Postpartum Complications NCLEX
Latest Update Graded A+
What is a common sign of postpartum endometritis?
A) Bright red lochia with no odor
B) Decreased abdominal pain and normal temperature
C) Foul-smelling lochia with elevated temperature
D) Absence of vaginal bleeding and a soft uterus
✔✔ C) Foul-smelling lochia with elevated temperature
Rationale: Endometritis is an infection of the uterine lining, often characterized by foul-smelling
lochia and an elevated temperature.
---
Which intervention is most appropriate for a postpartum patient with signs of deep vein
thrombosis (DVT)?
1
,A) Administer anticoagulants as prescribed
B) Apply warm compresses to the affected area
C) Encourage early ambulation
D) Perform immediate surgery
✔✔ A) Administer anticoagulants as prescribed
Rationale: Anticoagulants are used to manage DVT by preventing further clot formation and
reducing the risk of complications.
---
What is the most effective nursing action for a postpartum patient experiencing postpartum
psychosis?
A) Provide immediate psychiatric evaluation and treatment
B) Offer reassurance and educate about normal postpartum changes
C) Increase physical activity and social interactions
D) Administer over-the-counter antianxiety medications
2
,✔✔ A) Provide immediate psychiatric evaluation and treatment
Rationale: Postpartum psychosis is a severe mental health condition requiring urgent psychiatric
evaluation and treatment.
---
What is a primary nursing concern for a postpartum patient with a large hematoma?
A) Increased risk of infection
B) Dehydration
C) Risk of impaired tissue perfusion
D) Difficulty with breastfeeding
✔✔ C) Risk of impaired tissue perfusion
Rationale: A large hematoma can compress surrounding tissues and blood vessels, potentially
impairing tissue perfusion and requiring monitoring and intervention.
---
3
, Which of the following findings would most likely indicate a postpartum complication related to
hemorrhage?
A) Lochia alba with minimal flow
B) Firm uterus and stable vital signs
C) Saturated peri pad within 15 minutes with a soft, boggy uterus
D) Normal temperature and minimal abdominal cramping
✔✔ C) Saturated peri pad within 15 minutes with a soft, boggy uterus
Rationale: Excessive bleeding and a soft, boggy uterus are indicative of postpartum hemorrhage,
which requires immediate attention.
---
What is the recommended initial treatment for postpartum hypertension?
A) Administer IV fluids to lower blood pressure
B) Start antihypertensive medications and monitor blood pressure
C) Restrict oral intake and provide rest
4
Latest Update Graded A+
What is a common sign of postpartum endometritis?
A) Bright red lochia with no odor
B) Decreased abdominal pain and normal temperature
C) Foul-smelling lochia with elevated temperature
D) Absence of vaginal bleeding and a soft uterus
✔✔ C) Foul-smelling lochia with elevated temperature
Rationale: Endometritis is an infection of the uterine lining, often characterized by foul-smelling
lochia and an elevated temperature.
---
Which intervention is most appropriate for a postpartum patient with signs of deep vein
thrombosis (DVT)?
1
,A) Administer anticoagulants as prescribed
B) Apply warm compresses to the affected area
C) Encourage early ambulation
D) Perform immediate surgery
✔✔ A) Administer anticoagulants as prescribed
Rationale: Anticoagulants are used to manage DVT by preventing further clot formation and
reducing the risk of complications.
---
What is the most effective nursing action for a postpartum patient experiencing postpartum
psychosis?
A) Provide immediate psychiatric evaluation and treatment
B) Offer reassurance and educate about normal postpartum changes
C) Increase physical activity and social interactions
D) Administer over-the-counter antianxiety medications
2
,✔✔ A) Provide immediate psychiatric evaluation and treatment
Rationale: Postpartum psychosis is a severe mental health condition requiring urgent psychiatric
evaluation and treatment.
---
What is a primary nursing concern for a postpartum patient with a large hematoma?
A) Increased risk of infection
B) Dehydration
C) Risk of impaired tissue perfusion
D) Difficulty with breastfeeding
✔✔ C) Risk of impaired tissue perfusion
Rationale: A large hematoma can compress surrounding tissues and blood vessels, potentially
impairing tissue perfusion and requiring monitoring and intervention.
---
3
, Which of the following findings would most likely indicate a postpartum complication related to
hemorrhage?
A) Lochia alba with minimal flow
B) Firm uterus and stable vital signs
C) Saturated peri pad within 15 minutes with a soft, boggy uterus
D) Normal temperature and minimal abdominal cramping
✔✔ C) Saturated peri pad within 15 minutes with a soft, boggy uterus
Rationale: Excessive bleeding and a soft, boggy uterus are indicative of postpartum hemorrhage,
which requires immediate attention.
---
What is the recommended initial treatment for postpartum hypertension?
A) Administer IV fluids to lower blood pressure
B) Start antihypertensive medications and monitor blood pressure
C) Restrict oral intake and provide rest
4
