WorksheetsPostpartum and Obstetric Care Worksheet
Total questions: 36
Worksheet time: 54mins
Which findings may indicate placental abruption? SELECT ALL THAT APPLY
Rigid abdomen
Dark red vaginal bleeding
Severe abdominal pain
Painless bleeding
Uterine tenderness
A breastfeeding mother with mastitis asks what she should do. Which instruction is correct?
Stop breastfeeding on both breasts
Continue breastfeeding regularly
Apply cold compresses before feeding
Avoid pumping until healed
A client with severe hyperemesis gravidarum is at risk for which nutritional or electrolyte deficiencies? SELECT ALL THAT APPLY
Thiamine (Vitamin B1) deficiency
Magnesium deficiency
Pyridoxine (Vitamin B6) deficiency
Excess iron levels
Folate deficiency
Which action prevents postpartum perineal infection?
Avoid peri bottle
Change peripad every 4–6 hours
Perform front-to-back perineal cleansing
Avoid handwashing after bathroom use
Lochia Serosa – When Expected. Lochia serosa typically appears:
Days 1–3 postpartum
Days 4–10 postpartum
Weeks 2–4 postpartum
At 6 weeks postpartum
Why is bladder distention dangerous postpartum?
Leads to poor appetite
Causes excessive uterine bleeding
Improves milk letdown
Prevents lochia drainage
Hypovolemia Postpartum – Signs. Which postpartum vital sign change indicates hypovolemia?
Bradycardia
Hypertension
Tachycardia
Hypothermia
Episiotomy Care (SELECT ALL THAT APPLY). Which interventions promote healing after an episiotomy?
Ice packs first 24 hours
Warm sitz baths after 24 hours
Perineal cleansing after voiding
Lying prone only
Use peri bottle
Best treatment for breast engorgement in a non-breastfeeding mother:
Massage breasts
Apply warm compresses
Wear tight-fitting bra
Express milk regularly
What complications can bladder distention cause after delivery? SELECT ALL THAT APPLY
Uterine atony
Excessive bleeding
Urinary retention
Infection
Bradycardia
Immediate action for profuse postpartum bleeding:
Call provider
Assess fundus for bogginess
Apply warm compress
Check perineum
A client reports lochia rubra returning on day 12 postpartum. What should she do?
Increase activity
Notify provider
Ignore it
Take ibuprofen
Match lochia with correct timeframe.
Lochia rubra
Days 1–3
Lochia serosa
Days 4–10
Lochia alba
Day 10–6 weeks
What education is appropriate for a breastfeeding mother with engorgement?
Avoid warm showers
Massage breasts before feeding
Skip feedings
Wear a tight bra
Which findings indicate abnormal amniotic fluid? SELECT ALL THAT APPLY
Foul odor
Green color
Clear, straw-colored
Thick meconium
Cloudy
When can intercourse resume?
After bleeding stops
At 6-week follow-up
After 2 weeks
Immediately after birth
What are typical signs and symptoms of placenta previa? SELECT ALL THAT APPLY
Painless bleeding
Bright red bleeding
Rigid abdomen
No vaginal exam
Soft uterus
Which symptoms suggest postpartum depression?
Excess energy
Constant fatigue
Increased appetite
Lack of concentration
Not eating
A nurse struggles to teach a postpartum client. What factor most affects learning?
Rapport/trust
Quiet environment
Client age
Written materials
Immediately after birth, the priority nursing action is:
Assess temperature
Suction mouth then nose
Check blood pressure
Obtain weight
Match reflex to description.
Moro
Arms extend then retract to loud sound
Rooting
Turns head toward touch on cheek
Fencing (tonic neck)
Arm/leg extend on one side when head turned
Why is ice applied to perineum in first 24 hours?
Warmth promotes circulation
Prevent infection
Reduce swelling and pain
Promote bleeding
A firm uterus with ongoing bleeding suggests:
Uterine atony
Hematoma or laceration
Hypovolemia only
Infection
What medication is indicated for an Rh- mother after a miscarriage?
Oxytocin
RhoGAM
Magnesium sulfate
Betamethasone
Which vitamins/minerals are given IV for hyperemesis?
Iron and zinc
Thiamine, pyridoxine, magnesium
Folate only
Calcium only
A patient with cerclage is being discharged home. Which statement shows understanding of patient teaching?
“I can resume intercourse normally.”
“I will avoid intercourse.”
“I can lift heavy objects.”
“I should ignore cramping.”
A breastfeeding mother should avoid:
Eating balanced meals
Drinking fluids
Strict dieting for weight loss
Increasing calories
A patient on day 1 postpartum has temperature of 100.2°F orally. How would the nurse interpret the finding?
Infection
Normal due to dehydration
Emergency
Requires blood culture
A patient is receiving magnesium drip for eclampsia. What finding indicates magnesium toxicity?
Hyperactive reflexes
No deep tendon reflexes
Visual flashes
Severe hypertension
Which findings suggest ectopic pregnancy?
Right shoulder pain
Heavy painless bleeding
Missed period + unilateral pain
Sudden severe abdominal pain
The APGAR score helps determine:
IQ level
Neurological development
Adjustment to extrauterine life
Long-term prognosis
A patient is tearful after being unable to deliver vaginally, what is the best intervention?
Tell her it happens sometimes
Explore feelings of loss
Ignore concerns
Tell her she’ll be fine
A nurse is assessing newborn fontanelles, what finding is expected?
Bulging
Sunken
Soft and flat
Hardened
What is the best birth-control option while breastfeeding?
Estrogen pills
IUD or progestin-only pill
Patch
Shot with estrogen
A patient with preeclampsia is being discharged home. What finding needs to be reported to the provider immediately?
Mild swelling
Protein in urine
No headache
Normal BP
What new born vital sign is considered normal?
RR 20
HR 160
Temp 96.0°F
BP 100/80
