Exam (elaborations)
OB Postpartum NCLEX Questions with 100% Correct Answers
- Course
- Institution
OB Postpartum NCLEX Questions with 100% Correct Answers
[Show more]
Content preview
©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PMWEST VIRGINIA UNIVERSIRTY-WV26506
OB Postpartum NCLEX Questions with 100% Correct Answers
A postpartum nurse is preparing to care for a woman who has just delivered a healthy
newborn infant. In the immediate postpartum period the nurse plans to take the
woman's vital signs:
A) Every 30 minutes during the first hour and then every hour for the next two hours.
B) Every 15 minutes during the first hour and then every 30 minutes for the next two
hours.
C) Every hour for the first 2 hours and then every 4 hours
D) Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours. -
✔️✔️B) Every 15 minutes during the first hour and then every 30 minutes for the next two
hours.
Rationale: Every 15 minutes during the first hour and then every 30 minutes for the next
two hours.
A postpartum nurse is taking the vital signs of a woman who delivered a healthy
newborn infant 4 hours ago. The nurse notes that the mother's temperature is 100.2*F.
Which of the following actions would be most appropriate?
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
A) Retake the temperature in 15 minutes
B) Notify the physician
C) Document the findings
D) Increase hydration by encouraging oral fluids - ✔️✔️D) Increase hydration by
encouraging oral fluids
Rationale: The mother's temperature may be taken every 4 hours while she is awake.
Temperatures up to 100.4 (38 C) in the first 24 hours after birth are often related to the
dehydrating effects of labor. The most appropriate action is to increase hydration by
encouraging oral fluids, which should bring the temperature to a normal reading.
Although the nurse would document the findings, the most appropriate action would be
to increase the hydration.
The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy
infant. The client complains to the nurse of feelings of faintness and dizziness. Which of
the following nursing actions would be most appropriate?
A) Obtain hemoglobin and hematocrit levels
B) Instruct the mother to request help when getting out of bed
C) Elevate the mother's legs
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D) Inform the nursery room nurse to avoid bringing the newborn infant to the mother
until the feelings of lightheadedness and dizziness have subsided - ✔️✔️B) Instruct the
mother to request help when getting out of bed
Rationale: Orthostatic hypotension may be evident during the first 8 hours after birth.
Feelings of faintness or dizziness are signs that should caution the nurse to be aware of
the client's safety. The nurse should advise the mother to get help the first few times the
mother gets out of bed. Obtaining an H/H requires a physicians order.
A nurse is preparing to perform a fundal assessment on a postpartum client. The initial
nursing action in performing this assessment is which of the following?
A) Ask the client to turn on her side
B) Ask the client to lie flat on her back with the knees and legs flat and straight
C) Ask the mother to urinate and empty her bladder
D) Massage the fundus gently before determining the level of the fundus. - ✔️✔️C) Ask
the mother to urinate and empty her bladder
Rationale: Before starting the fundal assessment, the nurse should ask the mother to
empty her bladder so that an accurate assessment can be done. When the nurse is
performing fundal assessment, the nurse asks the woman to lie flat on her back with the
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
knees flexed. Massaging the fundus is not appropriate unless the fundus is boggy and
soft, and then it should be massaged gently until firm.
The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the lochia
is red and has a foul-smelling odor. The nurse determines that this assessment finding
is:
A) Normal
B) Indicates the presence of infection
C) Indicates the need for increasing oral fluids
D) Indicates the need for increasing ambulation - ✔️✔️B) Indicates the presence of
infection
Rationale: Lochia, the discharge present after birth, is red for the first 1 to 3 days and
gradually decreases in amount. Normal lochia has a fleshy odor. Foul smelling or
purulent lochia usually indicates infection, and these findings are not normal.
Encouraging the woman to drink fluids or increase ambulation is not an accurate
nursing intervention
When performing a PP assessment on a client, the nurse notes the presence of clots in
the lochia. The nurse examines the clots and notes that they are larger than 1 cm.
Which of the following nursing actions is most appropriate?
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller OliviaWest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76462 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now