Obstetric Nursing – Postpartum Exam | Practice Questions with Correct Answers | Comprehensive Study Material

Obstetric Nursing-Postpartum Exam With Questions And
Answers
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Aipostpartuminurseiisipreparingitoicareiforiaiwomaniwhoihasijustideliverediaihealthyinewbor
niinfant.iInitheiimmediateipostpartumiperioditheinurseiplansitoitakeitheiwoman'sivitalisigns:

Everyi30iminutesiduringitheifirstihouriandithenieveryihouriforitheinextitwoihours.

Everyi15iminutesiduringitheifirstihouriandithenieveryi30iminutesiforitheinextitwoihours.iEver

yihouriforitheifirsti2ihoursiandithenieveryi4ihours

Everyi5iminutesiforitheifirsti30iminutesiandithenieveryihouriforitheinexti4ihours.i-iAnswer2

Aipostpartuminurseiisitakingitheivitalisignsiofiaiwomaniwhoideliverediaihealthyinewborniinf
anti4ihoursi ago.iThei nursei notesithatitheimother'sitemperatureiisi100.2*F.iWhichiofi theifollo
wingiactionsiwouldibeimostiappropriate?

Retakeitheitemperatureiini15iminutesiNot

ifyitheiphysician

Documentitheifindings

Increaseihydrationibyiencouragingioralifluidsi-
iAnswer4.iTheimother'sitemperatureimayibeitakenieveryi4ihoursiwhileisheiisiawake.iTempera

turesiupitoi100.4i(38iC)iinitheifirsti24ihoursiafteribirthiareioftenirelateditoitheidehydratingieffe
ctsiofilabor.iTheimosti appropriateiactioniisitoiincreaseihydrationibyiencouragingioralifluids,i
whichishouldibringitheitemperatureitoiainormalireading.iAlthoughitheinurseiwouldidocumen
titheifindings,i theimostiappropriateiactioniwouldibeitoiincreaseitheihydration.

Theinurseiisiassessingiaiclientiwhoiisi6ihoursiPPiafterideliveringiaifull-
termihealthyiinfant.iTheiclienticomplainsitoitheinurseiofifeelingsiofifaintnessiandidizziness.i
Whichiofitheifollowinginursingiactionsiwouldibeimostiappropriate?

Obtainihemoglobiniandihematocritilevels

InstructitheimotheritoirequestihelpiwhenigettingioutiofibediEl

evateitheimother'silegs

Informitheinurseryiroominurseitoiavoidibringingitheinewborniinfantitoitheimotheriuntilitheif
eelingsiofilight-headednessiandidizzinessihaveisubsided.i-
iAnswer2.iOrthostaticihypotensionimayibeievidentiduringitheifirsti8ihoursiafteribirth.iFeelin

gsiofifaintnessior

,dizzinessiareisignsithatishouldicautionitheinurseitoibeiawareiofitheiclient'sisafety.iTheinurse
ishouldiadviseitheimotheritoigetihelpitheifirstifewitimesitheimotherigetsioutiofibed.iObtaining

ianiH/Hirequiresiaiphysiciansiorder.



Ainurseiisipreparingitoiperformiaifundaliassessmentioniaipostpartumiclient.iTheiinitialinursingia
ctioniiniperformingithisiassessmentiisiwhichiofitheifollowing?

Askitheiclientitoiturnioniheriside

Askitheiclientitoilieiflationiheribackiwithitheikneesiandilegsiflatiandistraight.iAskit

heimotheritoiurinateiandiemptyiheribladder

Massageitheifundusigentlyibeforeideterminingitheileveliofitheifundus.i-
iAnswer3.iBeforeistartingitheifundaliassessment,itheinurseishouldiaskitheimotheritoiemptyih

eribladderisoithatianiaccurateiassessmenticanibeidone.iWhenitheinurseiisiperformingifundali
assessment,itheinurseiasksitheiwomanitoilieiflationiheribackiwithitheikneesiflexed.
Massagingitheifundusiisinotiappropriateiunlessitheifundusiisiboggyiandisoft,ianditheniitisho
uldibeimassagedigentlyiuntilifirm.

Theinurseiisiassessingitheilochiaioniai1idayiPPipatient.iTheinurseinotesithatitheilochiaiisiredi
andihasiaifoul-smellingiodor.iTheinurseideterminesithatithisiassessmentifindingiis:

Normal

IndicatesitheipresenceiofiinfectioniIndicatesi

theineediforiincreasingioralifluids

Indicatesitheineediforiincreasingiambulationi-
iAnswer2.iLochia,itheidischargeipresentiafteribirth,iisirediforitheifirsti1itoi3idaysiandigradual

lyidecreasesiiniamount.iNormalilochiaihasiaifleshyiodor.iFoulismellingioripurulentilochiaius
uallyiindicatesiinfection,ianditheseifindingsiareinotinormal.iEncouragingitheiwomanitoidrin
kifluidsioriincreaseiambulationiisinotianiaccurateinursingiintervention.

WheniperformingiaiPPiassessmentioniaiclient,itheinurseinotesitheipresenceioficlotsiinitheil
ochia.iTheinurseiexaminesitheiclotsiandinotesithatitheyiareilargerithani1icm.iWhichiofitheifo
llowinginursingiactionsiisimostiappropriate?

DocumentitheifindingsiN

otifyitheiphysician

Reassessitheiclientiini2ihours

Encourageiincreasediintakeiofifluids.i-
iAnswer2.iNormally,ioneimayifindiaifewismalliclotsiinitheifirsti1itoi2idaysiafteribirthifromipooli

ngiofibloodiinitheivajayjay.iClotsilargerithani1icmiareiconsiderediabnormal.iTheicauseiofithes
eiclots,isuchiasiuterineiatonyioriretainediplacentalifragments,ineedsitoibeideterminedianditre
ateditoipreventifurtheribloodiloss.
Althoughitheifindingsiwouldibeidocumented,itheimostiappropriateiactioniisitoinotifyithe

, physician.

AinurseiiniaiPPiunitiisiinstructingiaimotheriregardingilochiaianditheiamountiofiexpectediloc
hiaidrainage.iTheinurseiinstructsitheimotherithatitheinormaliamountiofilochiaimayivaryibuti
shouldineveriexceeditheineedifor:

OneiperipadiperidayiTwo

i peripadsiperidayiThreei

peripadsiperiday

Eightiperipadsiperidayi-
iAnswer4.iTheinormaliamountiofilochiaimayivaryiwithitheiindividualibutishouldineveriexcee

di4itoi8iperipadsiperiday.iTheiaverageinumberiofiperipadsiisi6iperiday.

AiPPinurseiisiprovidingiinstructionsitoiaiwomaniafterideliveryiofiaihealthyinewborni infant.iT
heinurseiinstructsitheimotherithatisheishouldiexpectinormalibowelieliminationitoireturn:

Oneitheidayiofitheideliveryi3i

daysiPP

7idaysiPP

withini2iweeksiPPi-
iAnswer2.iAfteribirth,itheinurseishouldiauscultateitheiwoman'siabdomeniiniallifouriquadrant

sitoidetermineitheireturniofibowelisounds.iNormalibowelieliminationiusuallyireturnsi2itoi3ida
ysiPP.iSurgery,ianesthesia,ianditheiuseiofinarcoticsiandipainicontroliagentsialsoicontributei
toitheilongeriperiodiofialteredibowelifunction.

SelectialliofitheiphysiologicalimaternalichangesithatioccuriduringitheiPPiperiod.iCervicali

involutioniceasesiimmediately

Vaginalidistentionidecreasesislowly

Fundusibeginsitoidescendiintoitheipelvisiafteri24ihours

Cardiacioutputidecreasesiwithiresultantitachycardiaiinitheifirsti24ihours

Digestiveiprocessesislowiimmediately.i-
iAnswer1iandi3.iInitheiPPiperiod,icervicalihealingioccursirapidlyiandicervicaliinvolutionioccu

rs.iAfteri1iweekitheimuscleibeginsitoiregenerateianditheicervixifeelsifirmianditheiexternaliosii
sitheiwidthiofiaipencil.iAlthoughitheivaginalimucosaihealsiandivaginalidistentionidecreases,i
ititakesitheientireiPPiperiodiforicompleteiinvolutionitoioccuriandimuscleitoneiisineverirestor
editoitheipregravidistate.iTheifundusibeginsitoidescentiintoitheipelvicicavityiafteri24ihours,iai
processiknowniasiinvolution.i Despiteibloodilossithatioccursiduringideliveryiofitheibaby,i aitr
ansienti increaseiinicardiacioutputi occurs.i Theiincreasei inicardiaci output,iwhichi persistsia
bouti 48ihoursiafterichildbirth,iisiprobablyicausedibyianiincreaseiinistrokeivolumeibecause