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Postpartum Questions and Answers 100% Pass
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Postpartum Questions and Answers 100% Pass
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Postpartum Questions and Answers 100% PassA 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?
1.Ask the client to turn on her side
2.Ask the client to lie flat on her back with the knees and legs flat and straight.
3.Ask the mother to urinate and empty her bladder
4.Massage the fundus gently before determining the level of the fundus. Correct Ans-
Answer: 3. 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 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:
1.Normal
2.Indicates the presence of infection
3.Indicates the need for increasing oral fluids
, Postpartum Questions and Answers 100% Pass
4.Indicates the need for increasing ambulation Correct Ans-Answer: 2. 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?
1.Document the findings
2.Notify the physician
3.Reassess the client in 2 hours
4.Encourage increased intake of fluids. Correct Ans-Answer: 2. Normally, one may find a
few small clots in the first 1 to 2 days after birth from pooling of blood in the vagina. Clots
larger than 1 cm are considered abnormal. The cause of these clots, such as uterine atony or
retained placental fragments, needs to be determined and treated to prevent further blood
loss. Although the findings would be documented, the most appropriate action is to notify the
physician.
, Postpartum Questions and Answers 100% Pass
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:
1.Every 30 minutes during the first hour and then every hour for the next two hours.
2.Every 15 minutes during the first hour and then every 30 minutes for the next two hours.
3.Every hour for the first 2 hours and then every 4 hours
4.Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours Correct
Ans-Answer: 2
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.Retake the temperature in 15 minutes
2.Notify the physician
3.Document the findings
4.Increase hydration by encouraging oral fluids Correct Ans-Answer: 4. 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
, Postpartum Questions and Answers 100% Pass
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?
1.Obtain hemoglobin and hematocrit levels
2.Instruct the mother to request help when getting out of bed
3.Elevate the mother's legs
4.Inform the nursery room nurse to avoid bringing the newborn infant to the mother until the
feelings of light-headedness and dizziness have subsided. Correct Ans-Answer: 2.
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 in a PP unit is instructing a mother regarding lochia and the amount of expected
lochia drainage. The nurse instructs the mother that the normal amount of lochia may vary
but should never exceed the need for:
1.One peripad per day
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