©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Postpartum Exam Practice Questions and Answers (100% Pass)
A nurse in the postpartum unit is assessing a newborn infant for signs of breastfeeding
problems. Which of the following indicates a problem? Select all that apply.
1 The infant exhibits dimpling of the cheeks.
2 The infant makes smacking or clicking sounds.
3 The mother's breast gets softer during a feeding.
4 Milk drips from the mother's breast occasionally.
5 The infant falls asleep after feeding less than 5 minutes.
6 The infant can be heard swallowing frequently during a feeding. - ✔️✔️Answer: 1, 2, 5
Rationale: It is important for the nurse to identify breast-feeding problems while the
mother is hospitalized so that the nurse can teach the mother how to prevent and treat
any problems. Infant signs of breastfeeding problems include dimpling of the cheeks;
making smacking or clicking sounds; falling asleep after feeding less than 5 minutes;
refusing to breastfeed; tongue thrusting; failing to open the mouth at latch-on; turning
the lower lip in; making short, choppy motions of the jaw; and not swallowing audibly.
Softening of the breast during feeding, noting milk in the infant's mouth or dripping from
the mother's breast occasionally, and hearing the infant swallow are signs that the infant
is receiving adequate nutrition.
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Priority Nursing Tip: If the mother is breast-feeding, calorie needs increase by 200 to
500 calories per day; increased fluids and the continuance of prenatal vitamins and
minerals are important.
It has been 12 hours since the client's delivery of a newborn. The nurse assesses the
client for the process of involution and documents that it is progressing normally when
palpation of the client's fundus is noted:
1 At the level of the umbilicus
2 One finger breadth below the umbilicus
3 Two finger breadths below the umbilicus
4 Midway between the umbilicus and the symphysis pubis - ✔️✔️Answer: 1
Rationale: The term "involution" is used to describe the rapid reduction in size and the
return of the uterus to a normal condition similar to its nonpregnant state. Immediately
after the delivery of the placenta, the uterus contracts to the size of a large grapefruit .
The fundus is situated in the midline between the symphysis pubis and the umbilicus.
Within 6 to12 hours after birth, the fundus of the uterus rises to the level of the
umbilicus. The top of the fundus remains at the level of the umbilicus for about a day
and then descends into the pelvis approximately one finger breadth on each succeeding
day.
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Priority Nursing Tip: By approximately 10 days postpartum, the uterus cannot be
palpated abdominally.
A nurse teaches a postpartum client about observation of lochia. The nurse determines
the client's understanding when the client says that on the second day postpartum , the
lochia should be:
1 Red
2 Pink
3 White
4 Yellow - ✔️✔️Answer: 1
Rationale: The uterus rids itself of the debris that remains after birth through a discharge
called "lochia," which is classified according to its appearance and contents. Lochia
rubra is dark red in color. It occurs from delivery to 3 days postpartum and contains
epithelial cells, erythrocytes, leukocytes, shreds of decidua, and occasionally fetal
meconium, lanugo, and vernix caseosa. Lochia serosa is a brownish pink discharge that
occurs from days 4 to 10. Lochia alba is a white discharge that occurs from days 10 to
14. Lochia should not be yellow in color or contain large clots; if it does, the cause
should be investigated without delay.
Priority Nursing Tip: The amount of lochial discharge may increase with ambulation.
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
A physician has written a prescription to administer methylergonovine maleate
(Methergine) to a postpartum client with uterine atony. The nurse would contact the
physician to verify the prescription if which of the following conditions were present in
the mother?
1 Hypertension
2 Excessive lochia
3 Difficulty locating the uterine fundus
4 Excessive bleeding and saturation of more than one peripad per hour - ✔️✔️Answer: 1
Rationale: Methylergonovine maleate (Methergine) is an ergot alkaloid. It is
contraindicated for the hypertensive woman, individuals with severe hepatic or renal
disease, and during the third stage of labor. Excessive lochia, a uterine fundus that is
difficult to locate, and excessive bleeding are clinical manifestations of uterine atony
indicating the need for methylergonovine.
Priority Nursing Tip: Methylergonovine maleate (Methergine) is an ergot alkaloid that
produces vasoconstriction. The client's blood pressure needs to be monitored closely
and if an increase is noted the medication is withheld and the physician is notified.
After delivery, the postpartum nurse instructs the client with known cardiac disease to
call for the nurse when she needs to get out of bed or when she plans to care for her
newborn infant. The nurse informs the client that this is necessary to:
4
WEST VIRGINIA UNIVERSIRTY-WV26506
Postpartum Exam Practice Questions and Answers (100% Pass)
A nurse in the postpartum unit is assessing a newborn infant for signs of breastfeeding
problems. Which of the following indicates a problem? Select all that apply.
1 The infant exhibits dimpling of the cheeks.
2 The infant makes smacking or clicking sounds.
3 The mother's breast gets softer during a feeding.
4 Milk drips from the mother's breast occasionally.
5 The infant falls asleep after feeding less than 5 minutes.
6 The infant can be heard swallowing frequently during a feeding. - ✔️✔️Answer: 1, 2, 5
Rationale: It is important for the nurse to identify breast-feeding problems while the
mother is hospitalized so that the nurse can teach the mother how to prevent and treat
any problems. Infant signs of breastfeeding problems include dimpling of the cheeks;
making smacking or clicking sounds; falling asleep after feeding less than 5 minutes;
refusing to breastfeed; tongue thrusting; failing to open the mouth at latch-on; turning
the lower lip in; making short, choppy motions of the jaw; and not swallowing audibly.
Softening of the breast during feeding, noting milk in the infant's mouth or dripping from
the mother's breast occasionally, and hearing the infant swallow are signs that the infant
is receiving adequate nutrition.
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Priority Nursing Tip: If the mother is breast-feeding, calorie needs increase by 200 to
500 calories per day; increased fluids and the continuance of prenatal vitamins and
minerals are important.
It has been 12 hours since the client's delivery of a newborn. The nurse assesses the
client for the process of involution and documents that it is progressing normally when
palpation of the client's fundus is noted:
1 At the level of the umbilicus
2 One finger breadth below the umbilicus
3 Two finger breadths below the umbilicus
4 Midway between the umbilicus and the symphysis pubis - ✔️✔️Answer: 1
Rationale: The term "involution" is used to describe the rapid reduction in size and the
return of the uterus to a normal condition similar to its nonpregnant state. Immediately
after the delivery of the placenta, the uterus contracts to the size of a large grapefruit .
The fundus is situated in the midline between the symphysis pubis and the umbilicus.
Within 6 to12 hours after birth, the fundus of the uterus rises to the level of the
umbilicus. The top of the fundus remains at the level of the umbilicus for about a day
and then descends into the pelvis approximately one finger breadth on each succeeding
day.
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Priority Nursing Tip: By approximately 10 days postpartum, the uterus cannot be
palpated abdominally.
A nurse teaches a postpartum client about observation of lochia. The nurse determines
the client's understanding when the client says that on the second day postpartum , the
lochia should be:
1 Red
2 Pink
3 White
4 Yellow - ✔️✔️Answer: 1
Rationale: The uterus rids itself of the debris that remains after birth through a discharge
called "lochia," which is classified according to its appearance and contents. Lochia
rubra is dark red in color. It occurs from delivery to 3 days postpartum and contains
epithelial cells, erythrocytes, leukocytes, shreds of decidua, and occasionally fetal
meconium, lanugo, and vernix caseosa. Lochia serosa is a brownish pink discharge that
occurs from days 4 to 10. Lochia alba is a white discharge that occurs from days 10 to
14. Lochia should not be yellow in color or contain large clots; if it does, the cause
should be investigated without delay.
Priority Nursing Tip: The amount of lochial discharge may increase with ambulation.
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
A physician has written a prescription to administer methylergonovine maleate
(Methergine) to a postpartum client with uterine atony. The nurse would contact the
physician to verify the prescription if which of the following conditions were present in
the mother?
1 Hypertension
2 Excessive lochia
3 Difficulty locating the uterine fundus
4 Excessive bleeding and saturation of more than one peripad per hour - ✔️✔️Answer: 1
Rationale: Methylergonovine maleate (Methergine) is an ergot alkaloid. It is
contraindicated for the hypertensive woman, individuals with severe hepatic or renal
disease, and during the third stage of labor. Excessive lochia, a uterine fundus that is
difficult to locate, and excessive bleeding are clinical manifestations of uterine atony
indicating the need for methylergonovine.
Priority Nursing Tip: Methylergonovine maleate (Methergine) is an ergot alkaloid that
produces vasoconstriction. The client's blood pressure needs to be monitored closely
and if an increase is noted the medication is withheld and the physician is notified.
After delivery, the postpartum nurse instructs the client with known cardiac disease to
call for the nurse when she needs to get out of bed or when she plans to care for her
newborn infant. The nurse informs the client that this is necessary to:
4
