Questions and Answers

Maternity NCLEX Questions and Answers 2025 updated The nurse is assigned to care for a client 1 hour after delivery. The nurse palpates a firm, uterine fundus

• cm above the umbilicus and displaced to the right. The nurse recognizes that this finding indicates

which?

1.Uterine atony 2.Bladder distention 3.Endometrial infection

4.Retained placental fragments - Answers: 2. Bladder distention

The nurse is reinforcing instructions to a client who had an episiotomy during the birthing process.Which statement by the client would indicate a need for further teaching?

1."I can apply ice to the area." 2."I can apply a local anesthetic spray to the area." 3."I should tighten the perineum before I sit and then relax it slowly after being seated." 4."I should take sitz baths 3 or 4 times a day and test the water temperature to be sure that it is at 115° F." - Answers: 4. I should take sitz baths 3 or 4 times a day and test the water temperature to be sure that it is at 115 F 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 health care provider?

1.Uterine cramping while breast-feeding 2.Pain, redness, or swelling in the breasts 3.Diaphoresis that occurs during the night 4.Existence of a serosanguineous vaginal drainage - Answers: 2. Pain, redness, or swelling in the breasts 1 / 2

The nurse has reinforced 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?

1."Strenuous exercises should be started while in the hospital." 2."Exercise should be delayed for 4 weeks to allow healing time." 3."The use of postpartum exercises can result in stress urinary incontinence." 4."I should alternately contract and relax the muscles of the perineal area." - Answers: 4. I should alternately contract and relax the muscles of the perineal area.The nurse enters a new mother's room and finds that the mother is crying and that the infant is undressed on the bed in front of the mother. The mother looks at the nurse and says, "I can't even dress this baby!" After reassuring the client, which nursing action would be the most appropriate?

1.Place the infant back in the bassinet.

2.Diaper the infant while it is lying on the bed.

3.Place the infant in the bassinet and take the baby back to the nursery.

4.Have the mother place the infant in the bassinet and assist the mother in dressing the baby. - Answers: 4. Have the mother place the infant in the bassinet and assist the mother in dressing the baby 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?

1.Massage the breast, applying gentle pressure on the areola.

2.Have the mother grasp the nipples between the thumb and forefinger and tug firmly to get the nipple to protrude.

3.Have the mother take a cool shower, allowing the water to run over the breasts because this will encourage the nipples to protrude.

4.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. - Answers: 4. 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 postpartum client is getting ready for discharge. The nurse suspects that the client needs further teaching related to breastfeeding when she makes which statement?

1."I don't need birth control because I will be breastfeeding." 2."I need to increase my caloric intake by 500 calories a day."

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