18 Questions
Which of the following postpartum clients would require the AM nurse to see first on their morning rounds?
The client who is 32 weeks gestation with terbutaline (Brethine) intravenously.
Which nursing intervention is most appropriate for a multiparous client experiencing afterbirth pains while breastfeeding her infant?
Empty her bladder every 2 to 3 hours
Which of the following is the highest priority nursing care goal for a client who has had a vaginal delivery 2 hours earlier and has just been transferred to the postpartum unit?
Assess for a distended bladder
A primigravida reports feeling fetal movements 6 times in 2 hours. Which of the following is the most appropriate nursing action?
Instruct the client to continue monitoring fetal movements
Which of the following postpartum clients would require the most urgent attention from the AM nurse?
A client 1 hour after delivery with a moderate amount of lochia rubra
Which nursing intervention is most appropriate for a client experiencing afterbirth pains while breastfeeding her infant?
Administer a medication to reduce uterine cramping
Which of the following indicates the phase of labor the 30-year-old multi-para is in?
Active Phase
Before administering Methergine or Pitocin to treat Postpartum hemorrhage, the nurse's priority assessment is to check the:
Uterine tone
The initial nursing action in performing a fundal assessment on a postpartum client is to:
Ask the mother to urinate and empty her bladder
According to the nurse's instructions, a woman should expect normal bowel elimination to return within how many days postpartum?
3 days postpartum
A primiparous woman refuses to feed her baby 4 hours after a difficult labor and birth, stating she is too tired and wants to sleep. The nurse should:
Encourage the woman to feed the baby immediately to establish breastfeeding
The mass palpated during an examination is the:
Head
On which postpartum day can the client expect lochia serosa?
Days 14-42
Which specific intervention should the nurse include in the plan of care for a postpartum woman with a small vulvular hematoma during the first 12 hours following delivery?
Prepare an ice pack for application to the area
Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?
An increase in pulse from 88 to 102 BPM
Which of the following circumstances is most likely to cause uterine atony and lead to postpartum hemorrhage?
Uterine retention
What type of milk is present in the breasts 7 to 10 days Postpartum?
Transitional
Which of the following behaviors should the nurse recognize as a behavior of the 'taking hold' stage of maternal-newborn attachment?
Reassuring the woman that her rest is the priority
Test your knowledge on postpartum nursing assessments with these scenario-based questions. From assessing lochia to monitoring maternal vital signs, this quiz covers key areas of postpartum care. See if you can identify the priority concerns in various postpartum situations.
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