingerbreadth below the umbilicus.

D

The fundus is palpable two fingerbreadths below the umbilicus.

Check answer
Question 5
Free
Multiple Choice

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

Choose correct answer/s
A

Document the finding.

B

Tell the health care provider.

C

Begin antibiotic therapy immediately.

D

Have the laboratory draw blood for reanalysis.

Check answer
Question 6
Multiple Choice

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

Choose correct answer/s
A
Fever and increased blood pressure
B
Postpartum hemorrhage and eclampsia
C
Urinary tract infection and uterine rupture
D
Postpartum hemorrhage and urinary tract infection
To unlock the question
Question 7
Multiple Choice

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

Choose correct answer/s
A
"No, never."
B
"Yes, eventually."
C
"They will fade to silvery lines but won't disappear completely."
D
"They will continue to fade and should be gone by your 6-week checkup."
To unlock the question
Question 8
Multiple Choice

A pregnant client asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will decrease after birth because of:

Choose correct answer/s
A
increased estrogen.
B
increased progesterone.
C
decreased human placental lactogen.
D
decreased melanocyte-stimulating hormone.
To unlock the question
Question 9
Multiple Choice

If the fundus is palpated on the right side of the abdomen above the expected level, the nurse should suspect that the client has which?

Choose correct answer/s
A
Distended bladder
B
Normal involution
C
Been lying on her right side too long
D
Stretched ligaments that are unable to support the uterus
To unlock the question
Question 10
Multiple Choice

The Centers for Disease Control and Prevention (CDC) recommends the use of which personal protective equipment with which the nurse is likely to come into contact?

Choose correct answer/s
A
Any body fluids
B
Any client at any time
C
Blood and blood products
D
Any client suspected of being HIV-positive
To unlock the question
Question 11
Multiple Choice

Rho(D) immune globulin will be ordered postpartum if which situation occurs?

Choose correct answer/s
A
Mother Rh-negative, baby Rh-positive
B
Mother Rh-negative, baby Rh-negative
C
Mother Rh-positive, baby Rh-positive
D
Mother Rh-positive, baby Rh-negative
To unlock the question
Question 12
Multiple Choice

If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?

Choose correct answer/s
A
No specific instructions
B
Drinking plenty of fluids to prevent fever
C
Recommendation to stop breastfeeding for 24 hours after the injection
D
Explanation of the risks of becoming pregnant within 28 days following injection
To unlock the question
Question 13
Multiple Choice

Which is the best measure to prevent abdominal distention following a cesarean birth?

Choose correct answer/s
A
Rectal suppositories
B
Carbonated beverages
C
Early and frequent ambulation
D
Tightening and relaxing abdominal muscles
To unlock the question
Question 14
Multiple Choice

Which documentation in the client's chart on the 14th postpartum day indicates a normal involution process?

Choose correct answer/s
A
Breasts firm and tender
B
Episiotomy slightly red and puffy
C
Moderate bright red lochial flow
D
Fundus below the symphysis and not palpable
To unlock the question
Question 15
Multiple Choice

To assess fundal contraction 6 hours after cesarean birth, which action should the nurse perform?

Choose correct answer/s
A
Assess lochial flow rather than palpating the fundus.
B
Palpate forcefully through the abdominal dressing.
C
Place hands on both sides of the abdomen and press downward.
D
Gently palpate, applying the same technique used for vaginal deliveries.
To unlock the question
Question 16
Multiple Choice

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

Choose correct answer/s
A
Saturated peripad
B
4- to 6-inch stain on the peripad
C
1- to 4-inch stain on the peripad
D
Less than a 1-inch stain on the peripad
To unlock the question
Question 17
Multiple Choice

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

Choose correct answer/s
A
"I may not have a bowel movement until the 2nd postpartum day."
B
"If I breastfeed and supplement with formula, I won't need any birth control."
C
"I know my normal pattern of bowel elimination won't return until about 8 to 10 days."
D
"If I am not breastfeeding, I should use birth control when I resume sexual relations with my husband."
To unlock the question
Question 18
Multiple Choice

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

Choose correct answer/s
A
Pulse rate of 50
B
Temperature of 38° C (100.4° F)
C
Firm fundus, but excessive lochia
D
Lightheaded when moving from a lying to standing position
To unlock the question
Question 19
Multiple Choice

The nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse assesses light bilateral rales when auscultating lung sounds. Which priority action should the nurse take?

Choose correct answer/s
A
Decrease IV fluid rate.
B
Document the finding.
C
Encourage the use of an incentive spirometer.
D
Ambulate the client around the nurses' station.
To unlock the question
Question 20
Multiple Choice

Which of the following would indicate an abnormal finding during the postpartum period?

Choose correct answer/s
A
Lochia flow changing from alba to rubra
B
Unable to palpate uterine fundus at 6-week postpartum checkup
C
Presence of afterbirth pains
D
Lochia flow heavier in the early morning 2 days following vaginal birth
To unlock the question