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Postpartum Exam with Complete Solutions
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Postpartum Exam with Complete Solutions
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Postpartum Exam with Complete SolutionsA licensed practical nurse (LPN) who typically works in the nursery is being cross-trained to
work with postpartum clients. The charge nurse is busy with a delivery and assigns her to
complete hourly rounds on the unit. As she enters a client's room, the LPN notices that a
client looks pale and shaky. Which action should she take? Correct Ans-Obtain a set of vital
signs, check the client's fundus and flow, and compare the findings to baseline data.
In the fourth stage of labor, a full bladder increases the risk of which postpartum
complication? Correct Ans-Hemorrhage
A nurse is reinforcing the teaching plan for a postpartum client diagnosed with mastitis. The
nurse determines that the client has understood the information when she states which
organism as most likely responsible? Correct Ans-staphylococcus aureus
The nurse is caring for a postpartum client after giving birth to a healthy neonate. When
checking the client's fundus, which finding would the nurse most likely note? Correct Ans-
fundus 1 cm above the umbilicus 1 hour postpartum
, Postpartum Exam with Complete Solutions
A client is 2 days postpartum and is experiencing bleeding. She asks the nurse, "Will it always
be like this?" Which statement by the nurse would be the most accurate? Correct Ans-
"This is lochia rubra and will last 3 to 4 days."
A nurse is caring for a client who gave birth yesterday and had a right mediolateral episotomy
performed. The client asks the nurse, "What can I do to get pain relief from my episiotomy?"
Which response by the nurse would be most appropriate? Correct Ans-"Apply a cold pack
to your perineum."
A primigravida client experiences a normal vaginal birth. The next day, the nurse monitors the
client's lochia for color, amount, and the presence of clots. Which finding best describes lochia
on the first postpartum day? Correct Ans-dark red, moderate amount, with a few small
clots
A postpartum client is scheduled for discharge tomorrow. The nurse is reinforcing discharge
instructions with the client. The nurse determines that the client understands the information
when stating that she will report which finding to her health care provider? Correct Ans-
redness, warmth, and pain in a breast
, Postpartum Exam with Complete Solutions
A client is diagnosed with disseminated intravascular coagulation (DIC) postpartum. The nurse
recognizes that DIC may be related to which antepartum complication? Correct Ans-severe
pre-eclampsia
A postpartum client decides to bottle-feed her neonate. To prevent breast engorgement, the
nurse should recommend that she: Correct Ans-wear a supportive, well-fitting brassiere.
One day after a client gives birth, the nurse performs a postpartum assessment. The nurse
finds a moderate amount of lochia rubra on the client's perineal pad. Which action should the
nurse? Correct Ans-Document this as a normal finding
When assessing a client who gave birth 12 hours ago, the nurse measures an oral temperature
of 99.6° F (37.5° C), a heart rate of 82 beats/minute, a respiratory rate of 18 breaths/minute,
and a blood pressure of 116/70 mm Hg. Which nursing action is appropriate? Correct Ans-
Encouraging increased fluid intake
The nurse is teaching a breast-feeding client how to care for her engorged breasts. Which
statement by the client indicates the need for further teaching? Correct Ans-"If my breasts
are uncomfortable, I'll limit the time I spend breast-feeding."
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