pn NCLEX postpartum Exam With Questions And Answers

pn NCLEX postpartum Exam With Questions And Answers

a client who is breastfeeding her newborn infant is experiencing nipple soreness. To relieve the soreness which action should the nurse suggest to the client - Answerbegin feeding on the less sore nipple and your mother is attempting to breastfeed for the first time. The nurse notices that they client has inverted nipples. Which nursing action can the nurse take to assist the client in breastfeeding the newborn - Answerprovide breast shield in assisting mother with using a breast pump before each feeding to make the nipples easier for the newborn to grasp the nurse in the postpartum 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 which amount - Answer8 pads per day the nurse provides home care instructions to a postpartum client following a vaginal birth with episiotomy. Which statement by the client indicates the need for further teaching - AnswerI can resume sexual activity at any time a postpartum client who delivered at 32 weeks of gestation would like to breastfeed her preterm infant. At this time the infant is receiving tube feedings only. What is the nurses best response to the mother - Answeryou can begin pumping as soon as possible after delivery with an electric breast pump the nurse caring for a woman who has delivered a baby after pregnancy with a placenta previa. Which complication would the client be at risk for - Answerpostpartum hemorrhage oxytocin is prescribed to be administered intravenously to client after cesarean delivery.The nurse understands that which is the action of the medication - Answerto stimulate the uterus to contract this reducing possible blood loss a pregnant client experienced a uterine rupture with subsequent fetal death. After ensuring that the client is physiologically stable the nurse should take which approach as the first step to support the client physiologically - Answercollect data regarding how the client receive the event a postpartum nurse obtain C vital signs on a mother who delivered a healthy newborn 2 hours ago. Then mothers temperature is 100 °F. what is the initial nursing action - Answerencourage oral fluid intake the nurse is monitoring a new mother in the fourth stage of labor for signs of hemorrhage. Which side noted in the mother would indicate an early sign of excessive blood loss and shock - Answeran increase in the pulse rate from 80 to 102 beats per minute

on the second postpartum day at mother complains of burning on urination, urgency, and frequency of urination. A urine sample is collected for urinalysis and the results indicate the presence of a urinary tract infection. The nurse reinforces instructions to the new mother regarding measures to take for the treatment of the infection. Which statement by the mother indicates the need for further teaching - Answerfoods and fluids that will increase your and alkalinity should be consumed 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 - Answerat the level of the umbilicus it has been 12 hours since the delivery of a newborn. The nurse assesses the mother for the process of evolution and documents that it is progressing normally when palpation of the client's fundus is noted at which level - Answer1 a new mother attempting breastfeeding for the first time has development status. She states my breasts look terrible and I think that I will stop breastfeeding. The nurse plans care knowing that the client is concerned about which problem - Answerbody image the nurse in a postpartum unit identifies which client as being at risk for developing endometritis following delivery - Answeran adolescent experiencing an emergency cesarean delivery for fetal distress the nurse is preparing to care for a woman in the immediate postpartum. Who has just delivered a healthy newborn. The nurse plans to take the woman's vital signs at which time intervals - Answerevery 15 minutes for the first hour then every 30 minutes for the next 2 hours the nurse is assisting in developing a plan of care for a cloud preparing to breastfeed.And planning care which factor is significant in teaching a client to breastfeed - AnswerA positive nurse client relationship a pregnant client test positive for Hepatitis B virus and a client asked the nurse whether she will be able to breastfeed the baby as planned after delivery. The nurse makes which response to the client - Answerbreastfeeding is allowed once the baby has been vaccinated the nurse has reinforce instructions to a new mother about how to perform postpartum exercises. The nurse determines that the client understands the instructions when she makes which statement - AnswerI should alternately contract and relax muscles of the perineal area the nurse is caring for a client during the immediate recovery phase or fourth stage of Labor. Which action is important for the nurse to take at this time - Answercheck the uterine fundus and lochia after surgical evacuation and repair of a vaginal hematoma a 3-day postpartum mother is discharged. The nurse determines that the mother needs further discharge instructions if

the new mother makes which statement - Answerthe only medications that I will take are prenatal vitamins and stool softeners a client experiences subinvolution during the puerperium. the nurse recalls that which factors are most common causes for this occurrence - Answerretained placental fragments and infections after delivery the nurse checks the height of the uterine fundus. Which position of the Furnace should the nurse expect to note - Answerat the level of the umbilicus a client in the postpartum unit complains of sudden, sharp chest pain. The nurse notes that the client is tachycardic and respiratory rate is elevated. The nurse suspects a pulmonary embolism which should be the initial nursing action - Answerprepare to administer oxygen at 8 to 10 by tight face mask a client has had a midline episiotomy. In relation to clients with other types of episiotomies the nurse anticipates that the client will generally experienced which - Answerless pain the nurse is assigned to care for a client after a cesarean section. To prevent thrombophlebitis the nurse should encourage the woman to take which priority action - Answerambulate frequently after a precipitous delivery the nurse notes that a new mother is passive and only touches her newborn briefly with her fingertips. The nurse should do which action first to help the woman process what has happened - Answersupport the mother no matter what her reaction is to the newborn a 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 request to have her newborn infant stay in the nursery. The nurse recognizes that the mother may have intensified postpartum Blues because of which situation - Answerdecline is required to stay on bed rest the nurse is caring for a postpartum client. At 4 hours postpartum the closet temperature is 102°F. which is the appropriate nursing action - Answernotify the registered nurse who will then contact the healthcare provider the nurse is monitoring a client at risk for postpartum endometritis. Which observation noted during the first 24 hours after delivery would support this diagnosis - Answerabdominal tenderness and chills 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 - Answerrequest to hold the infant following delivery the goal for the postpartum client with deep thrombophlebitis is to prevent the complication of pulmonary embolism. And planning care to assist in meeting this goal

the nurse should perform which action - Answeradminister anticoagulants as prescribed the nurse is checking lochia discharge on a clot in the immediate postpartum. And notes that the lochia is bright red and contain some small clots. Which interpretation should the nurse make about this finding - Answeris normal the nurse is reinforcing instructions to a mother who is bottle feeding a baby who is complaining of breast engorgement. Which statement by the client indicates a need for further teaching - AnswerI should avoid wearing a bra at this time the nurse palpates the furnace and checks the character of the lochia of a postpartum client who is in the fourth stage of Labor. Which lochia characteristic should the nurse expect to note - Answerred the new breastfeeding mother has been seen in the clinic for the treatment of mastitis.Which comment by the mother would indicate a need for further teaching - Answermy left breast is sore, so I will offer only my right breast frequently for breastfeeding the nurse is about to reinforce discharge instructions to a postpartum client who delivered a healthy newborn infant. The occurrence of which event should be reported to the healthcare provider - Answerpain, redness, or swelling in the breast the nurse is preparing a list of self care instructions for a postpartum client who has been diagnosed with mastitis. Which instruction should be included on the list - Answerrest during the acute phase wear a supportive non underwire bra maintain a fluid intake of at least 3000 ml continue to breastfeed if the breast are not too sore the nurse provides instructions to a breastfeeding mother who is experiencing breast engorgement about measures that will provide Comfort. Which statement by the mother indicates an understanding of these measures - AnswerI will massage the breast before feeding to stimulate let down the nurse provides explanation to a client prescribed methylergonovine maleate in the imminent postpartum period. which statement made by the client demonstrates understanding of the rationale for administration - Answerit will help prevent and control bleeding if it occurs

the nurse is reviewing the procedure of vitamin K injection in a newborn. Which information is included in the procedure - Answerinject into skin that has been cleansed and allowed to have alcohol dry on the puncture site for 1 minute