Ob Postpartum Nclex Exam With Complete Questions And Well Elaborated Solutions Latest Update This Year

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OB POSTPARTUM NCLEX EXAM WITH COMPLETE
QUESTIONS AND WELL ELABORATED SOLUTIONS LATEST
UPDATE THIS YEAR


Question: The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy
infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the
following nursing actions would be most appropriate?

A) Obtain hemoglobin and hematocrit levels

B) Instruct the mother to request help when getting out of bed

C) Elevate the mother's legs

D) Inform the nursery room nurse to avoid bringing the newborn infant to the mother until the
feelings of lightheadedness and dizziness have subsided - CORRECT ANSWER✔✔B) Instruct the
mother to request help when getting out of bed




Rationale: Orthostatic hypotension may be evident during the first 8 hours after birth. Feelings
of faintness or dizziness are signs that should caution the nurse to be aware of the client's
safety. The nurse should advise the mother to get help the first few times the mother gets out
of bed. Obtaining an H/H requires a physicians order.




Question: A nurse is preparing to perform a fundal assessment on a postpartum client. The
initial nursing action in performing this assessment is which of the following?

A) Ask the client to turn on her side


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B) Ask the client to lie flat on her back with the knees and legs flat and straight

C) Ask the mother to urinate and empty her bladder

D) Massage the fundus gently before determining the level of the fundus. - CORRECT
ANSWER✔✔C) Ask the mother to urinate and empty her bladder




Rationale: Before starting the fundal assessment, the nurse should ask the mother to empty her
bladder so that an accurate assessment can be done. When the nurse is performing fundal
assessment, the nurse asks the woman to lie flat on her back with the knees flexed. Massaging
the fundus is not appropriate unless the fundus is boggy and soft, and then it should be
massaged gently until firm.




Question: The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the
lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:

A) Normal

B) Indicates the presence of infection

C) Indicates the need for increasing oral fluids

D) Indicates the need for increasing ambulation - CORRECT ANSWER✔✔B) Indicates the
presence of infection




Rationale: Lochia, the discharge present after birth, is red for the first 1 to 3 days and gradually
decreases in amount. Normal lochia has a fleshy odor. Foul smelling or purulent lochia usually
indicates infection, and these findings are not normal. Encouraging the woman to drink fluids or
increase ambulation is not an accurate nursing intervention

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Question: When performing a PP assessment on a client, the nurse notes the presence of clots
in the lochia. The nurse examines the clots and notes that they are larger than 1 cm. Which of
the following nursing actions is most appropriate?

A) Document the findings

B) Notify the physician

C) Reassess the client in 2 hours

D) Encourage increased intake of fluids - CORRECT ANSWER✔✔B) Notify the physician




Rationale: Normally, one may find a few small clots in the first 1 to 2 days after birth from
pooling of blood in the vagina. Clots larger than 1 cm are considered abnormal. The cause of
these clots, such as uterine atony or retained placental fragments, needs to be determined and
treated to prevent further blood loss. Although the findings would be documented, the most
appropriate action is to notify the physician.




Question: A nurse in a PP 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 the need for:

A) One peripad per day

B) Two peripads per day

C) Three peripads per day

D) Eight peripads per day - CORRECT ANSWER✔✔D) Eight peripads per day


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Rationale: The normal amount of lochia may vary with the individual but should never exceed 4
to 8 peripads per day. The average number of peripads is 6 per day.




Q:A postpartum nurse is preparing to care for a woman who has just delivered a healthy
newborn infant. In the immediate postpartum period the nurse plans to take the woman's vital
signs:

A) Every 30 minutes during the first hour and then every hour for the next two hours.

B) Every 15 minutes during the first hour and then every 30 minutes for the next two hours.

C) Every hour for the first 2 hours and then every 4 hours

D) Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours. - CORRECT
ANSWER✔✔B) Every 15 minutes during the first hour and then every 30 minutes for the next
two hours.




Rationale: Every 15 minutes during the first hour and then every 30 minutes for the next two
hours.




Question: A postpartum nurse is taking the vital signs of a woman who delivered a healthy
newborn infant 4 hours ago. The nurse notes that the mother's temperature is 100.2*F. Which
of the following actions would be most appropriate?

A) Retake the temperature in 15 minutes

B) Notify the physician


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