Postpartum Nursing Care Quiz

Placenta Previa

• Painless red vaginal bleeding supports the diagnosis of placenta previa
• Increasing abdominal pain with a non-relaxed uterus is not a characteristic of placenta previa

Postpartum Care

• Large amounts of lochia rubra and small clots on the perineal pad are normal findings in the postpartum period
• The nurse should document the findings and continue to monitor the client
• Fundal massage is not necessary in this situation

Newborn Care

• After assuring a patent airway, the priority nursing action is to dry the skin
• Administering vitamin K, eye prophylaxis, and placing an identification bracelet are important but not the priority action

Urinary Frequency During Pregnancy

• Urinary frequency typically occurs during the first trimester and near the end of pregnancy
• The nurse should reassure the client that it is a normal symptom of pregnancy

Rubella Immunization

• Rubella immunization is recommended shortly after giving birth
• The nurse should understand that immunization during pregnancy is contraindicated

Newborn Care After Delivery

• Clearing the respiratory tract is the first nursing action after delivery
• Drying the infant, stimulating the infant to cry, and cutting the umbilical cord are important but not the first action

Pelvic Examination

• The nurse should acknowledge the client's anxiety about the pelvic examination and ask what part of the exam makes her most nervous

Umbilical Cord Examination

• The nurse should expect to observe two arteries and one vein in the umbilical cord

Contraception Methods

• The nurse should identify the intrauterine device (IUD) as the most reliable method of contraception

Rubella Titer

• A negative rubella titer indicates that the client is not immune to the rubella virus
• The nurse should understand that the client requires a rubella immunization following delivery

Test your knowledge of postpartum nursing care with these questions on placenta previa and lochia rubra. Identify the correct diagnoses and interventions for a safe delivery.