Postpartum and Newborn NCLEX

Postpartum and Newborn NCLEX

University

11 Qs

quiz-placeholder

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Postpartum and Newborn NCLEX

Postpartum and Newborn NCLEX

Assessment

Quiz

Other, Specialty

University

Medium

Created by

Elena Pattengale

Used 119+ times

FREE Resource

11 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A postpartum client reports urinary frequency and burning. What cause would the nurse suspect?

uterine atony

urinary tract infection

Subinvolution

Stress Incontinence

2.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

A woman birth her infant 24 hours ago by cesarean. Which assessment findings should be reported to the assigned nurse? Select all that apply.

Fundal height is one fingerbreadth below the umbilicus

Bleeding is noted on the abdominal dressing

Uterus is boggy

New pain level of 7 out of 8.

The client's abdomen is mildly distended and bowel sounds are hypoactive.

3.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

What findings should the nurse report to the health care provider for a postpartum client who delivered 12 hours ago? Select all that apply.

Lochia Rubra

Fundal height of one fingerbreadth above the umbilicus. (previously at the umbilicus)

Episiotomy appears edematous.

Temperature of 101.8

WBC of 25,000

Answer explanation

The uterine fundus should be one fingerbreadth below, not above, the umbilicus. Maternal temperature does increase slightly after delivery but 38.8°C (101.8°F) is too high and the doctor needs to be made aware of it. All other findings are normal.

4.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

A postpartum mother calls the nurse in and tells her that her right calf hurts whenever she walks around the room or in the hall. What other data needs to be collected in assessing this client for a DVT? Select all that apply.

Feel right calf for warmth

Note any reddened areas on the right calf

Measure the Diameter of both calves

Have patient ambulate

Have mother flex legs to assess for movement.

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A postpartum client has a fourth-degree perineal laceration. The nurse would expect which medication to be prescribed?

Ferrous Sulfate

Methylergonovine

docusate sodium

bromocriptine

Answer explanation

A stool softener such as docusate may promote bowel elimination in a woman with a fourth-degree laceration, who may fear that bowel movements will be painful. Ferrous sulfate would be used to treat anemia. However, it is associated with constipation and would increase the discomfort when the woman has a bowel movement. Methylergonovine would be used to prevent or treat postpartum hemorrhage. Bromocriptine is used to treat hyperprolactinemia.

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The nurse is teaching a postpartum woman and her spouse about postpartum blues. The nurse would instruct the couple to seek further care if the client's symptoms persist beyond which time frame?

1 week

2 weeks

3 weeks

4 weeks

Answer explanation

Symptoms worsening or persisting past two weeks need further evaluation for the potential of post partum depression (PPD).

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

New parents are upset their newborn has lost weight since birth. The nurse explains that newborns typically lose how much of their birth weight by 3 to 4 days of age?

10%

5%

15%

19%

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