OB Postpartum NCLEX Questions and Answers Graded A+
A postpartum nurse is preparing to care for a
woman who has just delivered a healthy
newborn infant. In the immediate postpartum
period the nurse plans to take the woman's vital The nurse is assessing a client who is 6 hours
signs: PP after delivering a full-term healthy infant. The
A) Every 30 minutes during the first hour and client complains to the nurse of feelings of
then every hour for the next two hours. faintness and dizziness. Which of the following
B) Every 15 minutes during the first hour and nursing actions would be most appropriate?
then every 30 minutes for the next two hours. A) Obtain hemoglobin and hematocrit levels
C) Every hour for the first 2 hours and then every B) Instruct the mother to request help when
4 hours getting out of bed
D) Every 5 minutes for the first 30 minutes and C) Elevate the mother's legs
then every hour for the next 4 hours. - D) Inform the nursery room nurse to avoid
ANSWER -B) Every 15 minutes during the bringing the newborn infant to the mother until
first hour and then every 30 minutes for the next the feelings of lightheadedness and dizziness
two hours. have subsided - ANSWER -B) Instruct the
mother to request help when getting out of bed
Rationale: Every 15 minutes during the first hour
and then every 30 minutes for the next two Rationale: Orthostatic hypotension may be
hours. evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that
should caution the nurse to be aware of the
client's safety. The nurse should advise the
A postpartum nurse is taking the vital signs of a mother to get help the first few times the mother
woman who delivered a healthy newborn infant 4 gets out of bed. Obtaining an H/H requires a
hours ago. The nurse notes that the mother's physicians order.
temperature is 100.2*F. Which of the following
actions would be most appropriate?
A) Retake the temperature in 15 minutes
B) Notify the physician A nurse is preparing to perform a fundal
C) Document the findings assessment on a postpartum client. The initial
D) Increase hydration by encouraging oral fluids - nursing action in performing this assessment is
ANSWER -D) Increase hydration by which of the following?
encouraging oral fluids A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the
Rationale: The mother's temperature may be knees and legs flat and straight
taken every 4 hours while she is awake. C) Ask the mother to urinate and empty her
Temperatures up to 100.4 (38 C) in the first 24 bladder
hours after birth are often related to the D) Massage the fundus gently before determining
dehydrating effects of labor. The most the level of the fundus. - ANSWER -C) Ask
appropriate action is to increase hydration by the mother to urinate and empty her bladder
encouraging oral fluids, which should bring the
temperature to a normal reading. Although the Rationale: Before starting the fundal assessment,
nurse would document the findings, the most the nurse should ask the mother to empty her
appropriate action would be to increase the bladder so that an accurate assessment can be
hydration. done. When the nurse is performing fundal
, OB Postpartum NCLEX Questions and Answers Graded A+
assessment, the nurse asks the woman to lie flat fragments, needs to be determined and treated to
on her back with the knees flexed. Massaging prevent further blood loss. Although the findings
the fundus is not appropriate unless the fundus is would be documented, the most appropriate
boggy and soft, and then it should be massaged action is to notify the physician.
gently until firm.
A nurse in a PP unit is instructing a mother
The nurse is assessing the lochia on a 1 day PP regarding lochia and the amount of expected
patient. The nurse notes that the lochia is red lochia drainage. The nurse instructs the mother
and has a foul-smelling odor. The nurse that the normal amount of lochia may vary but
determines that this assessment finding is: should never exceed the need for:
A) Normal A) One peripad per day
B) Indicates the presence of infection B) Two peripads per day
C) Indicates the need for increasing oral fluids C) Three peripads per day
D) Indicates the need for increasing ambulation - D) Eight peripads per day - ANSWER -D)
ANSWER -B) Indicates the presence of Eight peripads per day
infection
Rationale: The normal amount of lochia may vary
Rationale: Lochia, the discharge present after with the individual but should never exceed 4 to 8
birth, is red for the first 1 to 3 days and gradually peripads per day. The average number of
decreases in amount. Normal lochia has a fleshy peripads is 6 per day.
odor. Foul smelling or purulent lochia usually
indicates infection, and these findings are not
normal. Encouraging the woman to drink fluids or
increase ambulation is not an accurate nursing A PP nurse is providing instructions to a woman
intervention after delivery of a healthy newborn infant. The
nurse instructs the mother that she should expect
normal bowel elimination to return:
A) One the day of the delivery
When performing a PP assessment on a client, B) 3 days PP
the nurse notes the presence of clots in the C) 7 days PP
lochia. The nurse examines the clots and notes D) within 2 weeks PP - ANSWER -B) 3
that they are larger than 1 cm. Which of the days PP
following nursing actions is most appropriate?
A) Document the findings Rationale: After birth, the nurse should auscultate
B) Notify the physician the woman's abdomen in all four quadrants to
C) Reassess the client in 2 hours determine the return of bowel sounds. Normal
D) Encourage increased intake of fluids - bowel elimination usually returns 2 to 3 days PP.
ANSWER -B) Notify the physician Surgery, anesthesia, and the use of narcotics
and pain control agents also contribute to the
Rationale: Normally, one may find a few small longer period of altered bowel function
clots in the first 1 to 2 days after birth from
pooling of blood in the vagina. Clots larger than 1
cm are considered abnormal. The cause of these
clots, such as uterine atony or retained placental Select all of the physiological maternal changes
A postpartum nurse is preparing to care for a
woman who has just delivered a healthy
newborn infant. In the immediate postpartum
period the nurse plans to take the woman's vital The nurse is assessing a client who is 6 hours
signs: PP after delivering a full-term healthy infant. The
A) Every 30 minutes during the first hour and client complains to the nurse of feelings of
then every hour for the next two hours. faintness and dizziness. Which of the following
B) Every 15 minutes during the first hour and nursing actions would be most appropriate?
then every 30 minutes for the next two hours. A) Obtain hemoglobin and hematocrit levels
C) Every hour for the first 2 hours and then every B) Instruct the mother to request help when
4 hours getting out of bed
D) Every 5 minutes for the first 30 minutes and C) Elevate the mother's legs
then every hour for the next 4 hours. - D) Inform the nursery room nurse to avoid
ANSWER -B) Every 15 minutes during the bringing the newborn infant to the mother until
first hour and then every 30 minutes for the next the feelings of lightheadedness and dizziness
two hours. have subsided - ANSWER -B) Instruct the
mother to request help when getting out of bed
Rationale: Every 15 minutes during the first hour
and then every 30 minutes for the next two Rationale: Orthostatic hypotension may be
hours. evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that
should caution the nurse to be aware of the
client's safety. The nurse should advise the
A postpartum nurse is taking the vital signs of a mother to get help the first few times the mother
woman who delivered a healthy newborn infant 4 gets out of bed. Obtaining an H/H requires a
hours ago. The nurse notes that the mother's physicians order.
temperature is 100.2*F. Which of the following
actions would be most appropriate?
A) Retake the temperature in 15 minutes
B) Notify the physician A nurse is preparing to perform a fundal
C) Document the findings assessment on a postpartum client. The initial
D) Increase hydration by encouraging oral fluids - nursing action in performing this assessment is
ANSWER -D) Increase hydration by which of the following?
encouraging oral fluids A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the
Rationale: The mother's temperature may be knees and legs flat and straight
taken every 4 hours while she is awake. C) Ask the mother to urinate and empty her
Temperatures up to 100.4 (38 C) in the first 24 bladder
hours after birth are often related to the D) Massage the fundus gently before determining
dehydrating effects of labor. The most the level of the fundus. - ANSWER -C) Ask
appropriate action is to increase hydration by the mother to urinate and empty her bladder
encouraging oral fluids, which should bring the
temperature to a normal reading. Although the Rationale: Before starting the fundal assessment,
nurse would document the findings, the most the nurse should ask the mother to empty her
appropriate action would be to increase the bladder so that an accurate assessment can be
hydration. done. When the nurse is performing fundal
, OB Postpartum NCLEX Questions and Answers Graded A+
assessment, the nurse asks the woman to lie flat fragments, needs to be determined and treated to
on her back with the knees flexed. Massaging prevent further blood loss. Although the findings
the fundus is not appropriate unless the fundus is would be documented, the most appropriate
boggy and soft, and then it should be massaged action is to notify the physician.
gently until firm.
A nurse in a PP unit is instructing a mother
The nurse is assessing the lochia on a 1 day PP regarding lochia and the amount of expected
patient. The nurse notes that the lochia is red lochia drainage. The nurse instructs the mother
and has a foul-smelling odor. The nurse that the normal amount of lochia may vary but
determines that this assessment finding is: should never exceed the need for:
A) Normal A) One peripad per day
B) Indicates the presence of infection B) Two peripads per day
C) Indicates the need for increasing oral fluids C) Three peripads per day
D) Indicates the need for increasing ambulation - D) Eight peripads per day - ANSWER -D)
ANSWER -B) Indicates the presence of Eight peripads per day
infection
Rationale: The normal amount of lochia may vary
Rationale: Lochia, the discharge present after with the individual but should never exceed 4 to 8
birth, is red for the first 1 to 3 days and gradually peripads per day. The average number of
decreases in amount. Normal lochia has a fleshy peripads is 6 per day.
odor. Foul smelling or purulent lochia usually
indicates infection, and these findings are not
normal. Encouraging the woman to drink fluids or
increase ambulation is not an accurate nursing A PP nurse is providing instructions to a woman
intervention after delivery of a healthy newborn infant. The
nurse instructs the mother that she should expect
normal bowel elimination to return:
A) One the day of the delivery
When performing a PP assessment on a client, B) 3 days PP
the nurse notes the presence of clots in the C) 7 days PP
lochia. The nurse examines the clots and notes D) within 2 weeks PP - ANSWER -B) 3
that they are larger than 1 cm. Which of the days PP
following nursing actions is most appropriate?
A) Document the findings Rationale: After birth, the nurse should auscultate
B) Notify the physician the woman's abdomen in all four quadrants to
C) Reassess the client in 2 hours determine the return of bowel sounds. Normal
D) Encourage increased intake of fluids - bowel elimination usually returns 2 to 3 days PP.
ANSWER -B) Notify the physician Surgery, anesthesia, and the use of narcotics
and pain control agents also contribute to the
Rationale: Normally, one may find a few small longer period of altered bowel function
clots in the first 1 to 2 days after birth from
pooling of blood in the vagina. Clots larger than 1
cm are considered abnormal. The cause of these
clots, such as uterine atony or retained placental Select all of the physiological maternal changes
