WHNP MIDWIFERY CERTIFICATION
EXAM 2025 |GUARANTEED ACCURATE
ANSWERS (UPDATED)
POSTPARTUM AND LACTATION QUESTIONS
During postpartum rounds, your multiparous client is very pleased with
her birth and is clearly bonding with her new baby girl. She is
successfully nursing her baby every 3 hour and wants to go home as
soon as possible. Her only complaint is that her left leg is sore because
she needed to deliver in stirrups. What would be the most important
piece of your assessment?
a. Availability of assistance at home with her two other children to
ensure that she can rest
b. Breast exam and assessment to check for milk production to ensure
adequacy of feeding before discharge
c. Dietary recall to ensure adequate kilocalories and fluids to produce
adequate human milk
d. Examination of the lower legs to be sure that the muscle strain that
she is complaining about is simply related to positioning - ACCURATE
ANSWERS✔✔ d. Examination of the lower legs to be sure that the
muscle strain that she is complaining about is simply related to
positioning
,It would be important to examine her lower extremities to assess for
possible deep vein thrombosis (DVT).
A 22-year-old postpartum woman had a baby 2 days ago. She would like
to resume contraception before discharge from the hospital. Which
method would be most appropriate for this client?
a. DMPA
b. IUD
c. Combination oral contraceptive pills
d. Diaphragm with spermicidal cream - ACCURATE ANSWERS✔✔ a.
DMPA
DMPA is an acceptable contraceptive method that can be administered
before discharge.
A postpartum client delivered a baby vaginally 4 days ago. The client's
vital signs on the morning of discharge are as follows: heart rate 102,
temperature 102.4 F, blood pressure 124/70 mm Hg. The client reports
that her breasts are enlarged and they feel uncomfortably full. The client
has given up on breastfeeding because of the nipple pain experienced
while feeding. she also states that her partner is unsupportive with
breastfeeding. The next step includes:
a. physical assessment of the client to examine the nipples and breasts
, b. starting broad-spectrum antibiotics immediately
c. prescribing analgesics to help with the pain and discomfort
d. providing formula and artificial nipples - ACCURATE
ANSWERS✔✔ a. physical assessment of the client to examine the
nipples and breasts
Prior to making a diagnosis, developing a plan, and implementing
treatment, assessment of the client is necessary.
A client who is breastfeeding a 15-month-old infant is in the office
asking for a nonhormonal contraceptive method that provides protection
from STIs. What is the best method for this client?
a. Copper IUD
b. Lactational amenorrhea method
c. Tubal ligation
d. Female condom - ACCURATE ANSWERS✔✔ d. Female condom
Female and male condoms are nonhormonal forms of contraception that
provide some protection against STIs. The lactational amenorrhea
method is not reliable past 6 months postpartum and does not provide
protection against STIs. The tubal ligation and copper IUD also do not
provide protection against STIs.
EXAM 2025 |GUARANTEED ACCURATE
ANSWERS (UPDATED)
POSTPARTUM AND LACTATION QUESTIONS
During postpartum rounds, your multiparous client is very pleased with
her birth and is clearly bonding with her new baby girl. She is
successfully nursing her baby every 3 hour and wants to go home as
soon as possible. Her only complaint is that her left leg is sore because
she needed to deliver in stirrups. What would be the most important
piece of your assessment?
a. Availability of assistance at home with her two other children to
ensure that she can rest
b. Breast exam and assessment to check for milk production to ensure
adequacy of feeding before discharge
c. Dietary recall to ensure adequate kilocalories and fluids to produce
adequate human milk
d. Examination of the lower legs to be sure that the muscle strain that
she is complaining about is simply related to positioning - ACCURATE
ANSWERS✔✔ d. Examination of the lower legs to be sure that the
muscle strain that she is complaining about is simply related to
positioning
,It would be important to examine her lower extremities to assess for
possible deep vein thrombosis (DVT).
A 22-year-old postpartum woman had a baby 2 days ago. She would like
to resume contraception before discharge from the hospital. Which
method would be most appropriate for this client?
a. DMPA
b. IUD
c. Combination oral contraceptive pills
d. Diaphragm with spermicidal cream - ACCURATE ANSWERS✔✔ a.
DMPA
DMPA is an acceptable contraceptive method that can be administered
before discharge.
A postpartum client delivered a baby vaginally 4 days ago. The client's
vital signs on the morning of discharge are as follows: heart rate 102,
temperature 102.4 F, blood pressure 124/70 mm Hg. The client reports
that her breasts are enlarged and they feel uncomfortably full. The client
has given up on breastfeeding because of the nipple pain experienced
while feeding. she also states that her partner is unsupportive with
breastfeeding. The next step includes:
a. physical assessment of the client to examine the nipples and breasts
, b. starting broad-spectrum antibiotics immediately
c. prescribing analgesics to help with the pain and discomfort
d. providing formula and artificial nipples - ACCURATE
ANSWERS✔✔ a. physical assessment of the client to examine the
nipples and breasts
Prior to making a diagnosis, developing a plan, and implementing
treatment, assessment of the client is necessary.
A client who is breastfeeding a 15-month-old infant is in the office
asking for a nonhormonal contraceptive method that provides protection
from STIs. What is the best method for this client?
a. Copper IUD
b. Lactational amenorrhea method
c. Tubal ligation
d. Female condom - ACCURATE ANSWERS✔✔ d. Female condom
Female and male condoms are nonhormonal forms of contraception that
provide some protection against STIs. The lactational amenorrhea
method is not reliable past 6 months postpartum and does not provide
protection against STIs. The tubal ligation and copper IUD also do not
provide protection against STIs.
