OB Postpartum NCLEX Test Questions with 100% Verified
Answers
1. A postpartum nurse is preparing to care for B) Every 15 minutes during
a woman who has just delivered a healthy the first hour and then every
newborn infant. In the immediate postpartum 30 minutes for the next two
period the nurse plans to take the woman's hours.
vital signs:
A) Every 30 minutes during the first hour and Rationale: Every 15 minutes
then every hour for the next two hours. during the first hour and
B) Every 15 minutes during the first hour and then every 30 minutes for
then every 30 minutes for the next two hours. 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.
2. A postpartum nurse is taking the vital signs D) Increase hydration by en-
of a woman who delivered a healthy newborn couraging oral fluids
infant 4 hours ago. The nurse notes that the
mother's temperature is 100.2*F. Which of the Rationale: The mother's
following actions would be most appropri- temperature may be taken
ate? every 4 hours while she is
A) Retake the temperature in 15 minutes awake. Temperatures up to
B) Notify the physician 100.4 (38 C) in the first
C) Document the findings 24 hours after birth are of-
D) Increase hydration by encouraging oral ten related to the dehy-
fluids drating effects of labor. The
most appropriate action is
to increase hydration by en-
couraging oral fluids, which
should bring the tempera-
ture to a normal reading. Al-
though the nurse would doc-
ument the findings, the most
appropriate action would be
to increase the hydration.
3. The nurse is assessing a client who is 6 B) Instruct the mother to re-
hours PP after delivering a full-term healthy quest help when getting out
infant. The client complains to the nurse of of bed
feelings of faintness and dizziness. Which of
, OB Postpartum NCLEX Test Questions with 100% Verified
Answers
the following nursing actions would be most Rationale: Orthostatic hy-
appropriate? potension may be evident
A) Obtain hemoglobin and hematocrit levels during the first 8 hours after
B) Instruct the mother to request help when birth. Feelings of faintness
getting out of bed or dizziness are signs that
C) Elevate the mother's legs should caution the nurse to
D) Inform the nursery room nurse to avoid be aware of the client's safe-
bringing the newborn infant to the mother un- ty. The nurse should advise
til the feelings of lightheadedness and dizzi- the mother to get help the
ness have subsided first few times the mother
gets out of bed. Obtaining
an H/H requires a physi-
cians order.
4. A nurse is preparing to perform a fundal C) Ask the mother to urinate
assessment on a postpartum client. The ini- and empty her bladder
tial nursing action in performing this assess-
ment is which of the following? Rationale: Before starting
A) Ask the client to turn on her side the fundal assessment, the
B) Ask the client to lie flat on her back with nurse should ask the moth-
the knees and legs flat and straight er to empty her bladder so
C) Ask the mother to urinate and empty her that an accurate assess-
bladder ment can be done. When
D) Massage the fundus gently before deter- the nurse is performing fun-
mining the level of the fundus. dal assessment, the nurse
asks the woman to lie flat
on her back with the knees
flexed. Massaging the fun-
dus is not appropriate un-
less the fundus is boggy and
soft, and then it should be
massaged gently until firm.
5. The nurse is assessing the lochia on a 1 day B) Indicates the presence of
PP patient. The nurse notes that the lochia is infection
red and has a foul-smelling odor. The nurse
determines that this assessment finding is: Rationale: Lochia, the dis-
A) Normal charge present after birth, is
B) Indicates the presence of infection red for the first 1 to 3 days
, OB Postpartum NCLEX Test Questions with 100% Verified
Answers
C) Indicates the need for increasing oral flu- and gradually decreases in
ids amount. Normal lochia has
D) Indicates the need for increasing ambula- a fleshy odor. Foul smelling
tion or purulent lochia usually in-
dicates infection, and these
findings are not normal. En-
couraging the woman to
drink fluids or increase am-
bulation is not an accurate
nursing intervention
6. When performing a PP assessment on a B) Notify the physician
client, the nurse notes the presence of clots
in the lochia. The nurse examines the clots Rationale: Normally, one
and notes that they are larger than 1 cm. may find a few small clots
Which of the following nursing actions is in the first 1 to 2 days after
most appropriate? birth from pooling of blood in
A) Document the findings the vagina. Clots larger than
B) Notify the physician 1 cm are considered ab-
C) Reassess the client in 2 hours normal. The cause of these
D) Encourage increased intake of fluids clots, such as uterine atony
or retained placental frag-
ments, needs to be deter-
mined and treated to pre-
vent further blood loss. Al-
though the findings would
be documented, the most
appropriate action is to noti-
fy the physician.
7. A nurse in a PP unit is instructing a mother D) Eight peripads per day
regarding lochia and the amount of expect-
ed lochia drainage. The nurse instructs the Rationale: The normal
mother that the normal amount of lochia may amount of lochia may vary
vary but should never exceed the need for: with the individual but
A) One peripad per day should never exceed 4 to 8
B) Two peripads per day peripads per day. The aver-
C) Three peripads per day age number of peripads is 6
D) Eight peripads per day per day.
Answers
1. A postpartum nurse is preparing to care for B) Every 15 minutes during
a woman who has just delivered a healthy the first hour and then every
newborn infant. In the immediate postpartum 30 minutes for the next two
period the nurse plans to take the woman's hours.
vital signs:
A) Every 30 minutes during the first hour and Rationale: Every 15 minutes
then every hour for the next two hours. during the first hour and
B) Every 15 minutes during the first hour and then every 30 minutes for
then every 30 minutes for the next two hours. 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.
2. A postpartum nurse is taking the vital signs D) Increase hydration by en-
of a woman who delivered a healthy newborn couraging oral fluids
infant 4 hours ago. The nurse notes that the
mother's temperature is 100.2*F. Which of the Rationale: The mother's
following actions would be most appropri- temperature may be taken
ate? every 4 hours while she is
A) Retake the temperature in 15 minutes awake. Temperatures up to
B) Notify the physician 100.4 (38 C) in the first
C) Document the findings 24 hours after birth are of-
D) Increase hydration by encouraging oral ten related to the dehy-
fluids drating effects of labor. The
most appropriate action is
to increase hydration by en-
couraging oral fluids, which
should bring the tempera-
ture to a normal reading. Al-
though the nurse would doc-
ument the findings, the most
appropriate action would be
to increase the hydration.
3. The nurse is assessing a client who is 6 B) Instruct the mother to re-
hours PP after delivering a full-term healthy quest help when getting out
infant. The client complains to the nurse of of bed
feelings of faintness and dizziness. Which of
, OB Postpartum NCLEX Test Questions with 100% Verified
Answers
the following nursing actions would be most Rationale: Orthostatic hy-
appropriate? potension may be evident
A) Obtain hemoglobin and hematocrit levels during the first 8 hours after
B) Instruct the mother to request help when birth. Feelings of faintness
getting out of bed or dizziness are signs that
C) Elevate the mother's legs should caution the nurse to
D) Inform the nursery room nurse to avoid be aware of the client's safe-
bringing the newborn infant to the mother un- ty. The nurse should advise
til the feelings of lightheadedness and dizzi- the mother to get help the
ness have subsided first few times the mother
gets out of bed. Obtaining
an H/H requires a physi-
cians order.
4. A nurse is preparing to perform a fundal C) Ask the mother to urinate
assessment on a postpartum client. The ini- and empty her bladder
tial nursing action in performing this assess-
ment is which of the following? Rationale: Before starting
A) Ask the client to turn on her side the fundal assessment, the
B) Ask the client to lie flat on her back with nurse should ask the moth-
the knees and legs flat and straight er to empty her bladder so
C) Ask the mother to urinate and empty her that an accurate assess-
bladder ment can be done. When
D) Massage the fundus gently before deter- the nurse is performing fun-
mining the level of the fundus. dal assessment, the nurse
asks the woman to lie flat
on her back with the knees
flexed. Massaging the fun-
dus is not appropriate un-
less the fundus is boggy and
soft, and then it should be
massaged gently until firm.
5. The nurse is assessing the lochia on a 1 day B) Indicates the presence of
PP patient. The nurse notes that the lochia is infection
red and has a foul-smelling odor. The nurse
determines that this assessment finding is: Rationale: Lochia, the dis-
A) Normal charge present after birth, is
B) Indicates the presence of infection red for the first 1 to 3 days
, OB Postpartum NCLEX Test Questions with 100% Verified
Answers
C) Indicates the need for increasing oral flu- and gradually decreases in
ids amount. Normal lochia has
D) Indicates the need for increasing ambula- a fleshy odor. Foul smelling
tion or purulent lochia usually in-
dicates infection, and these
findings are not normal. En-
couraging the woman to
drink fluids or increase am-
bulation is not an accurate
nursing intervention
6. When performing a PP assessment on a B) Notify the physician
client, the nurse notes the presence of clots
in the lochia. The nurse examines the clots Rationale: Normally, one
and notes that they are larger than 1 cm. may find a few small clots
Which of the following nursing actions is in the first 1 to 2 days after
most appropriate? birth from pooling of blood in
A) Document the findings the vagina. Clots larger than
B) Notify the physician 1 cm are considered ab-
C) Reassess the client in 2 hours normal. The cause of these
D) Encourage increased intake of fluids clots, such as uterine atony
or retained placental frag-
ments, needs to be deter-
mined and treated to pre-
vent further blood loss. Al-
though the findings would
be documented, the most
appropriate action is to noti-
fy the physician.
7. A nurse in a PP unit is instructing a mother D) Eight peripads per day
regarding lochia and the amount of expect-
ed lochia drainage. The nurse instructs the Rationale: The normal
mother that the normal amount of lochia may amount of lochia may vary
vary but should never exceed the need for: with the individual but
A) One peripad per day should never exceed 4 to 8
B) Two peripads per day peripads per day. The aver-
C) Three peripads per day age number of peripads is 6
D) Eight peripads per day per day.
