Chapter 18: Maternal Physiologic Changes
NCLEX(100% Guaranteed)
The nurse assesses a postpartum patient several hours after delivery and suspects that the uterus
is subinvoluted. What could be a potential etiology for this finding?
A. Estrogen levels
B. Progesterone levels
C. Impaired platelet aggregation
D. Retained placental fragments correct answers D
The nurse advises a pregnant patient to do static abdominal exercises. How would these
exercises benefit the patient?
A. They will lead to a normal vaginal childbirth.
B. The patient will have diastasis recti abdominis.
C. The patient will not have any abdominal striations.
D. They will help the patient to gain proper abdominal tone after delivery. correct answers D
What statement by a woman who just gave birth indicates that she knows what to expect about
her menstrual activity after childbirth?
A. "My first menstrual cycle will be lighter than normal and then will get heavier every month
thereafter."
B. "My first menstrual cycle will be heavier than normal and will return to my prepregnant
volume within three or four cycles."
C. "I will not have a menstrual cycle for 6 months after childbirth."
D. "My first menstrual cycle will be heavier than normal and then will be light for several
months after." correct answers B
After the delivery of a baby, the nurse instructs the patient to immediately start breastfeeding.
Which complication is the nurse trying to prevent by giving this instruction?
A. Hemorrhoids
B. Endometritis
C. Maternal infection
D. Postpartum hemorrhage correct answers D
A postpartum patient has urinary incontinence. What is the best nursing intervention to help this
patient?
A. Provide an epidural block.
B. Encourage the patient to intake more fluids.
C. Tell the patient to perform more Kegel exercises.
D. Have the patient practice better personal hygiene. correct answers C
, A pregnant patient complains to the nurse about periodic numbness, tingling of fingers, and the
inability to lift and carry any object. What patient clinical condition does the nurse interpret from
this assessment?
A. Hemorrhoids
B. Endometritis
C. Vitamin A deficiency
D. Carpal tunnel syndrome correct answers D
A pregnant patient reports to the nurse, "My nails are soft and brittle, and I am worried about it."
What is the nurse's best response to the patient?
A. "You should make sure your nails are well moisturized."
B. "You have low potassium, so take potassium supplements."
C. "Your nails are soft and brittle due to carpal tunnel syndrome."
D. "After delivery your nails should return to normal consistency and strength." correct answers
D
A patient who had a cesarean birth is immobile in the immediate postoperative period. Which
risk is increased in the patient as a result of the hypercoagulable state of the puerperal period?
A. Thrombocytosis
B. Thrombophlebitis
C. Thrombocytopenia
D. Thromboembolism correct answers D
The nurse is caring for a pregnant woman who has low levels of estrogen and progesterone.
What does the nurse expect may occur as a result of the low hormone levels?
A. Massive growth of the uterus during pregnancy
B. Increased uterine contractions (UCs) during labor
C. Decreased growth of the uterus during pregnancy
D. Increased blood circulation to the uterus during pregnancy correct answers C
The nurse instructs the pregnant patient to exercise her lower limbs frequently. What clinical
condition is the nurse trying to prevent?
A. Hemorrhoids
B. Endometritis
C. Dyspareunia
D. Thromboembolism correct answers D
The nurse is caring for a postpartum patient who had a normal vaginal delivery. The nurse tells
the patient, "This will help you prevent uterine prolapse in later stages of life." Which instruction
from the primary health care provider (PHP) is the nurse most likely explaining to the patient?
NCLEX(100% Guaranteed)
The nurse assesses a postpartum patient several hours after delivery and suspects that the uterus
is subinvoluted. What could be a potential etiology for this finding?
A. Estrogen levels
B. Progesterone levels
C. Impaired platelet aggregation
D. Retained placental fragments correct answers D
The nurse advises a pregnant patient to do static abdominal exercises. How would these
exercises benefit the patient?
A. They will lead to a normal vaginal childbirth.
B. The patient will have diastasis recti abdominis.
C. The patient will not have any abdominal striations.
D. They will help the patient to gain proper abdominal tone after delivery. correct answers D
What statement by a woman who just gave birth indicates that she knows what to expect about
her menstrual activity after childbirth?
A. "My first menstrual cycle will be lighter than normal and then will get heavier every month
thereafter."
B. "My first menstrual cycle will be heavier than normal and will return to my prepregnant
volume within three or four cycles."
C. "I will not have a menstrual cycle for 6 months after childbirth."
D. "My first menstrual cycle will be heavier than normal and then will be light for several
months after." correct answers B
After the delivery of a baby, the nurse instructs the patient to immediately start breastfeeding.
Which complication is the nurse trying to prevent by giving this instruction?
A. Hemorrhoids
B. Endometritis
C. Maternal infection
D. Postpartum hemorrhage correct answers D
A postpartum patient has urinary incontinence. What is the best nursing intervention to help this
patient?
A. Provide an epidural block.
B. Encourage the patient to intake more fluids.
C. Tell the patient to perform more Kegel exercises.
D. Have the patient practice better personal hygiene. correct answers C
, A pregnant patient complains to the nurse about periodic numbness, tingling of fingers, and the
inability to lift and carry any object. What patient clinical condition does the nurse interpret from
this assessment?
A. Hemorrhoids
B. Endometritis
C. Vitamin A deficiency
D. Carpal tunnel syndrome correct answers D
A pregnant patient reports to the nurse, "My nails are soft and brittle, and I am worried about it."
What is the nurse's best response to the patient?
A. "You should make sure your nails are well moisturized."
B. "You have low potassium, so take potassium supplements."
C. "Your nails are soft and brittle due to carpal tunnel syndrome."
D. "After delivery your nails should return to normal consistency and strength." correct answers
D
A patient who had a cesarean birth is immobile in the immediate postoperative period. Which
risk is increased in the patient as a result of the hypercoagulable state of the puerperal period?
A. Thrombocytosis
B. Thrombophlebitis
C. Thrombocytopenia
D. Thromboembolism correct answers D
The nurse is caring for a pregnant woman who has low levels of estrogen and progesterone.
What does the nurse expect may occur as a result of the low hormone levels?
A. Massive growth of the uterus during pregnancy
B. Increased uterine contractions (UCs) during labor
C. Decreased growth of the uterus during pregnancy
D. Increased blood circulation to the uterus during pregnancy correct answers C
The nurse instructs the pregnant patient to exercise her lower limbs frequently. What clinical
condition is the nurse trying to prevent?
A. Hemorrhoids
B. Endometritis
C. Dyspareunia
D. Thromboembolism correct answers D
The nurse is caring for a postpartum patient who had a normal vaginal delivery. The nurse tells
the patient, "This will help you prevent uterine prolapse in later stages of life." Which instruction
from the primary health care provider (PHP) is the nurse most likely explaining to the patient?
