Summary Postpartum NCLEX Style Questions & Answers/Rationales > 2022/2023.
Postpartum NCLEX Style Questions & Answers/Rationales 2022. A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which of the following instructions would be included on the list? A. Wear a supportive bra B. Rest during the acute phase C. Maintain a fluid intake of at least 3000 ml D Continue to breast-feed if the breasts are not too sore. E. Take the prescribed antibiotics until the soreness subsides. F. Avoid decompression of the breasts by breast-feeding or breast pump. A nurse is teaching a postpartum client about breast-feeding. Which of the following instructions should the nurse include? A. The diet should include additional fluids B. Prenatal vitamins should be discontinued C. Soap should be used to cleanse the breasts. D. Birth control measures are unnecessary while breast-feeding. A diet for a breast-feeding patient should include additional fluids. Prenatal vitamins should be taken as prescribed and soap should not be used on the breast because it removes natural oils which increases the chance of cracked nipples. Breast-feeding is not a sole method of contraception, so birth control measures should be resumed. A postpartum client is diagnosed with cystitis .The nurse plans for which priority nursing intervention in the care of the client? A. Providing Sitz baths B. Encouraging fluid intake C. Placing ice on the perineum D. Monitoring hemoglobin and hematocrit levels. After a precipitous delivery, a nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. The nurse should do which of the following to help the woman process what has happened? A. Encourage the mother to breast-feed soon after birth. B. Support the mother in her reaction to the newborn infant. C. Tell the mother that it is important to hold the newborn infant. D. Document a complete account of the mother's reaction on the birth record. A client who is breast-feeding her newborn infant is experiencing nipple soreness. To relieve the soreness, the nurse suggests that the client: A. Avoid rotating breast-feeding positions. B. Stop nursing until the nipples heal C. Substitute a bottle-feeding until the nipples heal. D. Position the infant with the ear, shoulder, and hip in straight alignment with the infant's stomach against the mother. On assessment of a client who is 30 minutes into the fourth stage of labor, the nurse finds the client's perineal pad saturated with blood and blood soaked into the bed linen under the client's buttocks. The nurse's initial action is which of the following. A. Call the physician B. Assess the client's vital signs C. Gently massage the uterine fundus D. Administer a 300ml bolus of a 20 units/L Oxytocin(Pitocin) solution A second-day postpartum client with diabetes mellitus has scant lochia with a foul odor and a temperature of 101.6 degrees F. The physician suspects infection and writes orders to treat the client. Which of the following orders written by the physician would the nurse complete first? A. Obtain culture and sensitivity of lochia and urine B. Administer Ceftriaxone (Rocephin) C. Check the client's temperature D. Increase the intake of oral fluids. A nurse assigned to care for a postpartum client plans to promote parental-infant bonding by encouraging the parents to: A. Use a low-pitched voice to speak to the infant B. Allow the nursing staff to assume the infant care during hospitalization so they may rest C. Hold and cuddle the infant closely D. Allow the infant to sleep in the parental bed between the parents A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with a placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which risk associated with placenta previa? A. Infection B. Hemorrhage C. Chronic hypertension D. Disseminated intravascular coagulation A nurse is evaluating the mother-infant bonding process during the postpartum period. An indication of a maladaptive interaction would be if the mother: A. Expressed discomfort with the role of motherhood B. Encouraged the nurse to feed the baby because she continues to be too tired C. Showed that she was willing to learn how to care for the umbilical cord D. Talked to the baby A nurse provides instructions to a new mother who is about to breast-feed her newborn infant. The nurse observes the new mother as she breast-feeds fo the first time and intervenes if the new mother: A. Turns the newborn infant on his side, facing the mother B. Tilts up the nipple or squeezes the areola, pushing it into the newborn's mouth C. Draws the newborn the rest of the way onto the breast when the newborn opens his mouth D. Places a clean finger in the side of the newborn's mouth to break the suction before removing the newborn from the breast. It has been 12 hours since the client's delivery of a newborn. The nurse assesses the client for the process of involution and documents that it is progressing normally when palpation of the client's fundus is noted at which level? A. At the umbilicus B. One fingerbreadth below the umbilicus C. Two fingerbreadth above the umbilicus D. Two fingerbreadth below the umbilicus On the second postpartum day, a client complains of burning on urination, urgency, and frequency of urination. A urinalysis indicates the presence of a urinary tract infection. A nurse instructs the client regarding measures to take for the treatment of the infection. Which of the following statements, if made by the client, would indicate a need for further instructions? A. "The prescribed medication must be taken until it is finished." B. "My fluid intake should be increased to at least 3000ml/day" C. "I need to urinate frequently throughout the day." D. "Foods and fluids that will increase urine alkalinity should be consumed" A nurse is performing an assessment on a 2-day postpartum mother. The mother complains of severe pain and an intense feeling of swelling and pressure in the vulvar area. After hearing these complaints the nurse specifically checks the client's... A. Episiotomy for drainage B. Rectum for hemorrhoids C. Vulva for a hematoma D. Vagina for lacerations A nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which of the following signs, if noted, would be an early sign of excessive blood loss? A. A temperature of 100.4 F B. A blood pressure change from 130/88 to 124/80mmHg C. An increase in the pulse rate from 88 to 102 D. An increase in the RR from 18 to 22 breaths/min A discharge nurse is discussing mastitis with a postpartum client. Which of the following statements by the client would indicate a need for further instruction? A. "If I develop a hot, reddened, triangle-shaped area on my breast, I should contact my healthcare provider." B. " I may develop mastitis if I wear underwire bras, experience excessive fatigue, or suddenly decrease the number of feedings." C."If I develop a fever, chills, or body aches at any time after discharge I should stop breast feeding immediately." D. "Antibiotics, rest, warm compresses, and adequate fluid intake are all important for the treatment of mastitis." Methylergonovine (Methergine) is prescribed for a woman who has just delivered a healthy newborn infant. The priority assessment before administering the medication is to check the clients: A. Lochia B. Uterine tone C. Blood pressure D. Deep tendon reflexes A nurse obtains the vital signs on a mother who delivered a healthy newborn infant 2 hours ago and notes that the mother's temperature is 102 F. The appropriate nursing action would be to: A. Notify the physician B. Remove the blanket from the client's bed C. Document the finding and recheck the temperature in 4 hours. D. Administer Acetaminophen (Tylenol) and recheck the temperature in 4 hours. A nurse has provided discharge instructions to a client who delivered a healthy infant by cesarean delivery. Which statement made by the client indicates a need for further instructions? A. "I will begin abdominal exercises immediately." B. " I will notify the physician if I develop a fever." C. "I will turn on my side and push up with my arms to get out of bed." D. " I will lift nothing heavier than the newborn infant for at least 2 weeks. A nurse is monitoring the amount of lochia drainage in a client who is 2 hours postpartum and notes that the client has saturated a perineal pad in 1 hour. The nurse reports the amount of lochial flow as: A. Scant B. Light C. Heavy D. Excessive
Connected book
- 2012
- 9781451152692
- Unknown
Written for
- Institution
- Dade Medical College
- Module
- Postpartum NCLEX
Document information
- Summarized whole book?
- No
- Which chapters are summarized?
- Postpartum nclex style questions & answers
- Uploaded on
- November 29, 2022
- Number of pages
- 6
- Written in
- 2022/2023
- Type
- Summary
Subjects
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postpartum nclex style
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postpartum nclex 2022
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postpartum nclex style exam
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postpartum nclex style test
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a nurse is preparing a list of self care instructions for a postpartum client who was diagnosed wit
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