Passpoint - Postpartum Period(Complete solutions)
A nurse is caring for a client who gave birth to a stillborn neonate at 36 weeks' gestation. Which
action taken by the nurse is most helpful in helping the client cope with the loss of the baby?
correct answers Encourage the client to see, touch, and hold the dead neonate.
During the postpartum period, the nurse anticipates normal involution. Which action taken by the
nurse promotes involution? correct answers Encourage the mother to breast feed.
The nurse is providing care to a postpartum client with mastitis. As part of the client's teaching
plan, the nurse is reinforcing information about the condition. Which information should the
nurse emphasize? correct answers Symptoms include fever, chills, malaise, and localized breast
tenderness.
A client is 2 days postpartum and is experiencing bleeding. She asks the nurse, "Will it always be
like this?" Which statement by the nurse would be the most accurate? correct answers "This is
lochia rubra and will last 3 to 4 days."
A nurse is caring for a postpartum client suspected of developing postpartum psychosis. Which
statements accurately characterize this disorder? Select all that apply. correct answers Symptoms
include delusions and hallucinations.
The disorder rarely occurs without a psychiatric history.
A postpartum client has been ordered 500 mg of ampicillin oral suspension. The label reads
ampicillin 125 mg/5 mL. How many milliliters should the client receive? Record your answer
using a whole number. correct answers 20
A client has just given birth to her first child. The client is Rho(D)-negative and her baby is Rh-
positive. At which time would the nurse most likely expect Rho(D) immune globulin IM to be
given to the mother to reduce the risk of Rh incompatibility? correct answers within 72 hours
One week after giving birth, a client comes to the clinic for a check up. The client tearfully tells
the nurse, "I should feel happy, but I don't. What's wrong with me?" Which response by the nurse
would be best? correct answers "It's not unusual to have these feelings after giving birth."
The nurse is caring for a client on the fourth postpartum day. The nurse is expecting to observe
which behavior in the client on the fourth postpartum day? correct answers The client asks many
questions about the baby's care.
A nurse is reviewing a postpartum client's medical record and plan of care before discharge.
Which factor if noted in the client's history would the nurse identify as most likely to interfere
with this client's parental attachment? correct answers recent loss of a parent
A client delivers a neonate prematurely at 28 weeks' gestation. The neonate is placed in the
neonatal intensive care unit (NICU). Three days later, the client's husband seems withdrawn and
, barely speaks to the staff when visiting his child in the NICU. Which of the following nursing
action should the nurse take? correct answers Ask the father if he would want to talk about his
feelings regarding the newborn and being in the intensive care.
What is the most likely reason for a temperature of 99.8° F (37.7° C) during the first 24 hours
postpartum? correct answers Dehydration
The nurse is teaching a client how to perform perineal care to reduce the risk of puerperal
infection. Which activity indicates that the client understands proper perineal care? correct
answers Using a peri bottle to clean the perineum after each voiding or bowel movement
Which of the following options best describes the anticipated actions in the taking-hold phase of
the maternal attachment process? correct answers Kissing, embracing, and caring for the infant
When monitoring a postpartum client 2 hours after birth of her newborn, the nurse notices heavy
bleeding with large clots. Which action would the nurse perform first? correct answers Massage
the fundus firmly.
A postpartum client is receiving anticoagulant therapy for deep venous thrombophlebitis. After
assisting with the discharge teaching plan, the nurse determines that the client has understood the
information when what statement is made? correct answers "I should not take any over-the-
counter (OTC) salicylates."
A client needs to void 3 hours after a vaginal birth. The nurse implements safety precautions
when getting the client out of bed based on an understanding that the client is at risk for which
condition? correct answers orthostatic hypotension
A postpartum client recovering from spinal anesthesia with morphine reports that her nose itches.
Which would the nurse suspect as the cause? correct answers The client is experiencing a
common effect due to a morphine-based anesthetic.
A nurse observes a client's vaginal discharge on the first postpartum day and describes it in the
progress note (shown). Which terms best identifies the discharge? correct answers Lochia rubra.
When reviewing self-care instructions with a postpartum client, the nurse emphasizes the need
for the client to report heavy or excessive bleeding. The nurse would describe "heavy bleeding
saturating one sanitary pad" within which time span? correct answers 1 hour
A nurse is helping to prepare a client for discharge following the vaginal birth of a healthy
neonate. As part of the discharge plan, the nurse is reviewing how to perform Kegel exercises.
The nurse determines that the client understand the reason for these exercises when she states
they accomplish which goal? correct answers Strengthen the perineal muscles.
A client's neonate was delivered by cesarean. Which management strategy should be
implemented regarding breast-feeding after this type of delivery? correct answers Use the
football hold to avoid incisional discomfort.
A nurse is caring for a client who gave birth to a stillborn neonate at 36 weeks' gestation. Which
action taken by the nurse is most helpful in helping the client cope with the loss of the baby?
correct answers Encourage the client to see, touch, and hold the dead neonate.
During the postpartum period, the nurse anticipates normal involution. Which action taken by the
nurse promotes involution? correct answers Encourage the mother to breast feed.
The nurse is providing care to a postpartum client with mastitis. As part of the client's teaching
plan, the nurse is reinforcing information about the condition. Which information should the
nurse emphasize? correct answers Symptoms include fever, chills, malaise, and localized breast
tenderness.
A client is 2 days postpartum and is experiencing bleeding. She asks the nurse, "Will it always be
like this?" Which statement by the nurse would be the most accurate? correct answers "This is
lochia rubra and will last 3 to 4 days."
A nurse is caring for a postpartum client suspected of developing postpartum psychosis. Which
statements accurately characterize this disorder? Select all that apply. correct answers Symptoms
include delusions and hallucinations.
The disorder rarely occurs without a psychiatric history.
A postpartum client has been ordered 500 mg of ampicillin oral suspension. The label reads
ampicillin 125 mg/5 mL. How many milliliters should the client receive? Record your answer
using a whole number. correct answers 20
A client has just given birth to her first child. The client is Rho(D)-negative and her baby is Rh-
positive. At which time would the nurse most likely expect Rho(D) immune globulin IM to be
given to the mother to reduce the risk of Rh incompatibility? correct answers within 72 hours
One week after giving birth, a client comes to the clinic for a check up. The client tearfully tells
the nurse, "I should feel happy, but I don't. What's wrong with me?" Which response by the nurse
would be best? correct answers "It's not unusual to have these feelings after giving birth."
The nurse is caring for a client on the fourth postpartum day. The nurse is expecting to observe
which behavior in the client on the fourth postpartum day? correct answers The client asks many
questions about the baby's care.
A nurse is reviewing a postpartum client's medical record and plan of care before discharge.
Which factor if noted in the client's history would the nurse identify as most likely to interfere
with this client's parental attachment? correct answers recent loss of a parent
A client delivers a neonate prematurely at 28 weeks' gestation. The neonate is placed in the
neonatal intensive care unit (NICU). Three days later, the client's husband seems withdrawn and
, barely speaks to the staff when visiting his child in the NICU. Which of the following nursing
action should the nurse take? correct answers Ask the father if he would want to talk about his
feelings regarding the newborn and being in the intensive care.
What is the most likely reason for a temperature of 99.8° F (37.7° C) during the first 24 hours
postpartum? correct answers Dehydration
The nurse is teaching a client how to perform perineal care to reduce the risk of puerperal
infection. Which activity indicates that the client understands proper perineal care? correct
answers Using a peri bottle to clean the perineum after each voiding or bowel movement
Which of the following options best describes the anticipated actions in the taking-hold phase of
the maternal attachment process? correct answers Kissing, embracing, and caring for the infant
When monitoring a postpartum client 2 hours after birth of her newborn, the nurse notices heavy
bleeding with large clots. Which action would the nurse perform first? correct answers Massage
the fundus firmly.
A postpartum client is receiving anticoagulant therapy for deep venous thrombophlebitis. After
assisting with the discharge teaching plan, the nurse determines that the client has understood the
information when what statement is made? correct answers "I should not take any over-the-
counter (OTC) salicylates."
A client needs to void 3 hours after a vaginal birth. The nurse implements safety precautions
when getting the client out of bed based on an understanding that the client is at risk for which
condition? correct answers orthostatic hypotension
A postpartum client recovering from spinal anesthesia with morphine reports that her nose itches.
Which would the nurse suspect as the cause? correct answers The client is experiencing a
common effect due to a morphine-based anesthetic.
A nurse observes a client's vaginal discharge on the first postpartum day and describes it in the
progress note (shown). Which terms best identifies the discharge? correct answers Lochia rubra.
When reviewing self-care instructions with a postpartum client, the nurse emphasizes the need
for the client to report heavy or excessive bleeding. The nurse would describe "heavy bleeding
saturating one sanitary pad" within which time span? correct answers 1 hour
A nurse is helping to prepare a client for discharge following the vaginal birth of a healthy
neonate. As part of the discharge plan, the nurse is reviewing how to perform Kegel exercises.
The nurse determines that the client understand the reason for these exercises when she states
they accomplish which goal? correct answers Strengthen the perineal muscles.
A client's neonate was delivered by cesarean. Which management strategy should be
implemented regarding breast-feeding after this type of delivery? correct answers Use the
football hold to avoid incisional discomfort.
