POSTPARTUM NCLEX QUESTIONS|UPDATED&VERIFIED|GUARANTEED SUCCESS

The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is most important for the nurse to take at this time? Check the uterine fundus and lochia. The postpartum nurse is caring for a mother following delivery of a newborn infant. The nurse performs a perineal assessment on the mother and notes a trickle of bright red blood coming from the perineum. The nurse checks the mother's fundus and notes that it is firm. On review of the mother's record, the nurse also notes that an episiotomy was performed. Which determination should the nurse make based on this information? The bright red bleeding is abnormal and should be reported. The nurse provides instructions to a breastfeeding mother who is experiencing breast engorgement about measures that will provide comfort. Which statement by the mother indicates an understanding of these measures? "I will massage the breasts before feeding to stimulate let-down." Which action, if noted in the new mother, indicates the need for further data collection by the nurse for signs of postpartum depression? The mother constantly complains of tiredness and fatigue. The nurse is reinforcing instructions to the mother following delivery regarding care of the episiotomy site to prevent infection. Which statement by the mother indicates a need for further teaching? I will change the perineum pads three times a day." A client has had a midline episiotomy. In relation to clients with other types of episiotomies, the nurse anticipates that the client will generally experience which findings? Select all that apply. Less pain Less blood loss More likely to extend with birth of LGA infant The nurse is caring for a client who is being treated with antibiotics for mastitis. To reinforce instructions, what does the nurse tell the client? To complete the entire antibiotic regimen A new mother is seen in the health care clinic 2 weeks after the birth of a healthy newborn. The mother says that she feels as though she has the flu and complains of fatigue and aching muscles. On further data collection the nurse notes a localized area of redness on the left breast, and the mother is diagnosed with mastitis. The mother asks the nurse how the condition occurs. Which nursing response is appropriate? The infection can occur at any time during breastfeeding." A 45-year-old woman delivered her first baby by cesarean section 5 days ago. The postpartum recovery has been complicated by thrombophlebitis in her left leg. She cries frequently and requests to have her newborn infant stay in the nursery. The nurse recognizes that the mother may have intensified "postpartum blues" because of which situation? The client is required to stay on bed rest. The nurse is caring for a client with placenta previa who is at high risk for infection and hemorrhage. The nurse plans care based on which information related to the condition? Fewer muscle fibers in the lower segment of the uterus will result in poor contractions. The nurse who is caring for a postpartum mother being tested for endometritis notes that the client has little interest in caring for her infant. Which intervention should best facilitate the client's participation in infant care? Encouraging the client to take pain medication as prescribed Oxytocin is administered to a client following the delivery of the placenta. The nurse assisting in caring for the client monitors for which effectiveresponse from the medication? Uterine contractions The nurse is monitoring a client at risk for postpartum endometritis. Which observation noted during the first 24 hours after delivery supports this diagnosis? Abdominal tenderness and chills The nurse has a prescription to give a dose of Rho(D) immune globulin to a client who has delivered an infant. Which criteria need to be met in order to administer this medication? Select all that apply. Rh negative mother Negative Coombs' test The nurse is checking the lochia discharge on a 1-day postpartum woman. The nurse notes that the lochia is red and has a foul odor. The nurse determines that this finding indicates which? The presence of infection The nurse is adding to a plan of care for a postpartum client. Which intervention should promote parent-infant bonding Encourage her to hold the infant even when the infant is crying After surgical evacuation and repair of a vaginal hematoma, a 3-day postpartum mother is discharged. The nurse determines that the mother needs further teaching if the new mother makes which statement? The only medications that I will take are prenatal vitamins and stool softeners." The nurse palpates the fundus and checks the character of the lochia of a postpartum client who is in the fourth stage of labor. Which lochia characteristic should the nurse expect to note? Red The nurse is about to reinforce discharge instructions to a postpartum client who delivered a healthy newborn infant. The occurrence of which event should be reported to the primary health care provider? Pain, redness, or swelling in the breasts