1. A nurse is preparing a list of A, B, C, D
self-care instructions for a postpar-
tum client who was diagnosed with Client instructions include resting dur-
mastitis. Which of the following in- ing the acute phase, maintaining a
structions would be included on the fluid intake of at least 3000ml/day
list? (if not contraindicated), taking anal-
A. Wear a supportive bra gesics to relieve discomfort. Antibi-
B. Rest during the acute phase otics may be prescribed and are tak-
C. Maintain a fluid intake of at least en UNTIL THE COMPLETE PRE-
3000 ml SCRIBED COURSE IS FINISHED.
D Continue to breast-feed if the Additional supportive measures in-
breasts are not too sore. clude the use of moist heat or ice
E. Take the prescribed antibiotics packs and wearing a supportive bra.
until the soreness subsides. CONTINUED DECOMPRESSION of
F. Avoid decompression of the the breast by breast-feeding or breast
breasts by breast-feeding or breast pump is important to empty the breast
pump. and prevent the formation of an ab-
scess.
2. A nurse is teaching a postpartum A.
client about breast-feeding. Which
of the following instructions should A diet for a breast-feeding patient
the nurse include? should include additional fluids. Pre-
A. The diet should include additional natal vitamins should be taken as pre-
fluids scribed and soap should not be used
B. Prenatal vitamins should be dis- on the breast because it removes nat-
continued ural oils which increases the chance
C. Soap should be used to cleanse of cracked nipples. Breast-feeding is
the breasts. not a sole method of contraception,
D. Birth control measures are unnec- so birth control measures should be
essary while breast-feeding. resumed.
3. A postpartum client is diagnosed B.
with cystitis .The nurse plans for
which priority nursing intervention Cystitis is an infection of the blad-
in the care of the client? der. The client should consume
A. Providing Sitz baths 3000ml/day if not contraindicated.
B. Encouraging fluid intake Sitz baths and ice would be appropri-
C. Placing ice on the perineum ate interventions for perineal discom-
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, Postpartum NCLEX Style Questions Exam test with 100% Verified Answers
D. Monitoring hemoglobin and fort. H&H would be monitored with
hematocrit levels. hemorrhage.
4. After a precipitous delivery, a nurse B.
notes that the new mother is passive Precipitous labor is labor that lasts
and only touches her newborn infant less than 3 hours. Women who have
briefly with her fingertips. The nurse experienced precipitous labor often
should do which of the following to describe the feelings of disbelief that
help the woman process what has their labor progressed so rapidly. To
happened? assist the client to process what has
A. Encourage the mother to happened the best option is to sup-
breast-feed soon after birth. port the client in her reaction to the
B. Support the mother in her reac- newborn infant. Options A, C, and D
tion to the newborn infant. do not acknowledge the client's feel-
C. Tell the mother that it is important ings.
to hold the newborn infant.
D. Document a complete account of
the mother's reaction on the birth
record.
5. A client who is breast-feeding her D.
newborn infant is experiencing nip- The nurse would suggest the mother
ple soreness. To relieve the sore- position the infant in this manner. Ro-
ness, the nurse suggests that the tating breast-feeding positions; break-
client: ing suction with the little finger; nurs-
A. Avoid rotating breast-feeding po- ing frequently; begin feeding on the
sitions. less sore nipple; not allowing the new-
B. Stop nursing until the nipples born to chew on the nipple or to sleep
heal holding the nipple in the mouth and
C. Substitute a bottle-feeding until applying tea bags soaked in warm
the nipples heal. water to the nipple are also measures
D. Position the infant with the ear, to alleviate nipple soreness.
shoulder, and hip in straight align-
ment with the infant's stomach
against the mother.
6. On assessment of a client who is 30 C.
minutes into the fourth stage of la- The most frequent cause of excessive
bor, the nurse finds the client's per- bleeding or hemorrhage after child-
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