Postpartum Care Exam With 100%
Correct And Verified Answers
A nurse is performing a fundal assessment for a client in her second
postpartum day and observes the client's perineal pad for lochia. She
notes the pad to be saturated approximately 12 cm with lochia that is
bright red in color and contains small clots. The nurse knows that this
finding is
a. moderate lochia rubra
b. excessive lochia rubra
c. light loch rubra
d. scant locia serosa - Correct Answer-a. moderate...expected finding for 2
days postpartum
During ambulation to the bathroom, a postpartum client experiences a
gush of dark red blood that soon stops. On assessment, a nurse finds the
client's uterus to be firm and midline and at the level of the umbilicus. The
nurse interprets this finding as
a. evidence of a possible vaginal hematoma
b. an indication of a cervical or perineal laceration
c. a normal postural discharge of lochia
d. abnormally excessive lochia rubra flow - Correct Answer-c. loch
typically trickles from the vaginal opening but flows more steadily during
uterine contraction. Massaging the uterus or ambulation may result in a
gush of lochia with the expression of clots and dark blood that has been
pooled in the vagina, but it should soon decrease back to a trickle.
A nurse is assessing a postpartum client for fundal height, location, and
consistency. The fundus is found to be displaced laterally to the right, and
there is uterine atony. Which of the following is the cause of the uterine
atony?
a. poor involution
b. urinary retention
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,c. hemorrhage
d. infection - Correct Answer-b. urinary retention
A nurse is completing postpartum discharge teaching to a client who had
no immunity to varicella and was given varicella vaccine. Which of the
following statements by the client indicates understanding of the
teaching?
a. I will need to use contraception for 3 months before considering
pregnancy
b. I need a second vaccination at my postpartum visit
c. I was given the vaccine because my baby is O+
d. I will be tested in 3 months to see if I have developed immunity. -
Correct Answer-b. a second injection is needed at 4-8 weeks
a. one month
d. rubella vaccine
A nurse is caring for a client who is 1 hour following a vaginal birth and
experiencing uncontrollable shaking. The nurse should understand that
the shaking is due to which of the following? select all
a. a change in body fluids
b. the metabolic effort of labor
c. diaphoresis
d. a decrease in body temp
e. a decrease in prolactin levels - Correct Answer-a. body fluids
b. metabolic effort
A nurse concludes that the father of an infant is not showing positive
signs of parent-infant bonding and appears to be very anxious and
nervous when the infant's mother asks him to bring
her the infant. Which of the following is an
appropriate nursing intervention to promote
father-infant bonding?
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, a. hand the father the infant, and suggest that he
change the diaper
b. ask the father why he is so anxious and nervous
c. tell the father that he will grow accustomed to
the infant
d. provide education about infant care when the
father is present - Correct Answer-d. provide
education when the father is present
A client in the early postpartum period is very
excited and talkative. She is repeatedly telling the
nurse every detail of her labor and birth. Because
the client will not stop talking, the nurse is having
difficulty completing the postpartum assessments.
The appropriate action by the nurse is to
a. come back later when the client is more
cooperative
b. give the client time to express her feelings
c. tell the client she needs to be quiet so the
assessment can be completed
d. redirect the client's focus so that she will
become quiet - Correct Answer-b. give the client
time to express her feelings, she is in the taking-in
phase, this begins immediately after birth for a few
days following.
A nurse is caring for a client who is one day postpartum. The nurse
is assessing for maternal adaptation and mother-infant bonding.
Which of the following behaviors by the client indicates a need for
the nurse to intervene? select all
a. demonstrates apathy when the infant cries
b. touches the infant and maintains close physical proximity
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Correct And Verified Answers
A nurse is performing a fundal assessment for a client in her second
postpartum day and observes the client's perineal pad for lochia. She
notes the pad to be saturated approximately 12 cm with lochia that is
bright red in color and contains small clots. The nurse knows that this
finding is
a. moderate lochia rubra
b. excessive lochia rubra
c. light loch rubra
d. scant locia serosa - Correct Answer-a. moderate...expected finding for 2
days postpartum
During ambulation to the bathroom, a postpartum client experiences a
gush of dark red blood that soon stops. On assessment, a nurse finds the
client's uterus to be firm and midline and at the level of the umbilicus. The
nurse interprets this finding as
a. evidence of a possible vaginal hematoma
b. an indication of a cervical or perineal laceration
c. a normal postural discharge of lochia
d. abnormally excessive lochia rubra flow - Correct Answer-c. loch
typically trickles from the vaginal opening but flows more steadily during
uterine contraction. Massaging the uterus or ambulation may result in a
gush of lochia with the expression of clots and dark blood that has been
pooled in the vagina, but it should soon decrease back to a trickle.
A nurse is assessing a postpartum client for fundal height, location, and
consistency. The fundus is found to be displaced laterally to the right, and
there is uterine atony. Which of the following is the cause of the uterine
atony?
a. poor involution
b. urinary retention
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,c. hemorrhage
d. infection - Correct Answer-b. urinary retention
A nurse is completing postpartum discharge teaching to a client who had
no immunity to varicella and was given varicella vaccine. Which of the
following statements by the client indicates understanding of the
teaching?
a. I will need to use contraception for 3 months before considering
pregnancy
b. I need a second vaccination at my postpartum visit
c. I was given the vaccine because my baby is O+
d. I will be tested in 3 months to see if I have developed immunity. -
Correct Answer-b. a second injection is needed at 4-8 weeks
a. one month
d. rubella vaccine
A nurse is caring for a client who is 1 hour following a vaginal birth and
experiencing uncontrollable shaking. The nurse should understand that
the shaking is due to which of the following? select all
a. a change in body fluids
b. the metabolic effort of labor
c. diaphoresis
d. a decrease in body temp
e. a decrease in prolactin levels - Correct Answer-a. body fluids
b. metabolic effort
A nurse concludes that the father of an infant is not showing positive
signs of parent-infant bonding and appears to be very anxious and
nervous when the infant's mother asks him to bring
her the infant. Which of the following is an
appropriate nursing intervention to promote
father-infant bonding?
Vendarsol
, a. hand the father the infant, and suggest that he
change the diaper
b. ask the father why he is so anxious and nervous
c. tell the father that he will grow accustomed to
the infant
d. provide education about infant care when the
father is present - Correct Answer-d. provide
education when the father is present
A client in the early postpartum period is very
excited and talkative. She is repeatedly telling the
nurse every detail of her labor and birth. Because
the client will not stop talking, the nurse is having
difficulty completing the postpartum assessments.
The appropriate action by the nurse is to
a. come back later when the client is more
cooperative
b. give the client time to express her feelings
c. tell the client she needs to be quiet so the
assessment can be completed
d. redirect the client's focus so that she will
become quiet - Correct Answer-b. give the client
time to express her feelings, she is in the taking-in
phase, this begins immediately after birth for a few
days following.
A nurse is caring for a client who is one day postpartum. The nurse
is assessing for maternal adaptation and mother-infant bonding.
Which of the following behaviors by the client indicates a need for
the nurse to intervene? select all
a. demonstrates apathy when the infant cries
b. touches the infant and maintains close physical proximity
Vendarsol
