1. A rubella titer result of a 1-day postpartum client 2.Pregnancy needs to
is less than 1:8, and a rubella virus vaccine is pre- be avoided for 1 to 3
scribed to be administered before discharge. The months. 3.The vaccine
nurse provides which information to the client is administered by the
about the vaccine? Select all that apply. subcutaneous route.
4. Exposure to immuno-
suppressed individuals
needs to be avoided.
5. A hypersensitivity re-
action can occur if the
client has an allergy to
eggs.
2. The nurse is providing instructions to a pregnant "You will need to bot-
client with human immunodeficiency virus (HIV) tle-feed your newborn."
infection regarding care to the newborn after de-
livery. The client asks the nurse about the feed-
ing options that are available. Which response
should the nurse make to the client?
3. A stillborn baby was delivered in the birthing "What can I do for you?"
suite a few hours ago. After the delivery, the fam-
ily remained together, holding and touching the
baby. Which statement by the nurse would assist
the family in their period of grief?
4. The nurse in a maternity unit is providing emo- "We want to attend a
tional support to a client and her significant other support group."
who are preparing to be discharged from the
hospital after the birth of a dead fetus. Which
statement made by the client indicates a compo-
nent of the normal grieving process?
5. The nurse evaluates the ability of a hepatitis The mother washes and
B-positive mother to provide safe bottle-feeding dries her hands before
to her newborn during postpartum hospitaliza- and after self-care of the
tion. Which maternal action best exemplifies the perineum and asks for
mother's knowledge of potential disease trans- a pair of gloves before
mission to the newborn? feeding.
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, Postpartum NCLEX review WITH Complete Solutions
6. The nurse in the postpartum unit is caring for a Hemorrhage
client who has just delivered a newborn infant
following a pregnancy with placenta previa. The
nurse reviews the plan of care and prepares to
monitor the client for which risk associated with
placenta previa?
7. The postpartum nurse is taking the vital signs Increase hydration by
of a client who delivered a healthy newborn 4 encouraging oral fluids.
hours ago. The nurse notes that the client's tem-
perature is 100.2° F. What is the priority nursing
action?
8. The nurse is assessing a client who is 6 hours Instruct the client to re-
postpartum after delivering a full-term healthy quest help when getting
newborn. The client complains to the nurse of out of bed.
feelings of faintness and dizziness. Which nurs-
ing action is most appropriate?
9. The postpartum nurse is providing instructions 3 days postpartum
to a client after birth of a healthy newborn. Which
time frame should the nurse relay to the client
regarding the return of bowel function?
10. The nurse is planning care for a postpartum .Client pain level
client who had a vaginal delivery 2 hours ago.
The client required an episiotomy and has sev-
eral hemorrhoids. What is the priority nursing
consideration for this client?
11. The nurse is providing postpartum instructions 1. "I should wear a bra
to a client who will be breast-feeding her new- that provides support."
born. The nurse determines that the client has 2."Drinking alcohol can
understood the instructions if she makes which affect my milk supply."
statements? Select all that apply. 3. "The use of caffeine
can decrease my milk
supply."
6.
"I plan on having bottled
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