Ch. 14 OB Postpartum Nursing exam
Questions and Answers
1.
Question:
The nurse is caring for a patient who delivered via cesarean section two hours ago and is now in
the recovery room. Upon reviewing the delivery record, the nurse notices that her estimated
blood loss was 800 mL. What is the appropriate nursing intervention?
Answer:
Document on the report sheet as “normal” and proceed with the plan of care.
2.
Question:
A mother who has been breastfeeding for three months calls the clinic to speak to the nurse. She
reports a fever, unilateral breast swelling, pain, and redness. She is worried about continuing to
breastfeed. What is the appropriate nursing response?
Answer:
“Your milk is not infected, so you can continue to breastfeed and we will prescribe an antibiotic
today.”
3.
Question:
The recovery room nurse is completing a postpartum assessment on a newly delivered patient.
The peripad is saturated with lochia with large visible clots. What is the priority nursing
intervention?
Answer:
Massage the uterus until firm.
4.
, Question:
The nurse is caring for a patient newly diagnosed with endometritis. What assessment findings
are consistent with endometritis?
Answer:
Uterine tenderness and foul-smelling lochia.
5.
Question:
The nurse is assessing a patient who is G5T5P0A0L5 and delivered vaginally four hours ago.
Labor included a 16-hour oxytocin induction for a macrosomic infant. Findings include a boggy
uterus and a saturated peripad with blood clots. What is the most likely cause of increased
bleeding?
Answer:
Tone (uterine atony).
6.
Question:
The oncoming nurse is reviewing assignments and wants to see the highest-acuity patient first.
Which woman is at greatest risk for primary postpartum hemorrhage?
Answer:
A G5P4 patient with obesity undergoing labor induction.
7.
Question:
A patient diagnosed with gestational diabetes mellitus (GDM) had an uncomplicated vaginal
birth 12 hours ago. Which statement requires further education?
Answer:
“My diabetes will resolve in the next few weeks, so there is no need for follow up.”
8.
Questions and Answers
1.
Question:
The nurse is caring for a patient who delivered via cesarean section two hours ago and is now in
the recovery room. Upon reviewing the delivery record, the nurse notices that her estimated
blood loss was 800 mL. What is the appropriate nursing intervention?
Answer:
Document on the report sheet as “normal” and proceed with the plan of care.
2.
Question:
A mother who has been breastfeeding for three months calls the clinic to speak to the nurse. She
reports a fever, unilateral breast swelling, pain, and redness. She is worried about continuing to
breastfeed. What is the appropriate nursing response?
Answer:
“Your milk is not infected, so you can continue to breastfeed and we will prescribe an antibiotic
today.”
3.
Question:
The recovery room nurse is completing a postpartum assessment on a newly delivered patient.
The peripad is saturated with lochia with large visible clots. What is the priority nursing
intervention?
Answer:
Massage the uterus until firm.
4.
, Question:
The nurse is caring for a patient newly diagnosed with endometritis. What assessment findings
are consistent with endometritis?
Answer:
Uterine tenderness and foul-smelling lochia.
5.
Question:
The nurse is assessing a patient who is G5T5P0A0L5 and delivered vaginally four hours ago.
Labor included a 16-hour oxytocin induction for a macrosomic infant. Findings include a boggy
uterus and a saturated peripad with blood clots. What is the most likely cause of increased
bleeding?
Answer:
Tone (uterine atony).
6.
Question:
The oncoming nurse is reviewing assignments and wants to see the highest-acuity patient first.
Which woman is at greatest risk for primary postpartum hemorrhage?
Answer:
A G5P4 patient with obesity undergoing labor induction.
7.
Question:
A patient diagnosed with gestational diabetes mellitus (GDM) had an uncomplicated vaginal
birth 12 hours ago. Which statement requires further education?
Answer:
“My diabetes will resolve in the next few weeks, so there is no need for follow up.”
8.
