Saunders NCLEX Postpartum Questions with 100% Verified Answers
1. A rubella titer result of a 1-day post- 2, 3, 4, 5
partum client is less than 1:8, and a
rubella virus vaccine is prescribed Rubella vaccine is administered to
to be administered before dis- women who have not had rubella or
charge. The nurse provides which women who are not serologically im-
information to the client about the mune. The vaccine may be admin-
vaccine? Select all that apply. istered in the immediate postpartum
period to prevent the possibility of
1. contracting rubella in future pregnan-
Breast-feeding needs to be stopped cies. The live attenuated rubella virus
for 3 months. is not communicable in breast milk;
breast-feeding does not need to be
2. stopped. The client is counseled not
Pregnancy needs to be avoided for to become pregnant for 1 to 3 months
1 to 3 months. after immunization as specified by the
health care provider because of a pos-
3. sible risk to a fetus from the live virus
The vaccine is administered by the vaccine; the client must be using ef-
subcutaneous route. fective birth control at the time of the
immunization. The client should avoid
4. contact with immunosuppressed indi-
Exposure to immunosuppressed viduals because of their low immunity
individuals needs to be avoided. toward live viruses and because the
virus is shed in the urine and other
5. body fluids. The vaccine is adminis-
A hypersensitivity reaction can oc- tered by the subcutaneous route. A
cur if the client has an allergy to hypersensitivity reaction can occur if
eggs. the client has an allergy to eggs be-
cause the vaccine is made from duck
6. eggs. There is no useful or necessary
The area of the injection needs to reason for covering the area of the
be covered with a sterile gauze for injection with a sterile gauze.
1 week.
2. The nurse is providing instructions 1
to a pregnant client with human
immunodeficiency virus (HIV) in- Perinatal transmission of human im-
fection regarding care to the new- munodeficiency virus (HIV) can occur
born after delivery. The client asks during the antepartum period, during
, Saunders NCLEX Postpartum Questions with 100% Verified Answers
the nurse about the feeding op- labor and birth, or in the postpartum
tions that are available. Which re- period if the mother is breast-feeding.
sponse should the nurse make to Clients who have HIV are advised not
the client? to breast-feed. There is no physiologi-
cal reason why the newborn needs to
1. be fed by nasogastric tube.
"You will need to bottle-feed your
newborn."
2.
"You will need to feed your newborn
by nasogastric tube feeding."
3.
"You will be able to breast-feed for 6
months and then will need to switch
to bottle-feeding."
4.
"You will be able to breast-feed for 9
months and then will need to switch
to bottle-feeding."
3. A stillborn baby was delivered in 1
the birthing suite a few hours
ago. After the delivery, the fami- When a loss or death occurs, the
ly remained together, holding and nurse should ensure that parents have
touching the baby. Which statement been honestly told about the situation
by the nurse would further assist by their health care provider or others
the family in their initial period of
on the health care team. It is impor-
grief? tant for the nurse to be with the par-
ents at this time and to use therapeutic
1. communication techniques. The nurse
"What can I do for you?" must also consider cultural and reli-
gious practices and beliefs. The cor-
2. rect option provides a supportive, giv-
"Now you have an angel in heaven." ing, and caring response. Options 2,
3, and 4 are blocks to communication
3. and devalue the parents' feelings.
, Saunders NCLEX Postpartum Questions with 100% Verified Answers
"Don't worry, there is nothing you
could have done to prevent this
from happening."
4.
"We will see to it that you have an
early discharge so that you don't
have to be reminded of this experi-
ence."
4. The nurse in a maternity unit is pro- 1
viding emotional support to a client
and her husband who are preparing A support group can help the parents
to be discharged from the hospital work through their pain by nonjudg-
after the birth of a dead fetus. Which mental sharing of feelings. The cor-
statement made by the client indi- rect option identifies a statement that
cates a component of the normal would indicate positive, normal griev-
grieving process? ing. Although the other options may
indicate reactions of the client and sig-
1. nificant other, they are not specifically
"We want to attend a support a part of the normal grieving process.
group."
2.
"We never want to try to have a baby
again."
3.
"We are going to try to adopt a child
immediately."
4.
"We are okay, and we are going to
try to have another baby immediate-
ly."
5. The nurse evaluates the ability of a 4
hepatitis B-positive mother to pro-
vide safe bottle-feeding to her new- Hepatitis B virus is highly contagious
, Saunders NCLEX Postpartum Questions with 100% Verified Answers
born during postpartum hospital- and is transmitted by direct contact
ization. Which maternal action best with blood and body fluids of infected
exemplifies the mother's knowl- persons. The rationale for identifying
edge of potential disease transmis- childbearing clients with this disease
sion to the newborn? is to provide adequate protection of
the fetus and the newborn, to mini-
1. mize transmission to other individuals,
The mother requests that the win- and to reduce maternal complications.
dow be closed before feeding. The correct option provides the best
evaluation of maternal understanding
2. of disease transmission. Option 1 will
The mother holds the newborn not affect disease transmission. Op-
properly during feeding and burp- tions 2 and 3 are appropriate feeding
ing. techniques for bottle-feeding, but do
not minimize disease transmission for
3. hepatitis B.
The mother tests the temperature
of the formula before initiating feed-
ing.
4.
The mother washes and dries her
hands before and after self-care of
the perineum and asks for a pair of
gloves before feeding.
6. The nurse has provided discharge 1
instructions to a client who deliv-
ered a healthy newborn by cesare- A cesarean delivery requires an in-
an delivery. Which statement made cision made through the abdominal
by the client indicates a need for wall and into the uterus. Abdominal
further instruction? exercises should not start immediate-
ly after abdominal surgery; the client
1. should wait at least 3 to 4 weeks post-
"I will begin abdominal exercises operatively to allow for healing of the
immediately." incision. Options 2, 3, and 4 are appro-
priate instructions for the client after a
2. cesarean delivery.
"I will notify the health care provider
1. A rubella titer result of a 1-day post- 2, 3, 4, 5
partum client is less than 1:8, and a
rubella virus vaccine is prescribed Rubella vaccine is administered to
to be administered before dis- women who have not had rubella or
charge. The nurse provides which women who are not serologically im-
information to the client about the mune. The vaccine may be admin-
vaccine? Select all that apply. istered in the immediate postpartum
period to prevent the possibility of
1. contracting rubella in future pregnan-
Breast-feeding needs to be stopped cies. The live attenuated rubella virus
for 3 months. is not communicable in breast milk;
breast-feeding does not need to be
2. stopped. The client is counseled not
Pregnancy needs to be avoided for to become pregnant for 1 to 3 months
1 to 3 months. after immunization as specified by the
health care provider because of a pos-
3. sible risk to a fetus from the live virus
The vaccine is administered by the vaccine; the client must be using ef-
subcutaneous route. fective birth control at the time of the
immunization. The client should avoid
4. contact with immunosuppressed indi-
Exposure to immunosuppressed viduals because of their low immunity
individuals needs to be avoided. toward live viruses and because the
virus is shed in the urine and other
5. body fluids. The vaccine is adminis-
A hypersensitivity reaction can oc- tered by the subcutaneous route. A
cur if the client has an allergy to hypersensitivity reaction can occur if
eggs. the client has an allergy to eggs be-
cause the vaccine is made from duck
6. eggs. There is no useful or necessary
The area of the injection needs to reason for covering the area of the
be covered with a sterile gauze for injection with a sterile gauze.
1 week.
2. The nurse is providing instructions 1
to a pregnant client with human
immunodeficiency virus (HIV) in- Perinatal transmission of human im-
fection regarding care to the new- munodeficiency virus (HIV) can occur
born after delivery. The client asks during the antepartum period, during
, Saunders NCLEX Postpartum Questions with 100% Verified Answers
the nurse about the feeding op- labor and birth, or in the postpartum
tions that are available. Which re- period if the mother is breast-feeding.
sponse should the nurse make to Clients who have HIV are advised not
the client? to breast-feed. There is no physiologi-
cal reason why the newborn needs to
1. be fed by nasogastric tube.
"You will need to bottle-feed your
newborn."
2.
"You will need to feed your newborn
by nasogastric tube feeding."
3.
"You will be able to breast-feed for 6
months and then will need to switch
to bottle-feeding."
4.
"You will be able to breast-feed for 9
months and then will need to switch
to bottle-feeding."
3. A stillborn baby was delivered in 1
the birthing suite a few hours
ago. After the delivery, the fami- When a loss or death occurs, the
ly remained together, holding and nurse should ensure that parents have
touching the baby. Which statement been honestly told about the situation
by the nurse would further assist by their health care provider or others
the family in their initial period of
on the health care team. It is impor-
grief? tant for the nurse to be with the par-
ents at this time and to use therapeutic
1. communication techniques. The nurse
"What can I do for you?" must also consider cultural and reli-
gious practices and beliefs. The cor-
2. rect option provides a supportive, giv-
"Now you have an angel in heaven." ing, and caring response. Options 2,
3, and 4 are blocks to communication
3. and devalue the parents' feelings.
, Saunders NCLEX Postpartum Questions with 100% Verified Answers
"Don't worry, there is nothing you
could have done to prevent this
from happening."
4.
"We will see to it that you have an
early discharge so that you don't
have to be reminded of this experi-
ence."
4. The nurse in a maternity unit is pro- 1
viding emotional support to a client
and her husband who are preparing A support group can help the parents
to be discharged from the hospital work through their pain by nonjudg-
after the birth of a dead fetus. Which mental sharing of feelings. The cor-
statement made by the client indi- rect option identifies a statement that
cates a component of the normal would indicate positive, normal griev-
grieving process? ing. Although the other options may
indicate reactions of the client and sig-
1. nificant other, they are not specifically
"We want to attend a support a part of the normal grieving process.
group."
2.
"We never want to try to have a baby
again."
3.
"We are going to try to adopt a child
immediately."
4.
"We are okay, and we are going to
try to have another baby immediate-
ly."
5. The nurse evaluates the ability of a 4
hepatitis B-positive mother to pro-
vide safe bottle-feeding to her new- Hepatitis B virus is highly contagious
, Saunders NCLEX Postpartum Questions with 100% Verified Answers
born during postpartum hospital- and is transmitted by direct contact
ization. Which maternal action best with blood and body fluids of infected
exemplifies the mother's knowl- persons. The rationale for identifying
edge of potential disease transmis- childbearing clients with this disease
sion to the newborn? is to provide adequate protection of
the fetus and the newborn, to mini-
1. mize transmission to other individuals,
The mother requests that the win- and to reduce maternal complications.
dow be closed before feeding. The correct option provides the best
evaluation of maternal understanding
2. of disease transmission. Option 1 will
The mother holds the newborn not affect disease transmission. Op-
properly during feeding and burp- tions 2 and 3 are appropriate feeding
ing. techniques for bottle-feeding, but do
not minimize disease transmission for
3. hepatitis B.
The mother tests the temperature
of the formula before initiating feed-
ing.
4.
The mother washes and dries her
hands before and after self-care of
the perineum and asks for a pair of
gloves before feeding.
6. The nurse has provided discharge 1
instructions to a client who deliv-
ered a healthy newborn by cesare- A cesarean delivery requires an in-
an delivery. Which statement made cision made through the abdominal
by the client indicates a need for wall and into the uterus. Abdominal
further instruction? exercises should not start immediate-
ly after abdominal surgery; the client
1. should wait at least 3 to 4 weeks post-
"I will begin abdominal exercises operatively to allow for healing of the
immediately." incision. Options 2, 3, and 4 are appro-
priate instructions for the client after a
2. cesarean delivery.
"I will notify the health care provider
