Questions with Correct Answers & Rationales | Guarantee
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1. Short Hospital Stay
Question: In the pre-admission clinic, the perinatal nurse describes the advantages to a short
hospital stay as including which of the following?
A. decreased risk of non-socomial infection
B. increased rest and recuperation
C. increased opportunity to initiate successful breastfeeding
D. increased teaching about infant care
CORRECT ANSWER: A. decreased risk of non-socomial infection
Rationale: A shorter hospital stay reduces the mother's and newborn's exposure to hospital-
acquired (nosocomial) infections.
2. Immediate Postpartum Pulse
Question: In the immediate postpartum period, the perinatal nurse knows that the postpartum
woman most often has:
A. bradycardia
B. tachycardia
C. a pulse within the normal adult range
D. tachycardia with a return of normal pulse within 4 hours
CORRECT ANSWER: A. bradycardia
Rationale: A transient bradycardia can occur postpartum because of increased stroke volume
and physiologic changes following delivery.
3. Return of Bladder Function
Question: The postpartum nurse expects a postpartum woman's bladder function to return to
normal within what length of time?
, A. 2–4 hours
B. 4–6 hours
C. 6–8 hours
D. 8–12 hours
CORRECT ANSWER: B. 4–6 hours
Rationale: Normal bladder function generally returns within several hours after birth.
Postpartum urinary retention should be recognized promptly.
4. Puerperium
Question: A student nurse in the perinatal clinic sees a notation on the chart of a patient
describing her as being in the "puerperium." What explanation does the registered nurse
provide the student?
A. time period when breastfeeding inhibits ovulation
B. time period when the infant loses weight after birth
C. time period from childbirth through 6 weeks PP
D. time period when risk of the "baby blues" is highest
CORRECT ANSWER: C. time period from childbirth through 6 weeks PP
Rationale: The puerperium is the postpartum period, traditionally considered the first 6 weeks
following childbirth.
5. Perineal Assessment Position
Question: A nurse performing a perineal assessment on a postpartum woman assists her into
which position?
A. Sim's
B. Prone
C. Supine
D. Knee-chest
CORRECT ANSWER: A. Sim's
Rationale: Sim's position provides good access to the perineum for postpartum assessment
while maintaining patient comfort.