Postpartum NCLEX Exam Test Questions With 100% Verified Answers
1. Rubin identified a series of Taking-in, taking-hold, letting-go
changes that a new mother Correct
makes during the postpartum Explanation:
period. The correct sequence The new mother makes progressive
of these changes is changes to know her infant, review the preg-
nancy and labor, validate her safe passage
a) Taking-in, taking-hold, let- through these phases, learn the initial tasks
ting-go of mothering, and let go of her former life to
b) Taking, holding-on, let- incorporate this new child.
ting-go
c) Taking-in, holding-on, let-
ting-go
d) Taking-in, taking-on, let-
ting-go
2. A postpartum client com- Perform Kegel's exercises
plains of stress incontinence.Correct
What information should the Explanation:
nurse suggest to the client The nurse should ask the client to perform
to overcome stress inconti- the Kegel's exercises in which the client
nence? needs to alternately contract and relax the
perineal muscles. Aerobic exercises will not
help to strengthen perineal muscles. Re-
a) Perform aerobic exercises duced fluid intake and frequent emptying of
b) Frequently empty the blad- the bladder will not help the client overcome
der stress incontinence.
c) Reduce fluid intake
d) Perform Kegel's exercises
3. A nurse is monitoring the vi- Bleeding
tal signs of a client 24 hours Correct
after childbirth. She notes that Explanation:
the client's blood pressure is Blood pressure should also be monitored
100/60 mm Hg. Which of the carefully during the postpartal period, be-
following postpartum compli- cause a decrease in this can also indicate
cations should the nurse most bleeding. In contrast, an elevation above
suspect in this client, based on 140 mm Hg systolic or 90 mm Hg dias-
this finding? tolic may indicate the development of post-
partal gestational hypertension, an unusual
,Postpartum NCLEX Exam Test Questions With 100% Verified Answers
a) Postpartal gestational hy- but serious complication of the puerperium.
pertension An infection would best be indicated by an
b) Bleeding elevated oral temperature. Diabetes would
c) Diabetes be indicated by an elevated blood glucose
d) Infection level.
4. Bonding between a mother A process of developing an attachment and
and her infant can be defined becoming acquainted with each other
how? Correct
Explanation:
a) An ongoing process in the Bonding in the maternal-newborn world is
year after delivery the attachment process that occurs be-
b) The skin to skin contact that tween a mother and her newborn infant. This
occurs in the delivery room is how the mother and infant become en-
c) A process of developing an gaged with each other and is the foundation
attachment and becoming ac- for the relationship. Because bonding is a
quainted with each other process and not a single event, option B is
d) Family growing closer to- incorrect. The process of bonding is not a
gether after the birth of a new year-long process, so option C is incorrect.
baby The family growing closer together after the
birth of a new baby is not bonding, so option
D is incorrect.
5. The process by which the re- Involution
productive organs return to Correct
the nonpregnant size and Explanation:
function is termed what? Involution is the term used to describe the
process of the return to nonpregnancy size
a) Evolution and function of reproductive organs. Evo-
b) Involution lution is change in the genetic material of
c) Decrement a population of organisms from one gen-
d) Progression eration to the next. Decrement is the act
or process of decreasing . Progression is
defined as movement through stages such
as the progression of labor. Options A, C,
and D are distracters for this question.
6. The nurse is caring for a client Urinary tract infection
in the postpartum period. The Correct
, Postpartum NCLEX Exam Test Questions With 100% Verified Answers
Explanation:
client has difficulty in voiding
and is catheterized. The nurseThe nurse would need to monitor the client
then would monitor the client for signs and symptoms of a urinary tract
for which of the following? infection, a risk associated with catheteri-
zation. Stress incontinence is caused due
a) Loss of pelvic muscle tone to loss of pelvic muscle tone after birth. In-
b) Stress incontinence creased urinary output is observed in diure-
c) Urinary tract infection sis. Catheterization does not cause loss of
d) Increased urine output pelvic muscle tone, increased urine output,
or stress incontinence.
7. The nurse is providing educa- Wear a tight, supportive bra
tion to a mother who is going Explanation:
to bottle feed her infant. What The patient trying to dry up her milk sup-
information will the nurse pro- ply should do as little stimulation to the
vide to this mom regarding breast as possible. She needs to wear a
breast care? tight, supportive bra and use ice. Running
warm water over the breasts in the shower
a) Wear a tight, supportive bra will only stimulate the secretion, and there-
b) Massage the breast when fore the production, of milk. Massaging the
they are painful breasts will stimulate them to expel the milk
c) Express small amounts of and therefore produce more milk, as will
milk when they are too full expressing small amounts of milk when the
d) Run warm water over the breasts are full.
breast in the shower
8. A new mother is concerned "It takes about 3 days after birth for milk to
because it is 24 hours af- begin forming."
ter childbirth and her breastsCorrect
have still not become en- Explanation:
gorged with breast milk. How The formation of breast milk (lactation) be-
should the nurse respond to gins in a postpartal woman regardless of
this concern? her plans for feeding. For the first 2 days
after birth, an average woman notices little
a) "You are experiencing lac- change in her breasts from the way they
tational amenorrhea. It may were during pregnancy as, since midway
be several weeks before your through pregnancy, she has been secreting
milk comes in." colostrum, a thin, watery, prelactation secre-
b) "You may have developed tion. On the third day post birth, her breasts
1. Rubin identified a series of Taking-in, taking-hold, letting-go
changes that a new mother Correct
makes during the postpartum Explanation:
period. The correct sequence The new mother makes progressive
of these changes is changes to know her infant, review the preg-
nancy and labor, validate her safe passage
a) Taking-in, taking-hold, let- through these phases, learn the initial tasks
ting-go of mothering, and let go of her former life to
b) Taking, holding-on, let- incorporate this new child.
ting-go
c) Taking-in, holding-on, let-
ting-go
d) Taking-in, taking-on, let-
ting-go
2. A postpartum client com- Perform Kegel's exercises
plains of stress incontinence.Correct
What information should the Explanation:
nurse suggest to the client The nurse should ask the client to perform
to overcome stress inconti- the Kegel's exercises in which the client
nence? needs to alternately contract and relax the
perineal muscles. Aerobic exercises will not
help to strengthen perineal muscles. Re-
a) Perform aerobic exercises duced fluid intake and frequent emptying of
b) Frequently empty the blad- the bladder will not help the client overcome
der stress incontinence.
c) Reduce fluid intake
d) Perform Kegel's exercises
3. A nurse is monitoring the vi- Bleeding
tal signs of a client 24 hours Correct
after childbirth. She notes that Explanation:
the client's blood pressure is Blood pressure should also be monitored
100/60 mm Hg. Which of the carefully during the postpartal period, be-
following postpartum compli- cause a decrease in this can also indicate
cations should the nurse most bleeding. In contrast, an elevation above
suspect in this client, based on 140 mm Hg systolic or 90 mm Hg dias-
this finding? tolic may indicate the development of post-
partal gestational hypertension, an unusual
,Postpartum NCLEX Exam Test Questions With 100% Verified Answers
a) Postpartal gestational hy- but serious complication of the puerperium.
pertension An infection would best be indicated by an
b) Bleeding elevated oral temperature. Diabetes would
c) Diabetes be indicated by an elevated blood glucose
d) Infection level.
4. Bonding between a mother A process of developing an attachment and
and her infant can be defined becoming acquainted with each other
how? Correct
Explanation:
a) An ongoing process in the Bonding in the maternal-newborn world is
year after delivery the attachment process that occurs be-
b) The skin to skin contact that tween a mother and her newborn infant. This
occurs in the delivery room is how the mother and infant become en-
c) A process of developing an gaged with each other and is the foundation
attachment and becoming ac- for the relationship. Because bonding is a
quainted with each other process and not a single event, option B is
d) Family growing closer to- incorrect. The process of bonding is not a
gether after the birth of a new year-long process, so option C is incorrect.
baby The family growing closer together after the
birth of a new baby is not bonding, so option
D is incorrect.
5. The process by which the re- Involution
productive organs return to Correct
the nonpregnant size and Explanation:
function is termed what? Involution is the term used to describe the
process of the return to nonpregnancy size
a) Evolution and function of reproductive organs. Evo-
b) Involution lution is change in the genetic material of
c) Decrement a population of organisms from one gen-
d) Progression eration to the next. Decrement is the act
or process of decreasing . Progression is
defined as movement through stages such
as the progression of labor. Options A, C,
and D are distracters for this question.
6. The nurse is caring for a client Urinary tract infection
in the postpartum period. The Correct
, Postpartum NCLEX Exam Test Questions With 100% Verified Answers
Explanation:
client has difficulty in voiding
and is catheterized. The nurseThe nurse would need to monitor the client
then would monitor the client for signs and symptoms of a urinary tract
for which of the following? infection, a risk associated with catheteri-
zation. Stress incontinence is caused due
a) Loss of pelvic muscle tone to loss of pelvic muscle tone after birth. In-
b) Stress incontinence creased urinary output is observed in diure-
c) Urinary tract infection sis. Catheterization does not cause loss of
d) Increased urine output pelvic muscle tone, increased urine output,
or stress incontinence.
7. The nurse is providing educa- Wear a tight, supportive bra
tion to a mother who is going Explanation:
to bottle feed her infant. What The patient trying to dry up her milk sup-
information will the nurse pro- ply should do as little stimulation to the
vide to this mom regarding breast as possible. She needs to wear a
breast care? tight, supportive bra and use ice. Running
warm water over the breasts in the shower
a) Wear a tight, supportive bra will only stimulate the secretion, and there-
b) Massage the breast when fore the production, of milk. Massaging the
they are painful breasts will stimulate them to expel the milk
c) Express small amounts of and therefore produce more milk, as will
milk when they are too full expressing small amounts of milk when the
d) Run warm water over the breasts are full.
breast in the shower
8. A new mother is concerned "It takes about 3 days after birth for milk to
because it is 24 hours af- begin forming."
ter childbirth and her breastsCorrect
have still not become en- Explanation:
gorged with breast milk. How The formation of breast milk (lactation) be-
should the nurse respond to gins in a postpartal woman regardless of
this concern? her plans for feeding. For the first 2 days
after birth, an average woman notices little
a) "You are experiencing lac- change in her breasts from the way they
tational amenorrhea. It may were during pregnancy as, since midway
be several weeks before your through pregnancy, she has been secreting
milk comes in." colostrum, a thin, watery, prelactation secre-
b) "You may have developed tion. On the third day post birth, her breasts
