OB Postpartum NCLEX Exam Questions
With 100% Correct And Verified Answers
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 signs:
A) Every 30 minutes during the first hour and then every hour for
the next two hours.
B) Every 15 minutes during the first hour and then every 30 minutes
for the next two hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every hour for
the next 4 hours. - Correct Answer-B) Every 15 minutes during the
first hour and then every 30 minutes for the next two hours.
Rationale: Every 15 minutes during the first hour and then every 30
minutes for the next two hours.
A postpartum nurse is taking the vital signs of a woman who
delivered a healthy newborn infant 4 hours ago. The nurse notes
that the mother's 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
C) Document the findings
D) Increase hydration by encouraging oral fluids - Correct Answer-
D) Increase hydration by encouraging oral fluids
Rationale: The mother's temperature may be taken every 4 hours
while she is awake. Temperatures up to 100.4 (38 C) in the first 24
hours after birth are often related to the dehydrating effects of
labor. The most appropriate action is to increase hydration by
encouraging oral fluids, which should bring the temperature to a
Vendarsol
,normal reading. Although the nurse would document the findings,
the most appropriate action would be to increase the hydration.
The nurse is assessing a client who is 6 hours PP after delivering a
full-term healthy infant. The client complains to the nurse of feelings
of faintness and dizziness. Which of the following nursing actions
would be most appropriate?
A) Obtain hemoglobin and hematocrit levels
B) Instruct the mother to request help when getting out of bed
C) Elevate the mother's legs
D) Inform the nursery room nurse to avoid bringing the newborn
infant to the mother until the feelings of lightheadedness and
dizziness have subsided - Correct Answer-B) Instruct the mother to
request help when getting out of bed
Rationale: Orthostatic hypotension may be 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 mother to get help the first few times the mother
gets out of bed. Obtaining an H/H requires a physicians order.
A nurse is preparing to perform a fundal
assessment on a postpartum client. The initial
nursing action in performing this assessment is
which of the following?
A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the
knees and legs flat and straight
C) Ask the mother to urinate and empty her
bladder
D) Massage the fundus gently before determining
the level of the fundus. - Correct Answer-C) Ask the
mother to urinate and empty her bladder
Vendarsol
, Rationale: Before starting the fundal assessment,
the nurse should ask the mother to empty her
bladder so that an accurate assessment can be done.
When the nurse is performing fundal assessment, the nurse asks the
woman to lie flat on her back with the knees flexed. Massaging the fundus
is not appropriate unless the fundus is boggy and soft, and then it should
be massaged gently until firm.
The nurse is assessing the lochia on a 1 day PP patient. The nurse notes
that the lochia is red and has a foul-smelling odor. The nurse determines
that this assessment finding is:
A) Normal
B) Indicates the presence of infection
C) Indicates the need for increasing oral fluids
D) Indicates the need for increasing ambulation - Correct Answer-B)
Indicates the presence of infection
Rationale: Lochia, the discharge present after birth, is red for the first 1 to
3 days and gradually decreases in amount. Normal lochia has a fleshy
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 intervention
When performing a PP assessment on a client, the nurse notes the
presence of clots in the lochia. The nurse examines the clots and notes
that they are larger than 1 cm. Which of the following nursing actions is
most appropriate?
A) Document the findings
B) Notify the physician
C) Reassess the client in 2 hours
D) Encourage increased intake of fluids - Correct Answer-B) Notify the
physician
Rationale: Normally, one may find a few small 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 fragments, needs to be determined and treated to
Vendarsol
With 100% Correct And Verified Answers
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 signs:
A) Every 30 minutes during the first hour and then every hour for
the next two hours.
B) Every 15 minutes during the first hour and then every 30 minutes
for the next two hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every hour for
the next 4 hours. - Correct Answer-B) Every 15 minutes during the
first hour and then every 30 minutes for the next two hours.
Rationale: Every 15 minutes during the first hour and then every 30
minutes for the next two hours.
A postpartum nurse is taking the vital signs of a woman who
delivered a healthy newborn infant 4 hours ago. The nurse notes
that the mother's 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
C) Document the findings
D) Increase hydration by encouraging oral fluids - Correct Answer-
D) Increase hydration by encouraging oral fluids
Rationale: The mother's temperature may be taken every 4 hours
while she is awake. Temperatures up to 100.4 (38 C) in the first 24
hours after birth are often related to the dehydrating effects of
labor. The most appropriate action is to increase hydration by
encouraging oral fluids, which should bring the temperature to a
Vendarsol
,normal reading. Although the nurse would document the findings,
the most appropriate action would be to increase the hydration.
The nurse is assessing a client who is 6 hours PP after delivering a
full-term healthy infant. The client complains to the nurse of feelings
of faintness and dizziness. Which of the following nursing actions
would be most appropriate?
A) Obtain hemoglobin and hematocrit levels
B) Instruct the mother to request help when getting out of bed
C) Elevate the mother's legs
D) Inform the nursery room nurse to avoid bringing the newborn
infant to the mother until the feelings of lightheadedness and
dizziness have subsided - Correct Answer-B) Instruct the mother to
request help when getting out of bed
Rationale: Orthostatic hypotension may be 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 mother to get help the first few times the mother
gets out of bed. Obtaining an H/H requires a physicians order.
A nurse is preparing to perform a fundal
assessment on a postpartum client. The initial
nursing action in performing this assessment is
which of the following?
A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the
knees and legs flat and straight
C) Ask the mother to urinate and empty her
bladder
D) Massage the fundus gently before determining
the level of the fundus. - Correct Answer-C) Ask the
mother to urinate and empty her bladder
Vendarsol
, Rationale: Before starting the fundal assessment,
the nurse should ask the mother to empty her
bladder so that an accurate assessment can be done.
When the nurse is performing fundal assessment, the nurse asks the
woman to lie flat on her back with the knees flexed. Massaging the fundus
is not appropriate unless the fundus is boggy and soft, and then it should
be massaged gently until firm.
The nurse is assessing the lochia on a 1 day PP patient. The nurse notes
that the lochia is red and has a foul-smelling odor. The nurse determines
that this assessment finding is:
A) Normal
B) Indicates the presence of infection
C) Indicates the need for increasing oral fluids
D) Indicates the need for increasing ambulation - Correct Answer-B)
Indicates the presence of infection
Rationale: Lochia, the discharge present after birth, is red for the first 1 to
3 days and gradually decreases in amount. Normal lochia has a fleshy
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 intervention
When performing a PP assessment on a client, the nurse notes the
presence of clots in the lochia. The nurse examines the clots and notes
that they are larger than 1 cm. Which of the following nursing actions is
most appropriate?
A) Document the findings
B) Notify the physician
C) Reassess the client in 2 hours
D) Encourage increased intake of fluids - Correct Answer-B) Notify the
physician
Rationale: Normally, one may find a few small 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 fragments, needs to be determined and treated to
Vendarsol
