Postpartum NCLEX questions

Postpartum NCLEX questions Leave the first rating Students also studied Terms in this set (74) Science MedicineNursing Save OB Postpartum NCLEX Questions 52 terms ashley_coots7 Preview Maternity 38 terms NURSE1207Preview pn NCLEX postpartum 81 terms andria_montgomery Preview Postpa 153 term MO The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is most important for the nurse to take at this time?Check the uterine fundus and lochia.The postpartum nurse is caring for a mother following delivery of a newborn infant. The nurse performs a perineal assessment on the mother and notes a trickle of bright red blood coming from the perineum. The nurse checks the mother's fundus and notes that it is firm. On review of the mother's record, the nurse also notes that an episiotomy was performed. Which determination should the nurse make based on this information?The bright red bleeding is abnormal and should be reported.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?"I will massage the breasts before feeding to stimulate let-down." Which action, if noted in the new mother, indicates the need for further data collection by the nurse for signs of postpartum depression?The mother constantly complains of tiredness and fatigue.The nurse is reinforcing instructions to the mother following delivery regarding care of the episiotomy site to prevent infection. Which statement by the mother indicates a need for further teaching?I will change the perineum pads three times a day."

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 findings? Select all that apply.Less pain Less blood loss More likely to extend with birth of LGA infant The nurse is caring for a client who is being treated with antibiotics for mastitis. To reinforce instructions, what does the nurse tell the client?To complete the entire antibiotic regimen 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?The infection can occur at any time during breastfeeding." 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 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?The client is required to stay on bed rest.The nurse is caring for a client with placenta previa who is at high risk for infection and hemorrhage. The nurse plans care based on which information related to the condition?Fewer muscle fibers in the lower segment of the uterus will result in poor contractions.The nurse who is caring for a postpartum mother being tested for endometritis notes that the client has little interest in caring for her infant. Which intervention should best facilitate the client's participation in infant care?Encouraging the client to take pain medication as prescribed Oxytocin is administered to a client following the delivery of the placenta. The nurse assisting in caring for the client monitors for which effectiveresponse from the medication?Uterine contractions The nurse is monitoring a client at risk for postpartum endometritis. Which observation noted during the first 24 hours after delivery supports this diagnosis?Abdominal tenderness and chills The nurse has a prescription to give a dose of Rho(D) immune globulin to a client who has delivered an infant.Which criteria need to be met in order to administer this medication? Select all that apply.Rh negative mother Negative Coombs' test

The nurse is checking the lochia discharge on a 1-day postpartum woman. The nurse notes that the lochia is red and has a foul odor. The nurse determines that this finding indicates which?The presence of infection The nurse is adding to a plan of care for a postpartum client. Which intervention should promote parent-infant bonding Encourage her to hold the infant even when the infant is crying After surgical evacuation and repair of a vaginal hematoma, a 3-day postpartum mother is discharged. The nurse determines that the mother needs further teaching if the new mother makes which statement?The only medications that I will take are prenatal vitamins and stool softeners." The nurse palpates the fundus 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?Red 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 primary health care provider?Pain, redness, or swelling in the breasts The nurse in the postpartum unit notes that the result of a rubella titer drawn on a postpartum client during the antepartum period is 1.8. Which should the nurse anticipate to be prescribed by the primary health care provider?Administration of a subcutaneous rubella virus vaccine The nurse is assisting in developing a plan of care for a client preparing to breastfeed. In planning care, which factor is most significant in teaching a client to breastfeed?A positive nurse-client relationship The new breastfeeding mother has been seen in the clinic for the treatment of mastitis. Which comment by the mother indicates a need for further teaching?My left breast is sore, so I will offer only my right breast frequently for breastfeeding." The nurse is monitoring a new mother in the fourth stage of labor for signs of hemorrhage. Which sign noted in the mother indicates an early sign of excessive blood loss and shock?An increase in the pulse rate from 88 to 102 beats per minute Rho(D) immune globulin is prescribed for a client after delivery of a full-term infant. Before administering the medication, the nurse reviews the client's history, recognizing which circumstance as a contraindication for administering this medication?Experiencing a severe reaction to prior administered human globulin

The nurse in the newborn nursery is collecting data on a neonate who was born of a mother addicted to cocaine.Which signs/symptoms should the nurse expect to note in the neonate? Select all that apply.Tremors Irritability Hypertension Exaggerated startle reflex Which nursing actions should decrease the discomfort of an episiotomy? Select all that apply.Performing sitz baths Applying ice packs to the perineum for the first 12 to 24 hours The goal for the postpartum client with deep thrombophlebitis is to prevent the complication of pulmonary embolism. In planning care to assist in meeting this goal, the nurse should perform which action?Administer anticoagulants as prescribed.The nurse is reinforcing instructions to a mother who is bottle-feeding a baby and who is complaining of breast engorgement. Which statement by the client indicates a need for further teaching?I should avoid wearing a bra at this time." A stillborn was delivered in the birthing suite a few hours ago. After the birth, the family has remained together, touching the baby. Which statement by the nurse should further assist the family in their initial period of grief?"Would you like to hold your baby?" A delivery room nurse collects data on a mother who just delivered a healthy newborn infant. The nurse checks the uterus to determine if the placenta has detached. Which findings indicate to the nurse that placental detachment has occurred? Select all that apply.Lengthening of the umbilical cord udden gush of dark blood from the vagina Appearance of fetal membranes at the introitus After delivery the nurse checks the height of the uterine fundus. Which position of the fundus should the nurse expect to note?At the level of the umbilicus The nurse is checking lochia discharge on a client in the immediate postpartum period and notes that the lochia is bright red and contains some small clots. Which interpretation should the nurse make about this finding?The finding is normal.A client experiences subinvolution during the puerperium. The nurse recalls that which factors are the most common causes for this occurrence? Select all that apply.Retained placental fragments .Maternal reproductive tract infections The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse is 120 beats per minute. The client is very anxious and restless. The nurse is told that the client has a vulvar hematoma. Based on this diagnosis, the nurse should plan which action?Prepare the client for surgery.