PN NCLEX POSTPARTUM
EXAM QUESTIONS AND
ANSWERS
A client arrives to the postpartum unit following the delivery of her newborn premature
infant. On data collection, the nurse notes that the client is shaking uncontrollably.
Which nursing action is appropriate? - Answer-Covering her with a warm blanket
The nurse suspects that the client has a pulmonary embolism when the client exhibits
which signs and symptoms? - Answer-Dyspnea, tachypnea, and tachycardia
A postpartum client asks the nurse when she may resume sexual activity. Which
response should the nurse give to the client? - Answer-Sexual activity may be resumed
in about 3 weeks when the episiotomy has healed and the lochia has stopped.
A postpartum client with mastitis in the right breast complains that the breast is too sore
for her to breast-feed her infant. Which should the nurse tell the client? - Answer-
"Breast-feed from the left breast and gently pump the right breast."
The nurse in the postpartum unit is assigned to care for a client who delivered a full-
term, healthy baby. The nurse receives the report and is told that the mother had lost
500 mL of blood during the delivery. When checking the vital signs, the nurse notes that
the woman's pulse is 90 beats per minute and is weak and thready. This finding should
indicate which accurate interpretation to the nurse? - Answer-This may be a sign of
hemorrhage or shock.
When performing a postpartum assessment on a client, the licensed practical nurse
(LPN) notes clots in the lochia. The LPN examines the clots and notes that they are
larger than 1 cm. Which nursing action is appropriate? - Answer-Notify the registered
nurse (RN).
The nurse is assisting in administering beractant (Survanta) to a premature infant who
has respiratory distress syndrome. The nurse understands that the medication should
be administered by which route? - Answer-Intratracheal
, Oxytocin (Pitocin) is administered to a client following the delivery of the placenta. The
nurse assisting in caring for the client monitors for which effective response from the
medication? - Answer-Uterine contractions
The nurse reinforces home care instructions to a postpartum client who had a cesarean
delivery. Which statement by the client indicates an understanding of the instructions? -
Answer-"If I develop a fever, I will call my doctor."
The nurse is assisting with planning care for a postpartum woman who has small vulvar
hematomas. To assist with reducing the swelling, the nurse should perform which
action? - Answer-Prepare an ice pack for application to the area.
The nurse is caring for a client with placenta previa who is at high risk for infection and
hemorrhage. The nurse plans care based on which information related to the condition?
- Answer-Fewer muscle fibers in the lower segment of the uterus will result in poor
contractions.
The nurse is collecting data on a postpartum client and performs which best intervention
when checking for thrombophlebitis in the legs? - Answer-Checks the calf areas for
redness or swelling
The nurse has a prescription to give a dose of Rho(D) immune globulin (RhoGAM) to a
client who has delivered an infant. The nurse understands that this medication will
prevent the next infant from experiencing which complication? - Answer-Being affected
by Rh incompatibility
The nurse is caring for a postpartum client who is being treated for thrombophlebitis.
The client is receiving an anticoagulant by intravenous infusion. The nurse monitors for
adverse effects of the anticoagulant by checking the client for which signs/symptoms? -
Answer-Hematuria, ecchymosis, and epistaxis
a client who is breastfeeding her newborn infant is experiencing nipple soreness. To
relieve the soreness which action should the nurse suggest to the client - Answer-begin
feeding on the less sore nipple
and your mother is attempting to breastfeed for the first time. The nurse notices that
they client has inverted nipples. Which nursing action can the nurse take to assist the
client in breastfeeding the newborn - Answer-provide breast shield in assisting mother
with using a breast pump before each feeding to make the nipples easier for the
newborn to grasp
the nurse in the postpartum 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 which amount - Answer-8 pads per day
EXAM QUESTIONS AND
ANSWERS
A client arrives to the postpartum unit following the delivery of her newborn premature
infant. On data collection, the nurse notes that the client is shaking uncontrollably.
Which nursing action is appropriate? - Answer-Covering her with a warm blanket
The nurse suspects that the client has a pulmonary embolism when the client exhibits
which signs and symptoms? - Answer-Dyspnea, tachypnea, and tachycardia
A postpartum client asks the nurse when she may resume sexual activity. Which
response should the nurse give to the client? - Answer-Sexual activity may be resumed
in about 3 weeks when the episiotomy has healed and the lochia has stopped.
A postpartum client with mastitis in the right breast complains that the breast is too sore
for her to breast-feed her infant. Which should the nurse tell the client? - Answer-
"Breast-feed from the left breast and gently pump the right breast."
The nurse in the postpartum unit is assigned to care for a client who delivered a full-
term, healthy baby. The nurse receives the report and is told that the mother had lost
500 mL of blood during the delivery. When checking the vital signs, the nurse notes that
the woman's pulse is 90 beats per minute and is weak and thready. This finding should
indicate which accurate interpretation to the nurse? - Answer-This may be a sign of
hemorrhage or shock.
When performing a postpartum assessment on a client, the licensed practical nurse
(LPN) notes clots in the lochia. The LPN examines the clots and notes that they are
larger than 1 cm. Which nursing action is appropriate? - Answer-Notify the registered
nurse (RN).
The nurse is assisting in administering beractant (Survanta) to a premature infant who
has respiratory distress syndrome. The nurse understands that the medication should
be administered by which route? - Answer-Intratracheal
, Oxytocin (Pitocin) is administered to a client following the delivery of the placenta. The
nurse assisting in caring for the client monitors for which effective response from the
medication? - Answer-Uterine contractions
The nurse reinforces home care instructions to a postpartum client who had a cesarean
delivery. Which statement by the client indicates an understanding of the instructions? -
Answer-"If I develop a fever, I will call my doctor."
The nurse is assisting with planning care for a postpartum woman who has small vulvar
hematomas. To assist with reducing the swelling, the nurse should perform which
action? - Answer-Prepare an ice pack for application to the area.
The nurse is caring for a client with placenta previa who is at high risk for infection and
hemorrhage. The nurse plans care based on which information related to the condition?
- Answer-Fewer muscle fibers in the lower segment of the uterus will result in poor
contractions.
The nurse is collecting data on a postpartum client and performs which best intervention
when checking for thrombophlebitis in the legs? - Answer-Checks the calf areas for
redness or swelling
The nurse has a prescription to give a dose of Rho(D) immune globulin (RhoGAM) to a
client who has delivered an infant. The nurse understands that this medication will
prevent the next infant from experiencing which complication? - Answer-Being affected
by Rh incompatibility
The nurse is caring for a postpartum client who is being treated for thrombophlebitis.
The client is receiving an anticoagulant by intravenous infusion. The nurse monitors for
adverse effects of the anticoagulant by checking the client for which signs/symptoms? -
Answer-Hematuria, ecchymosis, and epistaxis
a client who is breastfeeding her newborn infant is experiencing nipple soreness. To
relieve the soreness which action should the nurse suggest to the client - Answer-begin
feeding on the less sore nipple
and your mother is attempting to breastfeed for the first time. The nurse notices that
they client has inverted nipples. Which nursing action can the nurse take to assist the
client in breastfeeding the newborn - Answer-provide breast shield in assisting mother
with using a breast pump before each feeding to make the nipples easier for the
newborn to grasp
the nurse in the postpartum 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 which amount - Answer-8 pads per day
