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Exam (elaborations)

OB Nursing Care | Postpartum Exam Q&A (Chapter 22 – 2025/2026) | Hemorrhage, Mastitis, Psychosis, Metritis

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This expert-verified question bank focuses on postpartum nursing care and is based on Chapter 22 of the OB Nursing curriculum, providing over 40 scenario-based multiple-choice and select-all-that-apply questions with answers and rationales. Ideal for preparing for exams in maternal-newborn nursing, it explores a wide range of high-priority postpartum topics, including postpartum hemorrhage, thrombophlebitis, mastitis, subinvolution, metritis, postpartum depression and psychosis, fundal massage, medications (oxytocin, methylergonovine, carboprost), and infection prevention. The questions are clinical in nature, challenging students to analyze nursing actions, patient symptoms, complications, and pharmacologic interventions. Each item includes a correct answer with a rationale to strengthen comprehension and critical thinking. Scenarios often reflect real NCLEX-style formatting, making this resource a practical review tool for testing clinical judgment and nursing knowledge in OB care. This document is valuable for: – Students in BSN and ADN programs – Courses in maternal-newborn, postpartum, or women’s health nursing – NCLEX-RN candidates needing focused postpartum practice – Educators and nursing tutors creating exam prep materials Use this document to sharpen your grasp of postpartum complications, assessment priorities, and evidence-based nursing responses in obstetric settings. Keywords: OB nursing, postpartum hemorrhage, mastitis, uterine atony, postpartum depression, postpartum psychosis, fundal massage, thrombophlebitis, metritis, lochia changes, subinvolution, S. aureus infection, uterotonic agents, oxytocin, carboprost, NCLEX OB questions, maternal infection, nursing interventions postpartum, OB test bank, postpartum assessment

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November 18, 2025
Number of pages
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Written in
2025/2026
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OB - Chapter 22 Postpartum 2025/2026
Exam Questions and Verified Answers |
Already Graded A+



Review of a primiparous woman's labor and birth record reveals a

prolonged second stage of labor and extended time in the stirrups. Based

on an interpretation of these findings, the nurse would be especially alert

for which of the following?

A) Retained placental fragments

B) Hypertension

C) Thrombophlebitis


D) Uterine subinvolution - 🧠 ANSWER ✔✔Ans: C


Feedback:

The woman is at risk for thrombophlebitis due to the prolonged second

stage of labor, necessitating an increased amount of time in bed, and

,venous pooling that occurs when the woman's legs are in stirrups for a long

period of time. These findings are unrelated to retained placental

fragments, which would lead to uterine subinvolution, or hypertension.

As part of an inservice program, a nurse is describing a transient, self-

limiting mood disorder that affects mothers after childbirth. The nurse

correctly identifies this as postpartum:

A) Depression

B) Psychosis

C) Bipolar disorder


D) Blues - 🧠 ANSWER ✔✔Ans: D


Feedback:

Postpartum blues are manifested by mild depressive symptoms of anxiety,

irritability, mood swings, tearfulness, increased sensitivity, feelings of being

overwhelmed, and fatigue. They are usually self-limiting and require no

formal treatment other than reassurance and validation of the woman's

experience as well as assistance in caring for herself and her newborn.

Postpartum depression is a major depressive episode associated with

childbirth. Postpartum psychosis is at the severe end of the continuum of

, postpartum emotional disorders. Bipolar disorder refers to a mood disorder

typically involving episodes of depression and mania.

A woman who is 2 weeks postpartum calls the clinic and says, "My left

breast hurts." After further assessment on the phone, the nurse suspects

the woman has mastitis. In addition to pain, the nurse would assess for

which of the following?

A) An inverted nipple on the affected breast

B) No breast milk in the affected breast

C) An ecchymotic area on the affected breast


D) Hardening of an area in the affected breast - 🧠 ANSWER ✔✔Ans: D


Feedback:

Mastitis is characterized by a tender, hot, red, painful area on the affected

breast. An inverted nipple is not associated with mastitis. With mastitis, the

breast is distended with milk, the area is inflamed (not ecchymotic), and

there is breast tenderness.

A group of students are reviewing the causes of postpartum hemorrhage.

The students demonstrate understanding of the information when they

identify which of the following as the most common cause?


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