PNNCLEX POSTPARTUM EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
The nurse is preparing to care for a woman in the immediate postpartum.
Who has just delivered a healthy newborn. The nurse plans to take the
woman's vital signs at which time intervals - ANS ✓every 15 minutes for the
first hour then every 30 minutes for the next 2 hours
The nurse is assisting in developing a plan of care for a cloud preparing to
breastfeed. And planning care which factor is significant in teaching a client
to breastfeed - ANS ✓A positive nurse client relationship
A pregnant client test positive for Hepatitis B virus and a client asked the
nurse whether she will be able to breastfeed the baby as planned after
delivery. The nurse makes which response to the client - ANS
✓breastfeeding is allowed once the baby has been vaccinated
The nurse has reinforce instructions to a new mother about how to perform
postpartum exercises. The nurse determines that the client understands
the instructions when she makes which statement - ANS ✓I should
alternately contract and relax muscles of the perineal area
The nurse is caring for a client during the immediate recovery phase or
fourth stage of Labor. Which action is important for the nurse to take at this
time - ANS ✓check the uterine fundus and lochia
After surgical evacuation and repair of a vaginal hematoma a 3-day
postpartum mother is discharged. The nurse determines that the mother
needs further discharge instructions if the new mother makes which
1
PN NCLEX
, PN
statement - ANS ✓the only medications that I will take are prenatal vitamins
and stool softeners
A client experiences subinvolution during the puerperium. The nurse
recalls that which factors are most common causes for this occurrence -
ANS ✓retained placental fragments and infections
After delivery the nurse checks the height of the uterine fundus. Which
position of the Furnace should the nurse expect to note - ANS ✓at the level of
the umbilicus
A client in the postpartum unit complains of sudden, sharp chest pain. The
nurse notes that the client is tachycardic and respiratory rate is elevated.
The nurse suspects a pulmonary embolism which should be the initial
nursing action - ANS ✓prepare to administer oxygen at 8 to 10 by tight face
mask
A client has had a midline episiotomy. In relation to clients with other types
of episiotomies the nurse anticipates that the client will generally
experienced which - ANS ✓less pain
The nurse is assigned to care for a client after a cesarean section. To
prevent thrombophlebitis the nurse should encourage the woman to take
which priority action - ANS ✓ambulate frequently
After a precipitous delivery the nurse notes that a new mother is passive
and only touches her newborn briefly with her fingertips. The nurse should
do which action first to help the woman process what has happened - ANS
✓support the mother no matter what her reaction is to the newborn
A 45 year old woman delivered her first baby by cesarean section 5 days
ago. The postpartum recovery has been Complicated by thrombophlebitis
in her left leg. She cries frequently and request to have her newborn infant
stay in the nursery. The nurse recognizes that the mother may have
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PN NCLEX
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